Active NPI
Columbia Heart Clinic, PA
Doing business as Columbia Heart Clinic
- Cardiovascular Disease Physician
- Columbia, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- COLUMBIA HEART CLINIC, PA
- Doing business as
- Columbia Heart Clinic
- Practice address
- 8 Richland Medical Park Drive.
Suite 300
Columbia, SC 29203 - Phone
- (803) 744-8426
- Fax
- (803) 744-4731
- NPI assigned
- Jun 23, 2006
- Last updated
- Dec 4, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lora Haver
- Title
- Credentialing Coordinator
- Phone
- (803) 744-8426
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | |||
| Cardiovascular Disease Physician | 207RC0000X | Primary | ||
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | |||
| Interventional Cardiology Physician | 207RI0011X | |||
| Nuclear Cardiology Physician | 207UN0901X | |||
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X |
Addresses
Primary practice location
8 Richland Medical Park Drive.
Suite 300
Columbia, SC 29203
Mailing address
8 Richland Medical Park Drive.
Suite 300
Columbia, SC 29203
Phone (803) 744-8426
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP1908 | Medicaid | SC |
Other names 1
- Columbia Heart Clinic
National Provider Directory
National Provider DirectoryLocations
1 Medical Park Dr
#1
Chester, SC 29706
Phone (803) 581-2500
8 Richland Medical Park Dr
Ste 100
Columbia, SC 29203
Phone (803) 434-2762
8 Richland Medical Park Dr
Ste 410
Columbia, SC 29203
511 W Moultrie St
Winnsboro, SC 29180
Phone (803) 712-1649
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Acute Care Nurse Practitioner
- Columbia, SC
- NPI 1184253379
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1512345600000",
"number": "1245266139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 RICHLAND MEDICAL PARK DRIVE.",
"address_2": "SUITE 300",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "29203",
"telephone_number": "803-744-8426",
"fax_number": "803-744-4731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 RICHLAND MEDICAL PARK DRIVE.",
"address_2": "SUITE 300",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "29203",
"telephone_number": "803-744-8426",
"fax_number": "803-744-4731"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COLUMBIA HEART CLINIC, PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-23",
"last_updated": "2017-12-04",
"status": "A",
"authorized_official_last_name": "HAVER",
"authorized_official_first_name": "LORA",
"authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
"authorized_official_telephone_number": "803-744-8426"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207UN0901X",
"taxonomy_group": "",
"desc": "Nuclear Medicine, Nuclear Cardiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP1908",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Columbia Heart Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Columbia, SC
- Columbia Family Chiropractic Northeast LLC
- Columbia Foot Clinic
- Columbia Gastroenterology Associates
- Columbia Gastroenterology Associates PA
- Columbia Hearing Center LLC
- Columbia Institute for Individual, Marriage and Family Therapy
- Columbia International University
- Columbia Medical Associates, P.a.
- Columbia Medical Group
- Columbia Medical Supplies, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.