Michael Gordon Sribnick, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

7174 Issued in SC

Practice address

2117 Gervais Street
Waverly Family Pratice
Columbia, SC 29204

Phone

(803) 748-1181

NPI assigned

Mar 12, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1205280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272585600000",
    "number": "1891966321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2117 GERVAIS STREET",
            "address_2": "WAVERLY FAMILY PRACTICE",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29403",
            "telephone_number": "803-748-1181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2117 GERVAIS STREET",
            "address_2": "WAVERLY FAMILY PRATICE",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29204",
            "telephone_number": "803-748-1181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SRIBNICK",
        "first_name": "MICHAEL",
        "middle_name": "GORDON",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-12",
        "last_updated": "2010-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "7174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mathew Scott Springs, M.D.
• Springtree Manor LLC
• Springup Solutions LLC
• Springwood Lake Primary Care, LLC
• Malgorzata Srednicki, RPT
• Richard L. Sribnick, M.D., P.A.
• Wayne B Sribnick, MD
• Mohan Sridaran, DO
• Shilpa Srinivasan, MD
• Indra Sriram, M.D.

• Internal Medicine Physician in Columbia, SC
• Providers in Columbia, SC by specialty
• Internal Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2010; 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.