NPIMap

Organization Active NPI

Palmetto Health Alliance

  • Obstetrics & Gynecology Physician
  • Columbia, SC
National Provider Identifier
1629014188
Registry record updated Sep 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
PALMETTO HEALTH ALLIANCE
Practice address
1 Richland Medical Park
Suite 110
Columbia, SC 29203-6834
Phone
(803) 434-2490
NPI assigned
Jun 22, 2006
Organization subpart
Yes
Parent organization
PALMETTO HEALTH ALLIANCEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 12, 2007

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

Authorized official

Name
Darrell C Coven
Title
Finance Director of Business Dev.
Phone
(803) 296-7304

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

1 Richland Medical Park
Suite 110
Columbia, SC 29203-6834

Mailing address

1 Richland Medical Park
Suite 110
Columbia, SC 29203-6834
Phone (803) 434-2490

Other identifiers 1

IdentifierTypeStateIssuer
GP3664MedicaidSC

Other names 1

  • Palmetto Women's Wellness Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Markowitz and Associates105 organizations share this tax ID, including this one
Part of
Markowitz and Associates

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

1 Richland Medical Park Dr
Ste 110
Columbia, SC 29203
Phone (803) 434-2490

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189555200000",
    "number": "1629014188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 RICHLAND MEDICAL PARK",
            "address_2": "SUITE 110",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036834",
            "telephone_number": "803-434-2490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 RICHLAND MEDICAL PARK",
            "address_2": "SUITE 110",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036834",
            "telephone_number": "803-434-2490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO HEALTH ALLIANCE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PALMETTO HEALTH ALLIANCE",
        "enumeration_date": "2006-06-22",
        "last_updated": "2007-09-12",
        "status": "A",
        "authorized_official_last_name": "COVEN",
        "authorized_official_first_name": "DARRELL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "FINANCE DIRECTOR OF BUSINESS DEV.",
        "authorized_official_telephone_number": "803-296-7304"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3664",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palmetto Women's Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 12, 2007; 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.