Palmetto Surgical Consultants Association,Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PALMETTO SURGICAL CONSULTANTS ASSOCIATION,INC.

Practice address

1330 Gregg St
Columbia, SC 29201-3526

Phone

(803) 256-4304

NPI assigned

Jul 20, 2012

Last updated

Jul 20, 2012By 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

Dr. Trace H Rutherford, D.D.S.NPI 1841366143

Title

C.E.O.

Phone

(803) 256-4304

Specialties & licenses 1

Addresses

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.

• Trace Hamilton Rutherford, D.D.S.

  • Dentist
  • Columbia, SC
  • NPI 1841366143
  Authorized official Same address or phone

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

{
    "created_epoch": "1342742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342742400000",
    "number": "1407101918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 GREGG ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292013526",
            "telephone_number": "803-256-4304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 GREGG ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292013526",
            "telephone_number": "803-256-4304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO SURGICAL CONSULTANTS ASSOCIATION,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-20",
        "last_updated": "2012-07-20",
        "status": "A",
        "authorized_official_last_name": "RUTHERFORD",
        "authorized_official_first_name": "TRACE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "803-256-4304",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Palmetto Speech Language Literacy Group, LLC
• Palmetto Spinal Center, LLC
• Palmetto State Eyecare, LLC
• Palmetto Surgery Center LLC
• Palmetto Surgical Associates PA
• Palmland Community Services (PCS Home Health Services)
• Renatta Nicole Palmore, NP
• Dana Lynn Panas
• Hinal Rakesh Panchal, PHARM.D.
• Suchita Shirish Pancholi, M.D.

• General Practice Dentistry in Columbia, SC
• Providers in Columbia, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2012; 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.