Organization Active NPI

Columbia Heart Clinic, PA

Doing business as Columbia Heart Clinic

  • Cardiovascular Disease Physician
  • Columbia, SC
National Provider Identifier
1245266139
Registry record updated Dec 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
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, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2017

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
GP1908MedicaidSC

Other names 1

  • Columbia Heart Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.