Individual provider Active NPI

David Perrick, M.D,

  • Allergy & Immunology Physician
  • Columbia, SC
National Provider Identifier
1336255280
Registry record updated Sep 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
14317 Issued in SC
Practice address
One Richland Medical Park
Suite 200 Carolina Allergy and Asthma Consultants
Columbia, SC 29203
Phone
(803) 765-9233
Fax
(803) 779-9344
NPI assigned
Aug 22, 2006
Last updated
Sep 14, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 14317 SC Primary

Addresses

Primary practice location

One Richland Medical Park
Suite 200 Carolina Allergy and Asthma Consultants
Columbia, SC 29203

Mailing address

One Richland Medical Park
Suite 200 Carolina Allergy and Asthma Consultants
Columbia, SC 29203
Phone (803) 765-9233

Other identifiers 1

IdentifierTypeStateIssuer
143179MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101005000042 SC Practitioner - Allergy/Immunology 4183816531 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
14317SCMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Allergy & Asthma Consultants Allergy & Immunology CurrentSince Feb 17, 1997 Accepting new patients

Locations

1 Richland Medical Park Dr
Ste 200
Columbia, SC 29203
Phone (803) 765-9233

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284422400000",
    "number": "1336255280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE RICHLAND MEDICAL PARK",
            "address_2": "SUITE 200 CAROLINA ALLERGY AND ASTHMA CONSULTANTS",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29203",
            "telephone_number": "803-765-9233",
            "fax_number": "803-779-9344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE RICHLAND MEDICAL PARK",
            "address_2": "SUITE 200 CAROLINA ALLERGY AND ASTHMA CONSULTANTS",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29203",
            "telephone_number": "803-765-9233",
            "fax_number": "803-779-9344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRICK",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2010-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "SC",
            "license": "14317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143179",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.