Organization Active NPI

Sophistication Me

  • Obstetrics & Gynecology Physician
  • Columbia, SC
National Provider Identifier
1699003715
Registry record updated Dec 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
22803 Issued in SC
Legal business name
SOPHISTICATION ME
Practice address
100 Wildewood Park Drive
Columbia, SC 29223
Phone
(516) 770-3159
NPI assigned
Dec 1, 2009
Organization subpart
Yes
Parent organization
SOPHISTICATION MEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 1, 2009

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

Authorized official

Name
Dr. Cynthia Marie Pridgen, MD
Title
President
Phone
(516) 770-3159

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 22803 SC Primary

Addresses

Primary practice location

100 Wildewood Park Drive
Columbia, SC 29223

Mailing address

100 Wildewood Park Drive
Columbia, SC 29223
Phone (516) 770-3159

National Provider Directory

National Provider Directory
Part of
Sophistication Me

NPI Registry JSON

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

{
    "created_epoch": "1259625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259625600000",
    "number": "1699003715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WILDEWOOD PARK DRIVE",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29223",
            "telephone_number": "516-770-3159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WILDEWOOD PARK DRIVE",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29223",
            "telephone_number": "516-770-3159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOPHISTICATION ME",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOPHISTICATION ME",
        "enumeration_date": "2009-12-01",
        "last_updated": "2009-12-01",
        "status": "A",
        "authorized_official_last_name": "PRIDGEN",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-770-3159",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "SC",
            "license": "22803",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 1, 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.