Palmetto Bone and Joint

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

PALMETTO BONE AND JOINT

Practice address

104 Ellett Road
Chapin, SC 29036

Phone

(803) 941-8096

Fax

(803) 345-6088

NPI assigned

Aug 15, 2019

Last updated

Aug 15, 2019By the provider in NPPES

Organization subpart

Yes

Parent organization

PALMETTO BONE AND JOINTAs reported in NPPES

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

Authorized official

Name

Phillip H Malner, DO

Title

Physician

Phone

(864) 833-3046

Specialties & licenses 2

Addresses

Other identifiers 1

Tax ID family

Laurens Ortho Physician3 organizations share this tax ID, including this one

Part of

Laurens Ortho Physician

Other organizations with this tax ID 2

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

• Palmetto Bone and Joint

  • Orthopaedic Surgery Physician
  • Newberry, SC
  • NPI 1104472109
  NPD tax ID
• Palmetto Bone and Joint

  • Orthopaedic Surgery Physician
  • Irmo, SC
  • NPI 1396543104
  NPD tax ID

Locations

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

{
    "created_epoch": "1565827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565827200000",
    "number": "1295381291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 ELLETT ROAD",
            "city": "CHAPIN",
            "state": "SC",
            "postal_code": "29036",
            "telephone_number": "803-941-8096",
            "fax_number": "803-345-6088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 ELLETT ROAD",
            "city": "CHAPIN",
            "state": "SC",
            "postal_code": "29036",
            "telephone_number": "803-941-8096",
            "fax_number": "803-345-6088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO BONE AND JOINT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PALMETTO BONE AND JOINT",
        "enumeration_date": "2019-08-15",
        "last_updated": "2019-08-15",
        "status": "A",
        "authorized_official_last_name": "MALNER",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "864-833-3046",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP0620",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathryn Nelson
• Matthew Alan Nelson, D.C.
• Bailey Savannah O'Neal
• Benjamin Isaac Oliver
• Walter Ortiz Jr.
• Palmetto Health (Palmetto Health Counseling Chapin)
• Palmetto Homecare Physicians, LLC
• Palmetto Pediatric OT, LLC
• Palmetto Speech and Feeding LLC
• Palmetto Spine and Pain LLC

• Orthopaedic Surgery Physician in Chapin, SC
• Providers in Chapin, SC by specialty
• Orthopaedic Surgery Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2019; 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.