NPIMap

Organization Active NPI

Palmetto Health

Doing business as Palmetto Health Orthopedics

  • Orthopaedic Surgery Physician
  • Columbia, SC
National Provider Identifier
1972054021
Registry record updated Apr 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
PALMETTO HEALTH
Doing business as
Palmetto Health Orthopedics
Practice address
101 Business Park Blvd
2ND Floor
Columbia, SC 29203-8401
Phone
(803) 296-9200
Fax
(803) 296-9697
NPI assigned
Oct 24, 2016
Last updated
Apr 24, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
PALMETTO HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 24, 2017

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

Authorized official

Name
Darrell Coven
Title
Director, Ambulatory Services Finan
Phone
(803) 296-7301

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X SC Primary
Orthopaedic Hand Surgery Physician 207XS0106X SC
Orthopaedic Surgery of the Spine Physician 207XS0117X SC
Orthopaedic Foot and Ankle Surgery Physician 207XX0004X SC

Addresses

Primary practice location

101 Business Park Blvd
2ND Floor
Columbia, SC 29203-8401

Mailing address

PO Box 848932
Boston, MA 02284-8932
Phone (803) 296-7303

Other names 1

  • Palmetto Health Orthopedics Doing business as

National Provider Directory

National Provider Directory
Part of
Northeast Family Practi

Member organizations 5

Organizations listed as members of this organization in the National Provider Directory.

Locations

3555 Harden Street Ext
Ste 300
Columbia, SC 29203
Phone (803) 434-6411

NPI Registry JSON

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

{
    "created_epoch": "1477267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492992000000",
    "number": "1972054021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 848932",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022848932",
            "telephone_number": "803-296-7303",
            "fax_number": "803-296-7330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 BUSINESS PARK BLVD",
            "address_2": "2ND FLOOR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292038401",
            "telephone_number": "803-296-9200",
            "fax_number": "803-296-9697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PALMETTO HEALTH",
        "enumeration_date": "2016-10-24",
        "last_updated": "2017-04-24",
        "status": "A",
        "authorized_official_last_name": "COVEN",
        "authorized_official_first_name": "DARRELL",
        "authorized_official_title_or_position": "DIRECTOR, AMBULATORY SERVICES FINAN",
        "authorized_official_telephone_number": "803-296-7301"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "SC",
            "license": null,
            "primary": true
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "SC",
            "license": null,
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "SC",
            "license": null,
            "primary": false
        },
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "SC",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palmetto Health Orthopedics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 24, 2017; 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.