Providence Cardiology

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

PROVIDENCE CARDIOLOGY

Practice address

108 Palmetto Park Blvd
Lexington, SC 29072-7968

Phone

(803) 254-3278

Fax

(803) 255-2715

NPI assigned

Sep 13, 2013

Organization subpart

Yes

Parent organization

PROVIDENCE CARDIOLOGYAs reported in NPPES

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

Authorized official

Name

Kathleen L Koenig

Title

Cfo

Phone

(803) 254-3278

Specialties & licenses 1

Addresses

Part of

Providence Cardiology LLC

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

{
    "created_epoch": "1379030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379030400000",
    "number": "1649605247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 LAUREL ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292041018",
            "telephone_number": "803-254-3278",
            "fax_number": "803-255-2715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 PALMETTO PARK BLVD",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290727968",
            "telephone_number": "803-254-3278",
            "fax_number": "803-255-2715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE CARDIOLOGY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROVIDENCE CARDIOLOGY",
        "enumeration_date": "2013-09-13",
        "last_updated": "2013-09-13",
        "status": "A",
        "authorized_official_last_name": "KOENIG",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "803-254-3278"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Promed Preferred SC PC
• Erin Propst
• Protea Coaching and Counseling LLC
• Sarah Katherine Protheroe, LPC, LAC
• Providence Cardiology
• Providence Orthopaedic Group
• Providence Orthopaedic Group LLC
• Providence Orthopedic Group, LLC
• Alex M. Pruett, MSW, LISW CP
• James Luther Pruitt Jr., MD

• Cardiovascular Disease Physician in Lexington, SC
• Providers in Lexington, SC by specialty
• Cardiovascular Disease Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2013; 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.