Providence Cardiology LLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

PROVIDENCE CARDIOLOGY LLC

Doing business as

South Carolina Heart Center

Practice address

1330 Haile St
Camden, SC 29020-3002

Phone

(803) 432-6771

Fax

(803) 376-8010

NPI assigned

Sep 8, 2011

Last updated

Jan 19, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kathleen L Koenig

Title

Chief Financial Officer

Phone

(803) 254-3278

Specialties & licenses 2

Addresses

Other names 1

• South Carolina Heart Center Doing business as

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

{
    "created_epoch": "1315440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453161600000",
    "number": "1760763312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 LAUREL ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292041018",
            "telephone_number": "803-254-3278",
            "fax_number": "803-376-8010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 HAILE ST",
            "city": "CAMDEN",
            "state": "SC",
            "postal_code": "290203002",
            "telephone_number": "803-432-6771",
            "fax_number": "803-376-8010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE CARDIOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-08",
        "last_updated": "2016-01-19",
        "status": "A",
        "authorized_official_last_name": "KOENIG",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "803-254-3278"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Carolina Heart Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christian Kilman Pratt
• Jillian Marie Press, FNP
• Crystal Lynne Price, APRN, RN
• Pro-Motion Physical Therapy of Camden, SC, LLC
• Katherine Victoria Profit
• Providence Group Practices II, LLC (Providence Cardiovascular Consultants)
• Reahnita S Pulaski
• Quality Sleep Solutions Camden LLC
• Megan J Quigley, LMSW
• Xenia Ramos

• Cardiovascular Disease Physician in Camden, SC
• Providers in Camden, SC by specialty
• Cardiovascular Disease Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2016; 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.