Pediatric Endocrine Specialty

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

19871 Issued in SC

Legal business name

PEDIATRIC ENDOCRINE SPECIALTY

Practice address

3000 NE Medical Park
Suite 212
Columbia, SC 29223-6251

Phone

(803) 865-6008

Fax

(803) 865-6018

NPI assigned

Mar 22, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Howard J. Heize, M. D.

Title

Physician

Phone

(803) 865-6008

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013976505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 NE MEDICAL PARK",
            "address_2": "SUITE 212",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292236251",
            "telephone_number": "803-865-6008",
            "fax_number": "803-865-6018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 NE MEDICAL PARK",
            "address_2": "SUITE 212",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292236251",
            "telephone_number": "803-865-6008",
            "fax_number": "803-865-6018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC ENDOCRINE SPECIALTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HEIZE",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "803-865-6008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "SC",
            "license": "19871",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3583",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. HEIZE'S SC MED LIC #",
            "identifier": "19871",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jason Russell Peck, MD
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• Pediatric Associates, P.a.
• Pediatric Associates, P.a.
• Pediatric Hair Solutions Corporation
• Pediatric Innovations
• Pediatric Pulmonary Assoc
• Pediatric School Psychology: Evaluation and Consultation Services
• Pediatric Services of America, Inc

• Medical Specialty Clinic/Center in Columbia, SC
• Providers in Columbia, SC by specialty
• Medical Specialty Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.