PALMETTO PODIATRY ASSOCIATES LLC NPI 1295788354

NPI Information

NPI: 1295788354
Provider Name: PALMETTO PODIATRY ASSOCIATES LLC
Classification: Podiatrist - 213ES0131X
Entity Type: Organization

Specialization: Foot Surgery

Address:
1730 HENDERSON STREET
SUITE B
COLUMBIA, SC
ZIP 29201
Phone: (803) 376-1717
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PALMETTO PODIATRY ASSOCIATES LLC is a foot surgery podiatrist in Columbia, SC. PALMETTO PODIATRY ASSOCIATES LLC NPI is 1295788354. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1730 HENDERSON STREET
SUITE B
COLUMBIA, SC
ZIP 29201
Phone: (803) 376-1717
Fax: (803) 376-1716

The provider's authorized official is Joseph J Moran .
The authorized official title is Owner and has the following contact phone number (803) 376-1717.

The enumeration date for this NPI number is 5/18/2006 and was last updated on 12/12/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213E00000X	Podiatrist		00151	SOUTH CAROLINA	No
2	213ES0131X	Podiatrist	Foot Surgery	00151	SOUTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	480027837	OTHER	SOUTH CAROLINA	RETIRED RAILROAD MEDICARE
2	PD1517	MEDICAID	SOUTH CAROLINA
3	6311	MEDICARE ID-TYPE UNSPECIFIED	SOUTH CAROLINA
4	U44765	MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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