Parkside Medical Consultants LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

22170 Issued in SC

Legal business name

PARKSIDE MEDICAL CONSULTANTS LLC

Doing business as

Magnolia Medical Center

Practice address

410 University Pkwy
Suite 2300
Aiken, SC 29801-6807

Phone

(803) 649-6366

Fax

(803) 649-6347

NPI assigned

Oct 17, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Margo Johanna Muniz, MD RPH

Title

Owner

Phone

(803) 649-6366

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MAGNOLIA MEDICAL CENTER Doing business as

Locations

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211241600000",
    "number": "1184704850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2037",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "29802",
            "telephone_number": "803-649-6366",
            "fax_number": "803-649-6347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 UNIVERSITY PKWY",
            "address_2": "SUITE 2300",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298016807",
            "telephone_number": "803-649-6366",
            "fax_number": "803-649-6347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKSIDE MEDICAL CONSULTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2008-05-20",
        "status": "A",
        "authorized_official_last_name": "MUNIZ",
        "authorized_official_first_name": "MARGO",
        "authorized_official_middle_name": "JOHANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-649-6366",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD RPH"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "SC",
            "license": "22170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP4538",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAGNOLIA MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John Francis Paparella Jr., RPH
• Lorie Ann Pardue
• Frederick W Parker III, M.D.
• Raymond Anthony Parkman Jr., PHARMD
• Brian Alexander Parks Jr.
• Parkside Womens Centre, LLC
• Denyse N. Parnell, MD
• Margaret Lisa Parrish, D.M.D.
• Amy Parrott, FNP-BC
• Tarun Parvataneni, MD

• Specialist in Aiken, SC
• Providers in Aiken, SC by specialty
• Specialist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; 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.