Active NPI
Columbia Cardiology, LLC
- Cardiovascular Disease Physician
- Columbia, SC
National Provider Identifier
1730321035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- COLUMBIA CARDIOLOGY, LLC
- Practice address
- 130 Corporate Blvd
Columbia, SC 29204 - Phone
- (803) 744-4900
- Fax
- (803) 744-2622
- NPI assigned
- Apr 1, 2009
- Last updated
- Apr 1, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tracy B Brown
- Title
- Business Office Supervisor
- Phone
- (803) 744-2612
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | Primary |
Addresses
Primary practice location
130 Corporate Blvd
Columbia, SC 29204
Mailing address
2601 Laurel St
260
Columbia, SC 29204
Phone (803) 744-4900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP3493 | Medicaid | SC |
National Provider Directory
National Provider Directory- Tax ID family
- Columbia Cardiology Con
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Internal Medicine Physician
- Columbia, SC
- NPI 1750544912
-
- Specialist
- West Columbia, SC
- NPI 1124222807
Locations
130 Corporate Ln
Columbia, SC 29223
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238544000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1238544000000",
"number": "1730321035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2601 LAUREL ST",
"address_2": "260",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "29204",
"telephone_number": "803-744-4900",
"fax_number": "803-744-2622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 CORPORATE BLVD",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "29204",
"telephone_number": "803-744-4900",
"fax_number": "803-744-2622"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COLUMBIA CARDIOLOGY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-04-01",
"last_updated": "2009-04-01",
"status": "A",
"authorized_official_last_name": "BROWN",
"authorized_official_first_name": "TRACY",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "BUSINESS OFFICE SUPERVISOR",
"authorized_official_telephone_number": "803-744-2612"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP3493",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
- Columbia Arthritis Center, PA
- Columbia ASC LLC (Columbia Gastrointestinal Endoscopy Center)
- Columbia ASC Northwest LLC (Lake Murray Endoscopy Center)
- Columbia Audiology Group
- Columbia Cardiology
- Columbia Cardiology, LLC
- Columbia Central (Central Columbia)
- Columbia Children's Dentistry, PA
- Columbia Colon and Rectal Surgeons
- Columbia Counseling Center and Associates (Columbia Counseling Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 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.