Active NPI
Sophistication Me
- Obstetrics & Gynecology Physician
- Columbia, SC
National Provider Identifier
1699003715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 22803
- 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 ME
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 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.