Palmetto Health

Primary specialty

Trauma Surgery PhysicianTaxonomy code 2086S0127X

Legal business name

PALMETTO HEALTH

Doing business as

Palmetto Health Surgical Specialists

Practice address

9 Richland Medical Park Dr
Suite 450
Columbia, SC 29203-6859

Phone

(803) 434-8800

Fax

(803) 434-8802

NPI assigned

Feb 21, 2008

Last updated

Jun 5, 2012By the provider in NPPES

Organization subpart

Yes

Parent organization

PALMETTO HEALTHAs reported in NPPES

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

Authorized official

Name

Mr. Darrell C. Coven

Title

Director - Business Dev./Finance

Phone

(803) 296-7301

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Palmetto Health Surgical Specialists Doing business as

Part of

Northeast Family Practi

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

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338854400000",
    "number": "1194994368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 402145",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303842145",
            "telephone_number": "803-296-7305",
            "fax_number": "803-296-7329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 RICHLAND MEDICAL PARK DR",
            "address_2": "SUITE 450",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036859",
            "telephone_number": "803-434-8800",
            "fax_number": "803-434-8802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PALMETTO HEALTH",
        "enumeration_date": "2008-02-21",
        "last_updated": "2012-06-05",
        "status": "A",
        "authorized_official_last_name": "COVEN",
        "authorized_official_first_name": "DARRELL",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "DIRECTOR - BUSINESS DEV./FINANCE",
        "authorized_official_telephone_number": "803-296-7301",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2086S0127X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Trauma Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3421",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palmetto Health Surgical Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Palmetto Health (Columbia Women's Healthcare)
• Palmetto Health (Pediatric Palliative Care)
• Palmetto Health (Midlands Internal Medicine)
• Palmetto Health (Childrens Hospital Intensivists)
• Palmetto Health (South Hampton Family Practice)
• Palmetto Health (Irmo Family Practice)
• Palmetto Health (Premier Orthopedic Specialists)
• Palmetto Health (First Care)
• Palmetto Health (Palmetto Surgical Associates)
• Palmetto Health (Diagnostic Center for Women)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2012; 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.