PHILLIP ANDREWS REATH


Address: 8 Richland Medical Park Dr, Suite 100, Columbia, SC 29203
Phone: 8034343800

PHILLIP ANDREWS REATH (NPI# 1821466202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1821466202
Entity Type Individual
Full Name PHILLIP ANDREWS REATH
Credential PA-C
Practice Address 8 Richland Medical Park Dr
Suite 100
Columbia
SC 29203
Mailing Address 15 Exchange Dr
Lugoff
SC 29078-9198
Practice Telephone 8034343800
Practice Fax Number 8037442759
Mailing Telephone 8034242207
Mailing Fax Number 8034083282
Enumeration Date 2015-09-02
Last Update Date 2019-03-14
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
2389 SC Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
SC 2929PA 05
SC MEDICARE SC79579988 01

Office Location

Street Address 8 RICHLAND MEDICAL PARK DR
SUITE 100
City COLUMBIA
State SC
Zip Code 29203

Providers in the same location

NPI Name Taxonomy Address Enumeration
1770582454 Benjamin R Jones Internal Medicine 8 Richland Medical Park Dr, Suite 300, Columbia, SC 29203-8005 2005-07-15
1528527074 Christopher Charles Downs Physician Assistant 8 Richland Medical Park Dr, Suite 100, Columbia, SC 29203 2019-03-14
1770029936 Jada Suthard Simpson Nurse Practitioner 8 Richland Medical Park Dr, Suite 100, Columbia, SC 29203 2017-01-12
1962950949 David Chadwick Jones Nurse Practitioner 8 Richland Medical Park Dr, Suite 100, Columbia, SC 29203 2016-09-19
1629420286 Susan Bowers Nurse Practitioner 8 Richland Medical Park Dr, #300, Columbia, SC 29203-8005 2016-07-07
1962833798 Jeanette Forrest Nurse Practitioner 8 Richland Medical Park Dr, Suite 400, Columbia, SC 29203-8005 2013-12-04
1295169241 Tolvalyn Shinia Dennison Clinical Nurse Specialist 8 Richland Medical Park Dr, Suite 300, Columbia, SC 29203-8005 2013-08-27
1073858130 Palmetto Health Internal Medicine 8 Richland Medical Park Dr, Suite 100, Columbia, SC 29203-8005 2012-11-30
1518252782 Palmetto Health Internal Medicine 8 Richland Medical Park Dr, Suite 100, Columbia, SC 29203-8005 2011-06-15
1366762775 Janice Butler Ryckeley Nurse Practitioner 8 Richland Medical Park Dr, Suite 300, Columbia, SC 29203-8005 2010-06-08
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Providers in the same zip code

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 Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700392495 Stephanie Meyer Physician Assistant 5 Medical Park Road Palmetto Health, Columbia, SC 29203 2017-12-18
1629434279 Jennifer Templeton Physician Assistant 110 Highland Center Drive, Columbia, SC 29203 2016-01-12
1184023871 Candace Parker Fleming Physician Assistant 109 W Legion Ave, Columbia, IL 62236-2341 2014-08-19
1194147470 Frederick Parker Physician Assistant 9 Richland Medical Park Drive, Suite 450, Columbia, SC 29203 2014-01-06
1780999037 Spectrum Pain Clinics, Inc Physician Assistant 230 East James Campbell Blvd, Suite 102, Columbia, TN 38401 2010-08-11
1770728834 Joan Chandler Hornick Physician Assistant 2 Medical Park Rd Ste 404, Columbia, SC 29203-6875 2008-12-03
1164683926 Kimberly Shirk Physician Assistant 612 Saint Andrews Rd Ste 2, Columbia, SC 29210-5120 2008-06-24
1295869485 Karen Traynham Physician Assistant 303 N Keene St Ste 301, Columbia, MO 65201-7193 2007-03-16
1508926817 Nina D Garcia Physician Assistant 8850 Columbia 100 Pkwy Ste 316, Columbia, MD 21045-2377 2006-12-11
1467526418 Tamenia Bluford Bluford Physician Assistant 4 N Bay Xing, Columbia, SC 29229-7507 2006-11-20
Find all providers in COLUMBIA

Competitor

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City COLUMBIA
Zip Code 29203

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Dataset Information

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.

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