NPIMap

Organization Active NPI

Oasis Physical Medicine

  • Nutrition Chiropractor
  • Columbia, SC
National Provider Identifier
1730523697
Registry record updated Apr 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
533818 Issued in PA
Legal business name
OASIS PHYSICAL MEDICINE
Practice address
4010 N Main St
Suite 2
Columbia, SC 29203-5848
Phone
(803) 786-0559
Fax
(803) 786-1307
NPI assigned
Apr 23, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2013

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

Authorized official

Name
Dr. Green B Neal, M.D.
Title
Medical Director
Phone
(803) 786-0559

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NN1001X 533818 PA Primary

Addresses

Primary practice location

4010 N Main St
Suite 2
Columbia, SC 29203-5848

Mailing address

4010 N Main St
Suite 2
Columbia, SC 29203-5848
Phone (803) 786-0559

National Provider Directory

National Provider Directory

Locations

4010 N Main St
Ste 2
Columbia, SC 29203
Phone (803) 786-0559

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1366675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366675200000",
    "number": "1730523697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 N MAIN ST",
            "address_2": "SUITE 2",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292035848",
            "telephone_number": "803-786-0559",
            "fax_number": "803-786-1307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 N MAIN ST",
            "address_2": "SUITE 2",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292035848",
            "telephone_number": "803-786-0559",
            "fax_number": "803-786-1307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OASIS PHYSICAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-23",
        "last_updated": "2013-04-23",
        "status": "A",
        "authorized_official_last_name": "NEAL",
        "authorized_official_first_name": "GREEN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "803-786-0559",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": "PA",
            "license": "533818",
            "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 Apr 23, 2013; 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.