Providence Cardiovascular & Thoracic Surgery, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

PROVIDENCE CARDIOVASCULAR & THORACIC SURGERY, LLC

Practice address

2435 Forest Dr
Columbia, SC 29204-2026

Phone

(803) 254-5140

Fax

(803) 779-1279

NPI assigned

May 3, 2011

Organization subpart

Yes

Parent organization

SISTERS OF CHARITY PROFVIDENCE HOSPITALSAs reported in NPPES

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

Authorized official

Name

John P Sutton, III, MD

Title

President

Phone

(803) 254-5140

Specialties & licenses 1

Addresses

Part of

Sisters of Charity Providence Hospitals

Practitioners 1

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

• William Baker Allen, MD

  • Specialist
  • Columbia, SC
  • NPI 1700856218
  NPD (past)

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

{
    "created_epoch": "1304380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304467200000",
    "number": "1811289382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2435 FOREST DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292042026",
            "telephone_number": "803-254-5140",
            "fax_number": "803-779-1279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2435 FOREST DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292042026",
            "telephone_number": "803-254-5140",
            "fax_number": "803-779-1279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE CARDIOVASCULAR & THORACIC SURGERY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SISTERS OF CHARITY PROFVIDENCE HOSPITALS",
        "enumeration_date": "2011-05-03",
        "last_updated": "2011-05-04",
        "status": "A",
        "authorized_official_last_name": "SUTTON, III",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-254-5140",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aundrea Marie Provence
• Providence Cardiology
• Providence Cardiology LLC
• Providence Cardiology LLC
• Providence Cardiology LLC
• Providence ER Services, LLC
• Providence Family Practice LLC
• Providence Group Practices II, LLC
• Providence Group Practices LLC
• Providence Health Network LLC

• Specialist in Columbia, SC
• Providers in Columbia, SC by specialty
• Specialist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2011; 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.