Active NPI
Sirinart Sirinvaravong, MD.
- Endocrinology, Diabetes & Metabolism Physician
- Columbia, SC
National Provider Identifier
1891938734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 34322
- Practice address
- 2 Medical Park
Suite 506
Columbia, SC 29203-6839 - Phone
- (803) 540-1000
- Fax
- (803) 540-1011
- NPI assigned
- Apr 8, 2009
- Last updated
- Feb 5, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 34322 | SC | Primary |
| Internal Medicine Physician | 207R00000X | 34322 | SC |
Addresses
Primary practice location
2 Medical Park
Suite 506
Columbia, SC 29203-6839
Mailing address
PO Box 648
Columbia, SC 29203-0648
Phone (803) 540-1000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 343220 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34322 | SC | MD | Endocrinology, Diabetes & Metabolism Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360022400000",
"number": "1891938734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 648",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292030648",
"telephone_number": "803-540-1000",
"fax_number": "803-540-1011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 MEDICAL PARK",
"address_2": "SUITE 506",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292036839",
"telephone_number": "803-540-1000",
"fax_number": "803-540-1011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIRINVARAVONG",
"first_name": "SIRINART",
"credential": "MD.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-08",
"last_updated": "2013-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "SC",
"license": "34322",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "SC",
"license": "34322",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "343220",
"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 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.