Palmetto Urology

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

PALMETTO UROLOGY

Practice address

100 Wren St
Barnwell, SC 29812-1533

Phone

(803) 534-5700

NPI assigned

May 3, 2007

Organization subpart

No

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

Authorized official

Name

Kimberly Birchmore

Title

Practice Manager

Phone

(803) 534-5700

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael S Hay, MD

  • Urology Physician
  • Orangeburg, SC
  • NPI 1336145408
  NPD
• Todd L Vandenberg, MD

  • Urology Physician
  • West Columbia, SC
  • NPI 1558367623
  NPD

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191888000000",
    "number": "1376765792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1747 VILLAGE PARK DR",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291182475",
            "telephone_number": "803-534-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WREN ST",
            "city": "BARNWELL",
            "state": "SC",
            "postal_code": "298121533",
            "telephone_number": "803-534-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO UROLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2007-10-09",
        "status": "A",
        "authorized_official_last_name": "BIRCHMORE",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "803-534-5700"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3595",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather R Nolan, APRN
• Saranne S. O'Neal, FNPC
• Ohio Valley Physicians Inc
• Summer Marie Padgett
• Palmetto Dentistry, LLC
• Mahima Kalpesh Patel
• Kiffany Perlote
• Kaylie Suzanne Pridgen
• Lindsey Priester
• Providence Cardiology LLC

• Urology Physician in Barnwell, SC
• Providers in Barnwell, SC by specialty
• Urology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.