Active NPI
Siobhan Drumm Wulf, D.O.
- Pediatrics Physician
- Columbia, SC
National Provider Identifier
1255711685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- LL37671
- Practice address
- Pediatric Outpatient Center
14 Medical Park, Ste 400
Columbia, SC 29203 - Phone
- (803) 434-6155
- Fax
- (803) 434-6979
- NPI assigned
- Jun 1, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | LL37671 | SC | Primary |
Addresses
Primary practice location
Pediatric Outpatient Center
14 Medical Park, Ste 400
Columbia, SC 29203
Mailing address
14 Medical Park, Ste 400
Pediatric Outpatient Center
Columbia, SC 29203
Phone (803) 434-6155
Other names 1
- Siobhan Marie Drumm
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Edward Via Col of Osteo Medicine-Carolinas Campus, 2015
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1 Poston Rd
Charleston, SC 29407-3428
PO Box
Suite 936934
Atlanta, GA 31193-6934
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Childrens Medical Center | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Specialist
- Greenville, SC
- NPI 1881763068
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518480000000",
"number": "1255711685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 MEDICAL PARK, STE 400",
"address_2": "PEDIATRIC OUTPATIENT CENTER",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "29203",
"telephone_number": "803-434-6155",
"fax_number": "803-434-6979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PEDIATRIC OUTPATIENT CENTER",
"address_2": "14 MEDICAL PARK, STE 400",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "29203",
"telephone_number": "803-434-6155",
"fax_number": "803-434-6979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WULF",
"first_name": "SIOBHAN",
"middle_name": "DRUMM",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-01",
"last_updated": "2018-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "SC",
"license": "LL37671",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SIOBHAN",
"last_name": "DRUMM",
"middle_name": "MARIE",
"credential": "D.O.",
"code": "1",
"type": "Former Name"
}
]
}
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 Feb 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.