NPIMap

Organization Active NPI

Palmetto Anesthesiology Consultants, LLC

  • Specialist
  • Columbia, SC
National Provider Identifier
1801259130
Registry record updated Apr 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
23834 Issued in SC
Legal business name
PALMETTO ANESTHESIOLOGY CONSULTANTS, LLC
Practice address
109 Blarney Dr
Columbia, SC 29223-6244
Phone
(803) 587-4714
NPI assigned
Apr 4, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2016

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

Authorized official

Name
Gokul Gondi, MD
Title
President
Phone
(803) 587-4714

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X 23834 SC Primary

Addresses

Primary practice location

109 Blarney Dr
Columbia, SC 29223-6244

Mailing address

109 Blarney Dr
Columbia, SC 29223-6244
Phone (803) 587-4714

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1459728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459728000000",
    "number": "1801259130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 BLARNEY DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292236244",
            "telephone_number": "803-587-4714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 BLARNEY DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292236244",
            "telephone_number": "803-587-4714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO ANESTHESIOLOGY CONSULTANTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-04",
        "last_updated": "2016-04-04",
        "status": "A",
        "authorized_official_last_name": "GONDI",
        "authorized_official_first_name": "GOKUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-587-4714",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "SC",
            "license": "23834",
            "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 4, 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.