PROVIDENCE CARDIOLOGY LLC (NPI# 1790196293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790196293 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE CARDIOLOGY LLC |
| Other Organization Name | PROVIDENCE CARDIOLOGY |
| Practice Address |
114 Gateway Corporate Blvd Suite 300 Columbia SC 29203-9740 |
| Mailing Address |
2001 Laurel St Columbia SC 29204-1018 |
| Practice Telephone | 8032543278 |
| Practice Fax Number | 8033768010 |
| Mailing Telephone | 8032543278 |
| Mailing Fax Number | 8033768010 |
| Enumeration Date | 2014-05-19 |
| Last Update Date | 2014-05-19 |
| Authorized Official Name | LARRY R ELLIS (CEO) |
| Authorized Official Telephone | 8032543278 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Providence Cardiology | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083995641 | Providence Cardiology LLC | Internal Medicine | 3103 Sunset Blvd, West Columbia, SC 29169-4817 | 2011-09-08 |
| 1336497742 | Providence Cardiology LLC | Internal Medicine | 114 Gateway Corporate Blvd, Suite 330, Columbia, SC 29203-9740 | 2012-08-16 |
| 1265716039 | Providence Cardiology LLC | Internal Medicine | 2001 Laurel St, Columbia, SC 29204-1018 | 2011-09-28 |
| 1235410887 | Providence Cardiology LLC | Internal Medicine | 904 S 4th St Ste B, Hartsville, SC 29550-0704 | 2011-09-08 |
| 1003197666 | Providence Cardiology LLC | Internal Medicine | 124 Wren St, Barnwell, SC 29812-1527 | 2011-09-08 |
| 1376824920 | Providence Cardiology LLC | Internal Medicine | 506 North St, Bamberg, SC 29003-1319 | 2011-09-08 |
| 1760763312 | Providence Cardiology LLC | Internal Medicine | 1330 Haile St, Camden, SC 29020-3002 | 2011-09-08 |
| 1588945141 | Providence Cardiology LLC | Internal Medicine | 595 Newberry Hwy, Saluda, SC 29138-7808 | 2011-09-08 |
| Street Address |
114 GATEWAY CORPORATE BLVD SUITE 300 |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29203-9740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689644221 | Eric Steven Spotts | Obstetrics & Gynecology | 114 Gateway Corporate Blvd, Suite 350, Columbia, SC 29203-9740 | 2006-01-25 |
| 1093253254 | Midlands Orthopaedics and Neurosurgery, Pa | Orthopaedic Surgery | 114 Gateway Corporate Blvd, Suite 110, Columbia, SC 29203-9740 | 2017-02-08 |
| 1366980591 | Midlands Orthopaedics and Neurosurgery, Pa | Durable Medical Equipment & Medical Supplies | 114 Gateway Corporate Blvd, Suite 110, Columbia, SC 29203-9740 | 2017-02-08 |
| 1033657275 | Midlands Orthopaedics and Neurosurgery, Pa | Neurological Surgery | 114 Gateway Corporate Blvd, Suite 110, Columbia, SC 29203-9740 | 2017-02-08 |
| 1811448517 | Arcis Healthcare | Durable Medical Equipment & Medical Supplies | 114 Gateway Corporate Blvd, Suite 110, Columbia, SC 29203-9740 | 2016-10-18 |
| 1770943631 | Providence Physician Practices LLC | Internal Medicine | 114 Gateway Corporate Blvd, Ste 425, Columbia, SC 29203-9740 | 2016-03-04 |
| 1437521259 | Arcis Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 114 Gateway Corporate Blvd, Suite 110, Columbia, SC 29203-9740 | 2015-10-21 |
| 1447632989 | Lori Uhrig | Physical Therapist | 114 Gateway Corporate Blvd, Columbia, SC 29203-9740 | 2015-06-21 |
| 1265814701 | Gretchen Zimmerman Tarrance | Occupational Therapist | 114 Gateway Corporate Blvd, Columbia, SC 29203-9740 | 2015-06-21 |
| 1437531944 | Lyle Oamil | Physical Therapist | 114 Gateway Corporate Blvd, Columbia, SC 29203-9740 | 2015-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475284 | Matthew Leon Brigmon | Surgery | 2 Richland Medical Park, Suite 300, Columbia, SC 29203 | 2020-10-23 |
| 1730706839 | John James Gannon | Family Medicine | Prisma Health Medical Group Family Medicine, 3209 Colonial Drive, Columbia, SC 29203 | 2020-07-06 |
| 1790302362 | Klariz Teves Tucker | Internal Medicine | Internal Medcine Center, 1801 Sunset Drive, Columbia, SC 29203 | 2020-06-30 |
| 1811514482 | Esther Ruth Swan | Psychiatry & Neurology | Prisma Health General Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-30 |
| 1447877014 | Jordan Kaitlyn Merrels | Psychiatry & Neurology | Prisma Health Medical Group General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-30 |
| 1306463187 | Jessica Leigh Watson | Psychiatry & Neurology | Prisma Health General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-29 |
| 1053938852 | Garrison Glenn Rice | Family Medicine | Prisma Health Medical Group Family Medical Center, 3209 Colonial Drive, Columbia, SC 29203 | 2020-06-29 |
| 1053938977 | Rachel Ellen Harper | Obstetrics & Gynecology | The Womens Center, 1801 Sunset Drive, Columbia, SC 29203 | 2020-06-26 |
| 1609493592 | Elizabeth Marie Kern | Orthopaedic Surgery | Prisma Health Medical Group Orthopedic Center, 2 Medical Park, Ste 105, Columbia, SC 29203 | 2020-06-26 |
| 1891312799 | Kathryn Victoria Steverson | Psychiatry & Neurology | Prisma Health Medical Group Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-26 |
| Find all providers in zip 29203 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376050534 | Khoury Cardiology, Pa | Internal Medicine | 151 Saluda Ave, Columbia, SC 29205-3080 | 2018-01-09 |
| 1669919247 | Hari Gnanasekeram, PC | Internal Medicine | 207 Zeigler St, Columbia, SC 29217-0001 | 2017-01-20 |
| 1033514120 | Palmetto Health | Internal Medicine | 6 Richland Medical Park Dr, Suite 2100, Columbia, SC 29203-6864 | 2014-10-31 |
| 1639516636 | Namit Rohant | Internal Medicine | 2 Medical Park Rd Ste 402, Columbia, SC 29203-6839 | 2013-05-30 |
| 1720358112 | William Fox | Internal Medicine | 11837 Winterlong Way, Columbia, MD 21044-4412 | 2012-01-03 |
| 1134418874 | Daniel A Kim | Internal Medicine | 10710 Charter Dr Ste 400, Columbia, MD 21044 | 2011-04-04 |
| 1730321035 | Columbia Cardiology, LLC | Internal Medicine | 130 Corporate Blvd, Columbia, SC 29204 | 2009-04-01 |
| 1447415211 | Anil Purohit | Internal Medicine | 6 Richland Medical Park Drive Suite 2100, Columbia, SC 29203 | 2008-07-22 |
| 1679740195 | Warren F Holland | Internal Medicine | 3628 Cassina Cir, Columbia, SC 29205-1854 | 2008-05-14 |
| 1386826824 | Sirisha Donekal | Internal Medicine | 11055 Little Patuxent Pkwy Ste 205, Columbia, MD 21044 | 2007-11-27 |
| Find all providers in COLUMBIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.