Columbia Orthopaedic & Spine Institute LLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

COLUMBIA ORTHOPAEDIC & SPINE INSTITUTE LLC

Practice address

3930 Devine St
Columbia, SC 29205-2804

Phone

(772) 245-8397

NPI assigned

Apr 25, 2018

Organization subpart

No

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

Authorized official

Name

Jeneane Marie Wakula

Title

Office Manager

Phone

(772) 546-9591

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1524614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524614400000",
    "number": "1770071789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8925 SE BRIDGE RD",
            "city": "HOBE SOUND",
            "state": "FL",
            "postal_code": "334555312",
            "telephone_number": "772-245-8397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3930 DEVINE ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292052804",
            "telephone_number": "772-245-8397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA ORTHOPAEDIC & SPINE INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-25",
        "last_updated": "2018-04-25",
        "status": "A",
        "authorized_official_last_name": "WAKULA",
        "authorized_official_first_name": "JENEANE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "772-546-9591"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Columbia Northeast Counseling Services, LLC
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• Columbia Oral Health Clinic
• Columbia Orthopaedic Specialists LLC
• Columbia Orthopaedic Specialists LLC
• Columbia Periodontal Assoicates, LLC
• Columbia Psychatric Associates
• Columbia Psychiatric Associates

• Orthopaedic Surgery Physician in Columbia, SC
• Providers in Columbia, SC by specialty
• Orthopaedic Surgery Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2018; 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.