Organization Active NPI

Columbia Cardiology

  • Internal Medicine Physician
  • Columbia, SC
National Provider Identifier
1750544912
Registry record updated Jul 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
COLUMBIA CARDIOLOGY
Practice address
114 Gateway Blvd
Columbia, SC 29209-0000
Phone
(803) 744-4900
Fax
(803) 744-2622
NPI assigned
Jul 8, 2008
Last updated
Jul 8, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
COLUMBIA CARDIOLOGYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 8, 2008

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

Authorized official

Name
Tracy Butler Brown
Title
Business Office Manager
Phone
(803) 744-2612

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

114 Gateway Blvd
Columbia, SC 29209-0000

Mailing address

PO Box 4187
Columbia, SC 29240-4187
Phone (803) 744-4900

Other identifiers 1

IdentifierTypeStateIssuer
GP3493MedicaidSC

National Provider Directory

National Provider Directory
Tax ID family
Columbia Cardiology Con3 organizations share this tax ID, including this one
Part of
Columbia Cardiology Con

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215475200000",
    "number": "1750544912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4187",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292404187",
            "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": "114 GATEWAY BLVD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292090000",
            "telephone_number": "803-744-4900",
            "fax_number": "803-744-2622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA CARDIOLOGY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COLUMBIA  CARDIOLOGY",
        "enumeration_date": "2008-07-08",
        "last_updated": "2008-07-08",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "BUTLER",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "803-744-2612"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "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

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; 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.