Palmetto Health

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PALMETTO HEALTH

Doing business as

Richland Hospital Internal Medicine

Practice address

14 Richland Medical Park Dr
Suite 320
Columbia, SC 29203-6877

Phone

(803) 434-6771

Fax

(803) 434-3955

NPI assigned

Jun 14, 2006

Organization subpart

Yes

Parent organization

PALMETTO HEALTHAs reported in NPPES

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

Authorized official

Name

Darrell C Coven

Title

Director, Ambulatory SVCS - Finance

Phone

(803) 296-7301

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Richland Hospital Internal Medicine Doing business as

Part of

Ridge Pediatric Adolesc

Locations

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347408000000",
    "number": "1669415915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 402145",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303842145",
            "telephone_number": "803-296-7305",
            "fax_number": "803-296-7330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 RICHLAND MEDICAL PARK DR",
            "address_2": "SUITE 320",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036877",
            "telephone_number": "803-434-6771",
            "fax_number": "803-434-3955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PALMETTO HEALTH",
        "enumeration_date": "2006-06-14",
        "last_updated": "2012-09-12",
        "status": "A",
        "authorized_official_last_name": "COVEN",
        "authorized_official_first_name": "DARRELL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DIRECTOR, AMBULATORY SVCS - FINANCE",
        "authorized_official_telephone_number": "803-296-7301"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3676",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Richland Hospital Internal Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Palmetto Health (Pediatric Urology)
• Palmetto Health (Children's Hospital Emergency Transport)
• Palmetto Health (Parkridge OB/GYN)
• Palmetto Health (Northeast Family Practice)
• Palmetto Health (Palmetto Health Counseling - Columbia)
• Palmetto Health (Carolina Cardiac Surgery)
• Palmetto Health (Ridge View Family Medicine)
• Palmetto Health (Palmetto Health Counseling Parkridge)
• Palmetto Health (Palmetto Health Counseling Columbia)
• Palmetto Health (Healing Waters at Palmetto Health)

• Internal Medicine Physician in Columbia, SC
• Providers in Columbia, SC by specialty
• Internal Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2012; 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.