Active NPI
Northwest Columbia ENT
- Otolaryngology/Facial Plastic Surgery Physician
- West Columbia, SC
National Provider Identifier
1487830964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology/Facial Plastic Surgery Physician
- License
- MD7394
- Legal business name
- NORTHWEST COLUMBIA ENT
- Practice address
- 3937 Sunset Blvd
Ste F
West Columbia, SC 29169 - Phone
- (803) 926-8780
- Fax
- (803) 791-4485
- NPI assigned
- Jan 15, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Patricia W Thompson
- Title
- Administrator
- Phone
- (803) 926-8780
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X | MD7394 | SC | Primary |
| Sleep Disorder Diagnostic Clinic/Center | 261QS1200X | MD5034 | AL |
Addresses
Primary practice location
3937 Sunset Blvd
Ste F
West Columbia, SC 29169
Mailing address
3937 Sunset Blvd
Ste F
West Columbia, SC 29169
Phone (803) 926-8780
National Provider Directory
National Provider DirectoryLocations
3937 Sunset Blvd
Ste F
West Columbia, SC 29169
Phone (803) 926-8780
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200355200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208217600000",
"number": "1487830964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3937 SUNSET BLVD",
"address_2": "STE F",
"city": "WEST COLUMBIA",
"state": "SC",
"postal_code": "29169",
"telephone_number": "803-926-8780",
"fax_number": "803-791-4485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3937 SUNSET BLVD",
"address_2": "STE F",
"city": "WEST COLUMBIA",
"state": "SC",
"postal_code": "29169",
"telephone_number": "803-926-8780",
"fax_number": "803-791-4485"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHWEST COLUMBIA ENT",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-15",
"last_updated": "2008-04-15",
"status": "A",
"authorized_official_last_name": "THOMPSON",
"authorized_official_first_name": "PATRICIA",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "803-926-8780",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "207YX0905X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
"state": "SC",
"license": "MD7394",
"primary": true
},
{
"code": "261QS1200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Sleep Disorder Diagnostic",
"state": "AL",
"license": "MD5034",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.