Active NPI
Meshia Q. Waleh, M.D.
- Family Medicine Physician
- Columbia, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35077
- Practice address
- 3209 Colonial Drive
University Specialty Clinics-Family & Preventive Medici
Columbia, SC 29203-6930 - Phone
- (803) 434-6113
- Fax
- (803) 434-7231
- NPI assigned
- Jun 4, 2008
- Last updated
- Sep 19, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2011-00922 | NC | |
| Family Medicine Physician | 207Q00000X | 35077 | SC | Primary |
Addresses
Primary practice location
3209 Colonial Drive
University Specialty Clinics-Family & Preventive Medici
Columbia, SC 29203-6930
Mailing address
3209 Colonial Drive
University Specialty Clinics-Family & Preventive Medici
Columbia, SC 29203-6930
Phone (803) 434-6113
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 350774 | Medicaid | SC | |
| AA94632353 | Other | SC | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Duke University Affiliated Physicians, Inc. | Family Medicine | Current | Accepting new patients |
| Floyd Valley Healthcare | Current | Accepting new patients | |
| Floyd Valley Healthcare | Current | Accepting new patients | |
| Duke University Affiliated Physicians, Inc. | Family Medicine | Current | Accepting new patients |
| Floyd Valley Healthcare | Current | Accepting new patients | |
| Duke University Affiliated Physicians, Inc. | Family Medicine | Current | Accepting new patients |
Locations
714 Lincoln St NE
Le Mars, IA 51031
Phone (712) 546-3338
100 E Dogwood Dr
Mebane, NC 27302
Phone (919) 563-2896
7200 Creedmoor Rd
Ste 208
Raleigh, NC 27613
Phone (919) 327-1650
Interoperability endpoints
- meshia.waleh@avera.sdhealthlink.net
Organizations & group practices 6
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.
-
dba Sutton Station Internal Medicine
- Internal Medicine Physician
- Durham, NC
- NPI 1316975972
Family Medicine
-
- Critical Access Hospital
- Le Mars, IA
- NPI 1326109315
-
dba Floyd Valley ER Services
- Emergency Medicine Physician
- Le Mars, IA
- NPI 1578625653
-
dba Duke Urgent Care
- Emergency Medicine Physician
- Raleigh, NC
- NPI 1710120795
Family Medicine
-
dba Duke Primary Care Mebane
- Family Medicine Physician
- Mebane, NC
- NPI 1750536157
-
dba Floyd Valley Pharmacy
- Community/Retail Pharmacy
- Le Mars, IA
- NPI 1710765433
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348012800000",
"number": "1447419569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3209 COLONIAL DRIVE",
"address_2": "UNIVERSITY SPECIALTY CLINICS-FAMILY & PREVENTIVE MEDICI",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292036930",
"telephone_number": "803-434-6113",
"fax_number": "803-434-7231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3209 COLONIAL DRIVE",
"address_2": "UNIVERSITY SPECIALTY CLINICS-FAMILY & PREVENTIVE MEDICI",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292036930",
"telephone_number": "803-434-6113",
"fax_number": "803-434-7231"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALEH",
"first_name": "MESHIA",
"middle_name": "Q.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-04",
"last_updated": "2012-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "2011-00922",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "35077",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "350774",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "AA94632353",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.