Palmetto Family Medicine

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

13700 Issued in SC

Legal business name

PALMETTO FAMILY MEDICINE

Practice address

109 Barton Creek Court
Columbia, SC 29229-8027

Phone

(803) 256-2286

Fax

(803) 343-2115

NPI assigned

Mar 21, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. J. Frank Martin Jr., M. D.

Title

Physician

Phone

(803) 256-2286

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Russell E. Ditzler, MD

  • Family Medicine Physician
  • Columbia, SC
  • NPI 1053378588
  NPD

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254268800000",
    "number": "1508825340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 BARTON CREEK COURT",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292298027",
            "telephone_number": "803-256-2286",
            "fax_number": "803-343-2115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 BARTON CREEK COURT",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292298027",
            "telephone_number": "803-256-2286",
            "fax_number": "803-343-2115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-21",
        "last_updated": "2009-09-30",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "J.",
        "authorized_official_middle_name": "FRANK",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "803-256-2286",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "SC",
            "license": "13700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PA1319",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Palmetto Endoscopy Suite, LLC
• Palmetto ENT Consultants, P.a.
• Palmetto Eye Associates
• Palmetto Family and Cosmetic Dentistry III (Palmetto Family and Cosmetic Dentistry)
• Palmetto Family Dentistry of Columbia
• Palmetto Family Service Center of SC
• Palmetto Family Service Center, LLC
• Palmetto Gastroenterology, PA
• Palmetto Gastroenterology, PA
• Palmetto Health

• Primary Care Clinic/Center in Columbia, SC
• Providers in Columbia, SC by specialty
• Primary Care Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2009; 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.