NPIMap

Organization Active NPI

Palmetto Pediatric Gastro and Nutrition

  • Gastroenterology Registered Nurse
  • Columbia, SC
National Provider Identifier
1952465817
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology Registered NurseTaxonomy code 163WG0100X
License
P2993 Issued in SC
Legal business name
PALMETTO PEDIATRIC GASTRO AND NUTRITION
Practice address
2113 Adams GRV
Suite 200
Columbia, SC 29203-6951
Phone
(803) 254-1006
Fax
(803) 254-2090
NPI assigned
Dec 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Rathna P Amarnath, MD
Title
Owner
Phone
(803) 254-1006

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WG0100X P2993 SC Primary

Addresses

Primary practice location

2113 Adams GRV
Suite 200
Columbia, SC 29203-6951

Mailing address

2113 Adams GRV
Suite 200
Columbia, SC 29203-6951
Phone (803) 254-1006

National Provider Directory

National Provider Directory
Tax ID family
Palmetto Ped Gastro and Nut3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952465817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2113 ADAMS GRV",
            "address_2": "SUITE 200",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036951",
            "telephone_number": "803-254-1006",
            "fax_number": "803-254-2090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2113 ADAMS GRV",
            "address_2": "SUITE 200",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036951",
            "telephone_number": "803-254-1006",
            "fax_number": "803-254-2090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO PEDIATRIC GASTRO AND NUTRITION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AMARNATH",
        "authorized_official_first_name": "RATHNA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-254-1006",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "163WG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Gastroenterology",
            "state": "SC",
            "license": "P2993",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 22, 2020; 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.