Deanna L Constable, M.D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

14493 Issued in SC

Practice address

105 Office Park Rd
Columbia, SC 29223-5959

Phone

(803) 699-5540

Fax

(803) 699-5547

NPI assigned

Dec 16, 2005

Last updated

Oct 3, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: dconstable@palmettoorthopedicclinic.directbygreenway.com
• FHIR API: https://fhir4.healow.com/fhir/r4/EIFJBD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Palmetto Orthopaedic Clinic, PA

  • Orthopaedic Surgery Physician
  • Columbia, SC
  • NPI 1841291127
  Authorized official Same address or phone
• Pain Medicine Specialists, PA

  dba Dr Gisele J Girault, MD - Pain Medicine Specialists

  • Interventional Pain Medicine Physician
  • West Columbia, SC
  • NPI 1679118657

  Specialist

  NPD (past)
• Providence Orthopaedic Group LLC

  dba Moore Orthopaedic Clinic

  • Orthopaedic Surgery Physician
  • Columbia, SC
  • NPI 1255308342

  Single Specialty

  NPD (past)
• Nimco L.L.C

  • Other Specialist/Technologist
  • Atlanta, GA
  • NPI 1982857710

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506988800000",
    "number": "1013993583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 OFFICE PARK RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292235959",
            "telephone_number": "803-699-5540",
            "fax_number": "803-699-5547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 OFFICE PARK RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292235959",
            "telephone_number": "803-699-5540",
            "fax_number": "803-699-5547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONSTABLE",
        "first_name": "DEANNA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-16",
        "last_updated": "2017-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "SC",
            "license": "14493",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "SC",
            "license": "14493",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144935",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mariah Elaine Conner, MSW, LCSW, LISW-CP
• Sarah Lee Conner
• Susan Connolly-Nelson Lisw, LISW
• Cody Jerome Connor, M.D.
• Morgan Alise Connor, MA, LPCA
• Continuecare Hospital at Palmetto Health Baptist, Inc.
• Continuecare Hospital at Palmetto Health Baptist, Inc.
• Convenient Clinical Labs LLC
• Conway Medical Supply
• John Corgan Conway, MD

• Orthopaedic Surgery Physician in Columbia, SC
• Providers in Columbia, SC by specialty
• Orthopaedic Surgery Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.