Active NPI
WJB Dorn Veterns Medical Center
- General Acute Care Hospital
- Columbia, SC
National Provider Identifier
1972529089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- 9588
- Legal business name
- WJB DORN VETERNS MEDICAL CENTER
- Practice address
- 118 Olde Springs Rd
Columbia, SC 29223-6022 - Phone
- (803) 776-4000
- Fax
- (803) 695-6772
- NPI assigned
- Jul 14, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ziad A. Al-Assaad, MD
- Title
- Chief, Pathology & Lab Medicine Ser
- Phone
- (803) 776-4000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 9588 | SC | Primary |
Addresses
Primary practice location
118 Olde Springs Rd
Columbia, SC 29223-6022
Mailing address
118 Olde Springs Rd
Columbia, SC 29223-6022
Other names 1
- PATHOLOGY & LAB MEDICINE SERVICE
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1972529089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118 OLDE SPRINGS RD",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292236022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "118 OLDE SPRINGS RD",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292236022",
"telephone_number": "803-776-4000",
"fax_number": "803-695-6772"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WJB DORN VETERNS MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-14",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "AL-ASSAAD",
"authorized_official_first_name": "ZIAD",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "CHIEF, PATHOLOGY & LAB MEDICINE SER",
"authorized_official_telephone_number": "803-776-4000",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "SC",
"license": "9588",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "PATHOLOGY & LAB MEDICINE SERVICE",
"code": "5",
"type": "Other Name"
}
]
}
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.