Michael R. Tambling

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

MICHAEL R. TAMBLING

Doing business as

Palmetto Pedorthic Care

Practice address

1671 Lake Murray Blvd
Columbia, SC 29212-8626

Phone

(803) 269-3990

Fax

(803) 407-9195

NPI assigned

Dec 4, 2006

Last updated

Dec 29, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Richard G Graham, C.PED, O.S.T.NPI 1689404766

Title

Manager

Phone

(803) 269-3990

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Palmetto Pedorthic Care Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Richard Graham, C.PED

  • Pedorthist
  • Columbia, SC
  • NPI 1689404766
  NPD Authorized official

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230508800000",
    "number": "1396803409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1671 LAKE MURRAY BLVD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292128626",
            "telephone_number": "803-269-3990",
            "fax_number": "803-407-9195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1671 LAKE MURRAY BLVD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292128626",
            "telephone_number": "803-269-3990",
            "fax_number": "803-407-9195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL R. TAMBLING",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2008-12-29",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "803-269-3990",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.PED, O.S.T."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DM1013",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANCILLARY CARE MANAGEMENT",
            "identifier": "C814",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palmetto Pedorthic Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Michael Jacob Wehman D.M.D., P.a.
• Dona Michael
• Marian Rice Michael, PT
• Michaelas Angelic Caregivers LLC
• Shannon Louise Michaels Areford, PA-C
• Michal Rubin PH.D. LPC

• Customized Equipment (DME) in Columbia, SC
• Providers in Columbia, SC by specialty
• Customized Equipment (DME) in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.