Elgin Podiatry Institute, LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

571 Issued in SC

Legal business name

ELGIN PODIATRY INSTITUTE, LLC

Practice address

3 Richland Medical Park Dr
Suite 110
Columbia, SC 29203-6849

Phone

(803) 807-9388

Fax

(803) 807-9391

NPI assigned

Jan 27, 2011

Last updated

Jan 9, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Chansina Um, DPMNPI 1689603466

Title

Owner

Phone

(803) 586-5737

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC2 enrollments

Enrollment records 2

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Chansina Um, DPM

  • Podiatrist
  • Columbia, SC
  • NPI 1689603466
  Medicare reassignment Care Compare group NPD Authorized official
• Keshia Elaine Lewis, DPM

  • Podiatrist
  • Columbia, SC
  • NPI 1770783862
  Medicare reassignment Care Compare group NPD
• Michelle P Glover, DPM

  • Foot & Ankle Surgery Podiatrist
  • Columbia, SC
  • NPI 1154627008
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1296086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326067200000",
    "number": "1003112731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 RICHLAND MEDICAL PARK DR",
            "address_2": "SUITE 110",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036849",
            "telephone_number": "803-807-9388",
            "fax_number": "803-807-9391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 RICHLAND MEDICAL PARK DR",
            "address_2": "SUITE 110",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036849",
            "telephone_number": "803-807-9388",
            "fax_number": "803-807-9391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELGIN PODIATRY INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-27",
        "last_updated": "2012-01-09",
        "status": "A",
        "authorized_official_last_name": "UM",
        "authorized_official_first_name": "CHANSINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-586-5737",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "SC",
            "license": "571",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00329626",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• G Paul Eleazer, M.D.
• Joseph Antony Elengickal
• Elevated Wellness
• Erin O'Neal Elfert, MSP, CCC-SLP
• Aaliya Elford
• Elim Healthcare Agency
• Elite Health Care Inc
• Elite Smiles Dental, P.a.
• Elite Smiles Dental, PA
• Elite Transformant Solutions (Right On Time)

• Foot & Ankle Surgery Podiatrist in Columbia, SC
• Providers in Columbia, SC by specialty
• Foot & Ankle Surgery Podiatrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.