DR. TARA SUSANNE PIETROBONO (NPI# 1841448925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841448925 |
| Entity Type | Individual |
| Full Name | DR. TARA SUSANNE PIETROBONO |
| Credential | D.P.M. |
| Practice Address |
1516 Calhoun St Columbia SC 29201-2607 |
| Mailing Address |
211 Cedar View Dr Irmo SC 29063-7929 |
| Practice Telephone | 8032546114 |
| Mailing Telephone | 8032347375 |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2008-09-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
577 | SC | Podiatric Medicine & Surgery Service Providers |
| Street Address |
1516 CALHOUN ST |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29201-2607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669589834 | Columbia Foot Clinic | Clinic/Center | 1516 Calhoun St, Columbia, SC 29201-2607 | 2006-08-24 |
| 1013393297 | Carly Chapman | Podiatrist | 1516 Calhoun St, Columbia, SC 29201 | 2015-08-10 |
| 1164784757 | Daniel Phillip Miller | Podiatrist | 1516 Calhoun St, Columbia, SC 29201-2607 | 2012-06-11 |
| 1023105913 | James A Suber | Podiatrist | 1516 Calhoun St, Columbia, SC 29201-2607 | 2006-10-10 |
| 1538256417 | Ralph E Payne | Podiatrist | 1516 Calhoun St, Columbia, SC 29201-2607 | 2006-10-10 |
| 1962599860 | Gregory T Davis | Podiatrist | 1516 Calhoun St, Columbia, SC 29201-2607 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366049421 | Souzan Moslehshirazi | Behavior Technician | 1320 Main Street Suite 300, Colombia, SC 29201 | 2020-10-02 |
| 1295353936 | Kayla Faylyn Nicole Mckenzie | Specialist/Technologist | 1905 Southern Drive, Unit 1905a, Columbia, SC 29201 | 2020-07-09 |
| 1548887128 | Casania's Caring Hands,llc | Home Health Aide | 1113 Belleview Street, 105, Columbia, SC 29201 | 2020-06-30 |
| 1639719909 | Benjamin Clark Watson | Acupuncturist | 1825 Sumter St., Columbia, SC 29201 | 2020-01-14 |
| 1588217574 | Aneika Daley | Specialist/Technologist | 1211 Wheat St, Columbia, SC 29201 | 2019-07-19 |
| 1447803531 | Gillian Taylor Shaughnessy | Specialist/Technologist | 147 South Marion St, Columbia, SC 29201 | 2019-07-18 |
| 1417417619 | Maria Nelson | Behavior Technician | 320 Main St Suite 300, Columbia, SC 29201 | 2019-03-22 |
| 1679041297 | Nathaniel Carl Stocker | Nurse Practitioner | 1614 Main Street, Suite C, Sc House Calls Inc, Columbia, SC 29201 | 2018-11-13 |
| 1558852855 | The Practice | Family Medicine | 1910 Gregg Street, Columbia, SC 29201 | 2018-05-22 |
| 1871095836 | Kadesjah Samuels | Behavior Technician | 1320 Main Street, Suite 300, Columbia, SC 29201 | 2018-03-06 |
| Find all providers in zip 29201 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033738547 | C James Anderson Dpm LLC | Podiatrist | 1000 Eleven S Ste 3a, Columbia, IL 62236-1077 | 2020-04-14 |
| 1912388661 | Evan K Yoo | Podiatrist | 5500 Knoll North Dr Ste 440, Columbia, MD 21045-2364 | 2015-06-17 |
| 1831539303 | Benjamin David Elgamil | Podiatrist | 9821 Broken Land Pkwy Ste 103, Columbia, MD 21046-1161 | 2013-06-28 |
| 1154627008 | Michelle P Glover | Podiatrist | 3 Richland Medical Park Suite 110, Columbia, SC 29203 | 2011-02-09 |
| 1457440265 | Hyman David Gottlieb | Podiatrist | 11733 Lone Tree Ct, Columbia, MD 21044-4310 | 2006-10-11 |
| 1730176249 | Harry Cotler | Podiatrist | 1730 Saint Julian Pl, Columbia, SC 29204-2410 | 2005-09-29 |
| 1720088149 | Bryan Davies | Podiatrist | 6439 Garners Ferry Rd, Columbia, SC 29209 | 2005-07-28 |
| 1003420225 | Foot and Ankle Pain Center LLC | Podiatrist | 9821 Broken Land Pkwy Ste 103, Columbia, MD 21046-1161 | 2020-09-04 |
| 1356791735 | Matthew Engelthaler | Podiatrist | 1730 Saint Julian Pl, Columbia, SC 29204-2410 | 2016-06-16 |
| 1013393297 | Carly Chapman | Podiatrist | 1516 Calhoun St, Columbia, SC 29201 | 2015-08-10 |
| 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.