Providence Cardiology

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

PROVIDENCE CARDIOLOGY

Doing business as

South Carolina Heart Center

Practice address

2351 Augusta Hwy
Lexington, SC 29072-2213

Phone

(803) 359-2456

Fax

(803) 255-2715

NPI assigned

Apr 3, 2013

Last updated

Apr 3, 2013By 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

Larry Ellis

Title

Chief Executive Officer

Phone

(803) 254-3278

Specialties & licenses 1

Addresses

Other names 1

• South Carolina Heart Center Doing business as

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

{
    "created_epoch": "1364947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364947200000",
    "number": "1427391952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 LAUREL ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292041018",
            "telephone_number": "803-254-3278",
            "fax_number": "803-255-2715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2351 AUGUSTA HWY",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290722213",
            "telephone_number": "803-359-2456",
            "fax_number": "803-255-2715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE CARDIOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-03",
        "last_updated": "2013-04-03",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "803-254-3278"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Carolina Heart Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Sarah Katherine Protheroe, LPC, LAC
• Providence Cardiology
• Providence Orthopaedic Group (Moore Orthopaedic Clinic)
• Providence Orthopaedic Group LLC (Moore Orthopaedic Clinic)
• Providence Orthopedic Group, LLC (Moore Center for Orthopedics)
• Alex M. Pruett, MSW, LISW CP

• Cardiovascular Disease Physician in Lexington, SC
• Providers in Lexington, SC by specialty
• Cardiovascular Disease Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2013; 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.