NPIMap

Organization Active NPI

Palmetto Health

  • Obstetrics & Gynecology Physician
  • Columbia, SC
National Provider Identifier
1285655993
Registry record updated Dec 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
PALMETTO HEALTH
Practice address
1 Medical Park Rd
Suite 300
Columbia, SC 29203-6873
Phone
(803) 296-7304
Fax
(803) 296-7329
NPI assigned
Jul 21, 2006
Organization subpart
Yes
Parent organization
PALMETTO HEALTH ALLIANCEAs reported in NPPES

Authorized official

NPPES NPI Registry
Name
Darrell C Coven
Title
Finance Director of Business Dev.
Phone
(803) 296-7301

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

National Provider Directory
Tax ID family
Markowitz and Associates (105 organizations share this tax ID)
Part of
Markowitz and Associates

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

1 Medical Park Rd
Suite 300
Columbia, SC 29203-6873

Mailing address

PO Box 402145
Atlanta, GA 30384-2145
Phone (803) 296-7313

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
GP2486MedicaidSC

Other names 1

NPPES NPI Registry
  • Diagnostic Center for Women Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 27, 2007.

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198713600000",
    "number": "1285655993",
    "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": "803-296-7313",
            "fax_number": "803-296-7330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL PARK RD",
            "address_2": "SUITE 300",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036873",
            "telephone_number": "803-296-7304",
            "fax_number": "803-296-7329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PALMETTO HEALTH ALLIANCE",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-12-27",
        "status": "A",
        "authorized_official_last_name": "COVEN",
        "authorized_official_first_name": "DARRELL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "FINANCE DIRECTOR OF BUSINESS DEV.",
        "authorized_official_telephone_number": "803-296-7301"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP2486",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diagnostic Center for Women",
            "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 27, 2007; 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.