Active NPI
Palmetto Health
Doing business as Healing Waters at Palmetto Health
- Plastic Surgery Physician
- Columbia, SC
National Provider Identifier
1720483886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- Legal business name
- PALMETTO HEALTH
- Doing business as
- Healing Waters at Palmetto Health
- Practice address
- 300 Palmetto Health Pkwy
Suite 103
Columbia, SC 29212-1761 - Phone
- (803) 907-7100
- Fax
- (803) 907-7109
- NPI assigned
- Oct 30, 2014
- Last updated
- Oct 30, 2014
- Organization subpart
- Yes
- Parent organization
- PALMETTO HEALTH
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Darrell C Coven
- Title
- Ambulatory Services-Finance
- Phone
- (803) 296-7301
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | Primary |
Addresses
Primary practice location
300 Palmetto Health Pkwy
Suite 103
Columbia, SC 29212-1761
Mailing address
PO Box 402145
Atlanta, GA 30384-2145
Phone (803) 296-7305
Other names 1
- Healing Waters at Palmetto Health
National Provider Directory
National Provider Directory- Part of
- Northeast Family Practi
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414627200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1414627200000",
"number": "1720483886",
"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": "300 PALMETTO HEALTH PKWY",
"address_2": "SUITE 103",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292121761",
"telephone_number": "803-907-7100",
"fax_number": "803-907-7109"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PALMETTO HEALTH",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PALMETTO HEALTH",
"enumeration_date": "2014-10-30",
"last_updated": "2014-10-30",
"status": "A",
"authorized_official_last_name": "COVEN",
"authorized_official_first_name": "DARRELL",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "AMBULATORY SERVICES-FINANCE",
"authorized_official_telephone_number": "803-296-7301",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Healing Waters at Palmetto Health",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Columbia, SC
- Palmetto Health (Richland Hospital Internal Medicine)
- 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 (Palmetto Health Orthopedics)
- Palmetto Health (MCCU - Mobile Coronary Care Unit)
- Palmetto Health (Three Rivers OB/GYN Associates)
- Palmetto Health (Palmetto Health Counseling Columbia)
- Palmetto Health (ColoRectal Associates)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.