MRS. PORSHA CANZATER MOORE (NPI# 1932712627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932712627 |
| Entity Type | Individual |
| Full Name | MRS. PORSHA CANZATER MOORE |
| Practice Address |
5 Richland Medical Park Dr Columbia SC 29203-6863 |
| Mailing Address |
407 Deertrack Ct Lexington SC 29073-6503 |
| Practice Telephone | 8034347000 |
| Mailing Telephone | 8642667559 |
| Enumeration Date | 2020-08-24 |
| Last Update Date | 2020-08-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
218439 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5 RICHLAND MEDICAL PARK DR |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29203-6863 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396749206 | Medserv Amt | Ambulance | 5 Richland Medical Park Dr, Columbia, SC 29203-8000 | 2005-06-08 |
| 1528666328 | Dustin Lee Dunn | Physician Assistant | 5 Richland Medical Park Dr, Columbia, SC 29203-6863 | 2020-10-14 |
| 1144836032 | Adisa Muminovic | Pharmacist | 5 Richland Medical Park Dr, Columbia, SC 29203-6863 | 2020-09-16 |
| 1477164796 | Brandi Smit | Nurse Anesthetist, Certified Registered | 5 Richland Medical Park Dr, Columbia, SC 29203-6863 | 2020-08-11 |
| 1861018830 | Eric Justin Mercado | Registered Nurse | 5 Richland Medical Park Dr, Columbia, SC 29203-6863 | 2020-06-24 |
| 1710509708 | Evelyn English Hutto | Registered Nurse | 5 Richland Medical Park Dr, Columbia, SC 29203-6863 | 2020-05-12 |
| 1225658685 | Ruth Chao | Speech-Language Pathologist | 5 Richland Medical Park Dr, Columbia, SC 29203-6863 | 2020-04-25 |
| 1700412608 | Stephanie Nicole Mayle | Student in an Organized Health Care Education/Training Program | 5 Richland Medical Park Dr, Columbia, SC 29203-6863 | 2020-03-23 |
| 1447886346 | Anthony Miles Scott | Student in an Organized Health Care Education/Training Program | 5 Richland Medical Park Dr, Columbia, SC 29203-6863 | 2020-03-23 |
| 1548808538 | Henry Clarence Epp Iv | Registered Nurse | 5 Richland Medical Park Dr, Columbia, SC 29203-6863 | 2019-12-20 |
| 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 | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447851084 | Paris Gartmon | Nurse Practitioner | 630 Canalside St Unit 1016, Columbia, SC 29201-6030 | 2020-11-02 |
| 1780241182 | Adrienne Lendsey Hinton | Nurse Practitioner | 201 Lake Front Dr, Columbia, SC 29212-2422 | 2019-05-22 |
| 1114373651 | Lilian Emetu | Nurse Practitioner | 822 Statler Road, Columbia, SC 29210 | 2016-05-13 |
| 1720402753 | Jennifer M Newton | Nurse Practitioner | 795 Old Clemson Rd, Columbia, SC 29229-4203 | 2014-02-11 |
| 1437418258 | Bear Creek Medical Clinic | Nurse Practitioner | 156 Bear Creek Pike, 7 A, Columbia, TN 38401-2288 | 2012-05-14 |
| 1144828468 | Ivy Health Solutions LLC | Nurse Practitioner | 4100 N Main St Ste 201, Columbia, SC 29203-5800 | 2020-10-09 |
| 1053952457 | Evelynn Marie Pennington | Nurse Practitioner | 6439 Garners Ferry Rd, Columbia, SC 29209-1638 | 2019-10-07 |
| 1114452901 | Deidra Willis | Nurse Practitioner | 6439 Garners Ferry Rd, Columbia, SC 29209-1638 | 2017-04-29 |
| 1477901452 | Kathy Lynn Onwezen | Nurse Practitioner | 1605 E Broadway Ste 300, Columbia, MO 65201-8023 | 2016-05-31 |
| 1245685478 | Tiffany Johnson | Nurse Practitioner | 3010 Farrow Rd, Columbia, SC 29203-7607 | 2016-04-25 |
| 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.