Organization Active NPI

Wayne B Sribnick MD

  • Internal Medicine Physician
  • Columbia, SC
National Provider Identifier
1811081748
Registry record updated Feb 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
11253 Issued in SC
Legal business name
WAYNE B SRIBNICK MD
Practice address
2701 Middleburg Dr
Columbia, SC 29204-2405
Phone
(803) 254-2786
Fax
(803) 254-9015
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2008

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

Authorized official

Name
Ms. Fredia M. Tarlton
Title
Office Manager
Phone
(803) 254-2786

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 11253 SC Primary

Addresses

Primary practice location

2701 Middleburg Dr
Columbia, SC 29204-2405

Mailing address

2701 Middleburg Dr
Columbia, SC 29204-2405
Phone (803) 254-2786

Other identifiers 1

IdentifierTypeStateIssuer
112531MedicaidSC

National Provider Directory

National Provider Directory

Locations

2701 Middleburg Dr
Columbia, SC 29204
Phone (803) 254-2786

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202774400000",
    "number": "1811081748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 MIDDLEBURG DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292042405",
            "telephone_number": "803-254-2786",
            "fax_number": "803-254-9015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 MIDDLEBURG DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292042405",
            "telephone_number": "803-254-2786",
            "fax_number": "803-254-9015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE B SRIBNICK MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2008-02-12",
        "status": "A",
        "authorized_official_last_name": "TARLTON",
        "authorized_official_first_name": "FREDIA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "803-254-2786",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "11253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112531",
            "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 Feb 12, 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.