Palmetto Health

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

Legal business name

PALMETTO HEALTH

Doing business as

Orthopaedic and Spine Surgeons of South Carolina

Practice address

1333 Taylor St
Suite 3-J
Columbia, SC 29201

Phone

(803) 296-2281

Fax

(803) 296-7330

NPI assigned

Dec 11, 2009

Organization subpart

Yes

Parent organization

PALMETTO HEALTHAs reported in NPPES

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

Authorized official

Name

Mr. Darrell C Coven

Title

Dir. of Business Dev Finance

Phone

(803) 296-7301

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Orthopaedic and Spine Surgeons of South Carolina Doing business as

Part of

Ridge Pediatric Adolesc

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

{
    "created_epoch": "1260489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412640000000",
    "number": "1871822304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 402145",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303842145",
            "telephone_number": "803-296-7305",
            "fax_number": "803-296-7330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 TAYLOR ST",
            "address_2": "SUITE 3-J",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29201",
            "telephone_number": "803-296-2281",
            "fax_number": "803-296-7330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PALMETTO HEALTH",
        "enumeration_date": "2009-12-11",
        "last_updated": "2014-10-07",
        "status": "A",
        "authorized_official_last_name": "COVEN",
        "authorized_official_first_name": "DARRELL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DIR. OF BUSINESS DEV FINANCE",
        "authorized_official_telephone_number": "803-296-7301",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP5332",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orthopaedic and Spine Surgeons of South Carolina",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Palmetto Health (Palmetto Health Counseling - Spring Valley)
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• Palmetto Health (Baptist Inpatient Medical Associates)
• Palmetto Health (Palmetto Healthy Start)
• Palmetto Health (Parkridge Medical Associates)
• Palmetto Health (Palmetto Infectious Disease)
• Palmetto Health (Palmetto Health Urgent Care)
• Palmetto Health (Pediatric Rheumatology)
• Palmetto Health
• Palmetto Health (Palliative Care)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2014; 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.