Primary Care Endoscopy of Columbia, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

PRIMARY CARE ENDOSCOPY OF COLUMBIA, LLC

Practice address

1735 Taylor St
Columbia, SC 29201-3452

Phone

(803) 254-8449

Fax

(803) 254-8984

NPI assigned

Oct 24, 2008

Organization subpart

No

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

Authorized official

Name

David William Holst

Title

President, Board of Managers

Phone

(615) 345-6899

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1224806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224806400000",
    "number": "1295988053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 W END AVE",
            "address_2": "SUITE 150",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031320",
            "telephone_number": "615-345-6900",
            "fax_number": "615-345-6905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1735 TAYLOR ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292013452",
            "telephone_number": "803-254-8449",
            "fax_number": "803-254-8984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE ENDOSCOPY OF COLUMBIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-24",
        "last_updated": "2008-10-24",
        "status": "A",
        "authorized_official_last_name": "HOLST",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT, BOARD OF MANAGERS",
        "authorized_official_telephone_number": "615-345-6899"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaoru Joan Pridgen, M.D.
• Ronald E Prier, M.D.
• Dellarese Lee Priester
• Eloise J. Prijoles, M.D.
• Cameron James Prillhart, D.O.
• Donnisha Prince
• Joshua L Prince, D.O.
• Tyana Prince
• Julia Principe
• Gwynisha M Pringle, LPC, LAC

• Ambulatory Surgical Clinic/Center in Columbia, SC
• Providers in Columbia, SC by specialty
• Ambulatory Surgical Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2008; 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.