NPIMap

Organization Active NPI

Palmetto Pediatric Gastroenterology

  • Medical Specialty Clinic/Center
  • Columbia, SC
National Provider Identifier
1558320275
Registry record updated May 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
14383 Issued in SC
Legal business name
PALMETTO PEDIATRIC GASTROENTEROLOGY
Practice address
2113 Adams GRV
Suite 200
Columbia, SC 29203-7102
Phone
(803) 254-1006
Fax
(803) 254-2090
NPI assigned
Mar 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2008

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

Authorized official

Name
Dr. Rathna P. Amarnath, M. D.
Title
Physician
Phone
(803) 254-1006

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 14383 SC Primary

Addresses

Primary practice location

2113 Adams GRV
Suite 200
Columbia, SC 29203-7102

Mailing address

2113 Adams GRV
Suite 200
Columbia, SC 29203-7102
Phone (803) 254-1006

Other identifiers 1

IdentifierTypeStateIssuer
GP3080MedicaidSC

National Provider Directory

National Provider Directory
Tax ID family
Palmetto Ped Gastro and Nut3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211846400000",
    "number": "1558320275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2113 ADAMS GRV",
            "address_2": "SUITE 200",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292037102",
            "telephone_number": "803-254-1006",
            "fax_number": "803-254-2090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2113 ADAMS GRV",
            "address_2": "SUITE 200",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292037102",
            "telephone_number": "803-254-1006",
            "fax_number": "803-254-2090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO PEDIATRIC GASTROENTEROLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-21",
        "last_updated": "2008-05-27",
        "status": "A",
        "authorized_official_last_name": "AMARNATH",
        "authorized_official_first_name": "RATHNA",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "803-254-1006",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "SC",
            "license": "14383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3080",
            "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 May 27, 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.