NPIMap

Organization Active NPI

South Carolina Department of Corrections

  • General Practice Physician
  • Columbia, SC
National Provider Identifier
1104259340
Registry record updated Aug 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
33514 Issued in SC
Legal business name
SOUTH CAROLINA DEPARTMENT OF CORRECTIONS
Practice address
4444 Broad River Rd
Columbia, SC 29210-4012
Phone
(803) 896-2707
NPI assigned
Aug 12, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2013

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

Authorized official

Name
Dr. John Branham Tomarchio, M.D.
Title
Medical Director
Phone
(803) 896-1233

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X 33514 SC Primary

Addresses

Primary practice location

4444 Broad River Rd
Columbia, SC 29210-4012

Mailing address

4444 Broad River Rd
P. O. Box 21787
Columbia, SC 29210-4012
Phone (803) 896-2707

National Provider Directory

National Provider Directory

Locations

4444 Broad River Rd
Columbia, SC 29210
Phone (803) 673-3342

NPI Registry JSON

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

{
    "created_epoch": "1376265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376265600000",
    "number": "1104259340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4444 BROAD RIVER RD",
            "address_2": "P. O. BOX 21787",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292104012",
            "telephone_number": "803-896-2707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4444 BROAD RIVER RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292104012",
            "telephone_number": "803-896-2707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH CAROLINA DEPARTMENT OF CORRECTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-12",
        "last_updated": "2013-08-12",
        "status": "A",
        "authorized_official_last_name": "TOMARCHIO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "BRANHAM",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "803-896-1233",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "SC",
            "license": "33514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2013; 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.