NPIMap

Individual provider Active NPI

Paul Douglas Deholl, MD

  • Orthopaedic Surgery of the Spine Physician
  • Columbia, SC
National Provider Identifier
1124029103
Registry record updated Mar 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
24024 Issued in SC
Practice address
14 Richland Medical Park Dr Ste 200
Columbia, SC 29203-6882
Phone
(803) 296-7846
Fax
(803) 296-9699
NPI assigned
Aug 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X 24024 SC Primary

Addresses

Primary practice location

14 Richland Medical Park Dr Ste 200
Columbia, SC 29203-6882

Mailing address

PO Box 22265
Belfast, ME 04915-4473
Phone (803) 296-7320

Other identifiers 1

IdentifierTypeStateIssuer
T79821MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040223000698 SC Practitioner - Orthopedic Surgery 8426944901 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of South Carolina School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prisma Health Medical Group-MidlandsGroup PAC ID 5991099707, 1,040 clinicians

Practice addresses (Care Compare)

14 Richland Medical Park Dr
Suite 200
Columbia, SC 29203-6882
Phone (803) 296-7846

Hospital & facility affiliations

  • Prisma Health Homecare Home health agency, Columbia, SC, CCN 427013
  • Amedisys Home Health of Camden Home health agency, Camden, SC, CCN 427036
  • Prisma Health Baptist Parkridge Hospital, Columbia, SC, CCN 420106
  • Prisma Health Richland Hospital Hospital, Columbia, SC, CCN 420018
  • Prisma Health Tuomey Hospital Hospital, Sumter, SC, CCN 420070
  • Prisma Health Baptist Hospital, Columbia, SC, CCN 420086

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion245
Laminectomy or laminotomy (partial removal of spine bones)54

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health-Midlands CurrentSince Jan 8, 2016 Accepting new patients
Prisma Health Medical Group-Midlands Current Accepting new patients
Prisma Health-Midlands Current Accepting new patients
Prisma Health Medical Group-Midlands CurrentSince Feb 1, 2018 Accepting new patients
Prisma Health Medical Group-Midlands CurrentSince Feb 1, 2018 Accepting new patients
Prisma Health-Midlands CurrentSince Jan 8, 2016 Accepting new patients
University Physicians Group - Radiology Past Accepting new patients
Tuomey Medical Professionals, Inc Past Accepting new patients
Prisma Health-Midlands Past Accepting new patients
Sumter Orthopaedic Associates, LLC Past Accepting new patients
Palmetto Health Past Accepting new patients
Midlands Orthopaedics and Neurosurgery, PA Past Accepting new patients

Locations

400 Palmetto Health Pkwy
Columbia, SC 29212
Phone (803) 296-5579

14 Richland Medical Park Dr
Ste 200
Columbia, SC 29203
Phone (803) 296-9200

3555 Harden Street Ext
Ste 300
Columbia, SC 29203
Phone (803) 434-6411

1330 Taylor St
Columbia, SC 29201
Phone (803) 296-5137

1120 Roberts Branch Pkwy
#200
Columbia, SC 29203

3 Richland Medical Park Dr
Ste 120
Columbia, SC 29203
Phone (803) 434-8866

104 Saluda Pointe Dr
Lexington, SC 29072
Phone (803) 296-9200

100 N Sumter St
Ste 200
Sumter, SC 29150
Phone (803) 774-7621

115 N Sumter St
Ste 110
Sumter, SC 29150
Phone (803) 774-5249

Interoperability endpoints

  • Direct secure messaging: ddeholl378845@direct.ghs.myhfn.org

Organizations & group practices 12

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

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521590400000",
    "number": "1124029103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22265",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154473",
            "telephone_number": "803-296-7320",
            "fax_number": "803-296-7330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 RICHLAND MEDICAL PARK DR STE 200",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036882",
            "telephone_number": "803-296-7846",
            "fax_number": "803-296-9699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEHOLL",
        "first_name": "PAUL",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2018-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "SC",
            "license": "24024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T79821",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.