Organization Active NPI

Northwest Columbia ENT

  • Otolaryngology/Facial Plastic Surgery Physician
  • West Columbia, SC
National Provider Identifier
1487830964
Registry record updated Apr 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
MD7394 Issued in SC
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

Updated by the provider on Apr 15, 2008

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)CodeLicenseStatePrimary
Otolaryngology/Facial Plastic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.