CAPITAL CITY MEDICINE, INC (NPI# 1881068583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881068583 |
| Entity Type | Organization |
| Organization Name | CAPITAL CITY MEDICINE, INC |
| Practice Address |
1415 Blanding St #3 Columbia SC 29201-2922 |
| Practice Telephone | 8032561111 |
| Practice Fax Number | 8552911657 |
| Mailing Telephone | 8032561111 |
| Mailing Fax Number | 8552911657 |
| Enumeration Date | 2015-11-18 |
| Last Update Date | 2015-11-18 |
| Authorized Official Name | DR. DEIDRE L TOOMER-CLOWNEY (OWNER) |
| Authorized Official Telephone | 8032561111 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Street Address |
1415 BLANDING ST #3 |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29201-2922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548240484 | Robert C Schnackenberg | Psychiatry & Neurology | 1415 Blanding St, Suite 4, Columbia, SC 29201-2922 | 2006-01-18 |
| 1780035113 | Allison Diane Kenney | Counselor | 1415 Blanding St, Suite 4, Columbia, SC 29201-2922 | 2016-06-27 |
| 1306295647 | Carolina Psychiatric Care, LLC | Psychiatry & Neurology | 1415 Blanding St, Suite 4, Columbia, SC 29201-2922 | 2016-06-07 |
| 1518339282 | Creek Way Psychiatry, LLC | Psychiatry & Neurology | 1415 Blanding St, Ste 4, Columbia, SC 29201-2922 | 2015-10-21 |
| 1508151358 | Lauren Saleeby Barron | Psychiatry & Neurology | 1415 Blanding St, Ste 4, Columbia, SC 29201-2922 | 2011-06-09 |
| 1750612214 | Lynnie Leopard | Counselor | 1415 Blanding St, Suite 4, Columbia, SC 29201-2922 | 2010-01-23 |
| 1164651667 | Kelly T Dion | Psychiatry & Neurology | 1415 Blanding St, Suite 4, Columbia, SC 29201-2922 | 2009-07-07 |
| 1700075736 | Timothy D. Malone Md | Specialist | 1415 Blanding St, Ste 4, Columbia, SC 29201-2922 | 2007-10-16 |
| 1972791200 | Columbia Colon and Rectal Surgeons | Colon & Rectal Surgery | 1415 Blanding St, Suite 2, Columbia, SC 29201-2922 | 2007-10-11 |
| 1669670097 | Angela D. Harper, M.d., Pa | Psychiatry & Neurology | 1415 Blanding St, Ste 4, Columbia, SC 29201-2922 | 2007-07-06 |
| Find all providers in the same location | ||||
| 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 | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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| 1700389046 | Columbia Medical | Clinic/Center | 7937 Highway 165, Columbia, LA 71418-3327 | 2018-03-13 |
| 1386063675 | U.n.i. Medical Care, Inc | Clinic/Center | 6490 Dobbin Center Way, Suite C, Columbia, MD 21045-4728 | 2014-04-15 |
| 1740538768 | River of Life Health Center | Clinic/Center | 291 S 4th St, Columbia, PA 17512-1731 | 2012-08-23 |
| 1942504626 | Able Health, LLC | Clinic/Center | 12a Russmar Trl, Columbia, CT 06237-1416 | 2011-01-10 |
| 1881726925 | Jill Murphey,md PC | Clinic/Center | 1701 E Broadway Ste 101, Broadway Plaza IIi, Columbia, MO 65201-8018 | 2007-03-12 |
| 1265525455 | Family Medicine Centers of South Carolina, P.a. | Clinic/Center | 813 Leesburg Rd, Columbia, SC 29209-2127 | 2006-10-02 |
| 1265525463 | Family Medicine Centers of South Carolina, P.a. | Clinic/Center | 300 Rice Meadow Way, Columbia, SC 29229-9466 | 2006-10-02 |
| 1215996046 | Wilson Internal Medicine Pa | Clinic/Center | 4840 Forest Dr, Box 255, Columbia, SC 29206-4810 | 2006-03-21 |
| 1508825340 | Palmetto Family Medicine | Clinic/Center | 109 Barton Creek Court, Columbia, SC 29229-8027 | 2006-03-21 |
| 1942820519 | Stephen Anthony Fuselli | Clinic/Center | 619 N Providence Rd, Columbia, MO 65203-4355 | 2020-04-23 |
| 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.