Providence Physician Practices LLC

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

Legal business name

PROVIDENCE PHYSICIAN PRACTICES LLC

Doing business as

Midlands Pulmonary, Critical Care & Sleep Medicine

Practice address

1655 Bernardin Ave
Ste 350
Columbia, SC 29204-2039

Phone

(803) 253-7575

Fax

(803) 253-7571

NPI assigned

Feb 5, 2016

Last updated

Feb 22, 2017By 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

Jess Judy

Title

President

Phone

(615) 920-7000

Specialties & licenses 3

Addresses

Other names 1

• MIDLANDS PULMONARY, CRITICAL CARE & SLEEP MEDICINE Doing business as

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

{
    "created_epoch": "1454630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487721600000",
    "number": "1790143766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 GATEWAY CORPORATE BLVD",
            "address_2": "STE 425",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292039740",
            "telephone_number": "803-865-4780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 BERNARDIN AVE",
            "address_2": "STE 350",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292042039",
            "telephone_number": "803-253-7575",
            "fax_number": "803-253-7571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE PHYSICIAN PRACTICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-05",
        "last_updated": "2017-02-22",
        "status": "A",
        "authorized_official_last_name": "JUDY",
        "authorized_official_first_name": "JESS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-920-7000"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MIDLANDS PULMONARY, CRITICAL CARE & SLEEP MEDICINE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Providence Physician Practices LLC (Providence Orthopedics)
• Providence Physician Practices LLC
• Providence Physician Practices LLC (Providence Surgical Associates)
• Providence Physician Practices LLC (Thoracic & Cardiovascular Associates)
• Providence Physician Practices LLC (Carolina Cardiovascular Associates)
• Providence Physician Practices LLC (Laurel Imaging Center)
• Providence Physician Practices, LLC (Laurel Imaging Center)
• Providence Physician Practices, LLC (Providence Urology Specialists)
• Providence Professional Services LLC
• Providence Pulmonary Specialists, LLC (Midlands Pulmonary, Critical Care & Sleep Medicine)

• Pulmonary Disease Physician in Columbia, SC
• Providers in Columbia, SC by specialty
• Pulmonary Disease Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2017; 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.