PALMETTO ENDOSCOPY SUITE, LLC (NPI# 1972808186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972808186 |
Entity Type | Organization |
Organization Name | PALMETTO ENDOSCOPY SUITE, LLC |
Practice Address |
1520 Taylor St Columbia SC 29201-2919 |
Practice Telephone | 8035095710 |
Practice Fax Number | 8035095711 |
Mailing Telephone | 8035095710 |
Mailing Fax Number | 8035095711 |
Enumeration Date | 2011-01-19 |
Last Update Date | 2012-01-31 |
Authorized Official Name | DR. GEORGE JENKINS III (DOCTOR) |
Authorized Official Telephone | 8035095710 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | GP0932 | 05 |
Street Address |
1520 TAYLOR ST |
City | COLUMBIA |
State | SC |
Zip Code | 29201-2919 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093777310 | Daniel Iseman | Internal Medicine | 1520 Taylor St, Suite 200, Columbia, SC 29201-2901 | 2006-04-03 |
1669093092 | Carrie Leigh Lynch | Pharmacist | 1520 Taylor St, Columbia, SC 29201-2901 | 2020-04-27 |
1831157940 | Spencer James Jenkins | Internal Medicine | 1520 Taylor St, Suite 200, Columbia, SC 29201-2919 | 2006-05-01 |
1932167087 | George Alexander Jenkins IIi | Internal Medicine | 1520 Taylor St, Suite 200, Columbia, SC 29201-2919 | 2006-05-01 |
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 | 261QA1903X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Ambulatory Surgical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871052712 | Kuresmart Pain Management Surgery Center-columbia LLC | Clinic/Center | 5500 Knoll North Dr Ste 501, Columbia, MD 21045-2370 | 2019-03-19 |
1720514359 | Johns Hopkins Surgery Centers Series | Clinic/Center | 5450 Knoll North Dr Ste 301, Columbia, MD 21045-2373 | 2017-05-02 |
1760860977 | Mid Missouri Surgery Center, LLC | Clinic/Center | 1410 Forum Katy Parkway, Suite 102, Columbia, MO 65203 | 2015-05-08 |
1457779399 | Csa Surgical Center LLC | Clinic/Center | 3220 Bluff Creek Dr Ste 104, Columbia, MO 65201-3664 | 2014-03-28 |
1780998633 | Parkridge Surgery Center LLC | Clinic/Center | 190 Parkridge Dr Ste 108, Columbia, SC 29212-1748 | 2010-08-03 |
1831360247 | Surgical Center At Columbia Orthopaedic Group LLC | Clinic/Center | 1 South Keene, Columbia, MO 65201-6645 | 2008-03-13 |
1649393695 | Columbia Md Orthopaedic Asc, LLC | Clinic/Center | 10700 Charter Dr #301, Columbia, MD 21044-4000 | 2007-04-06 |
1568510196 | Columbia Surgery Center Inc | Clinic/Center | 338 Harbison Blvd, Columbia, SC 29212-2248 | 2007-01-08 |
1104851088 | Maryland Surgeons Center of Columbia | Clinic/Center | 11055 Little Patuxent Pky, Suite L-6, Columbia, MD 21044 | 2006-07-11 |
1801827993 | South Carolina Endoscopy Center - Northeast | Clinic/Center | 11 Gateway Corners Park, Columbia, SC 29203-8902 | 2006-07-06 |
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.