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PALMETTO ORTHOPAEDIC CLINIC PA NPI 1841291127


NPI Information

NPI: 1841291127
Provider Name: PALMETTO ORTHOPAEDIC CLINIC, PA

Other Name: PALMETTO ORTHOPAEDIC CLINIC, PA

Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization
Address:
105 OFFICE PARK RD
COLUMBIA, SC
ZIP 29223
Phone: (803) 699-5540
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PALMETTO ORTHOPAEDIC CLINIC, PA is an orthopaedic surgery in Columbia, SC. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. PALMETTO ORTHOPAEDIC CLINIC, PA NPI is 1841291127. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Palmetto Orthopaedic Clinic, Pa.

The provider's business location address is:

105 OFFICE PARK RD
COLUMBIA, SC
ZIP 29223-959
Phone: (803) 699-5540
Fax: (803) 699-5547

The provider's authorized official is Deanna L Constable .
The authorized official title is President and has the following contact phone number (803) 699-5540.

The enumeration date for this NPI number is 8/9/2005 and was last updated on 6/11/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistNo
2207X00000XOrthopaedic Surgery5804SOUTH CAROLINAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1C61328MEDICARE UPINSOUTH CAROLINA
2GP3996MEDICAIDSOUTH CAROLINA
36210810001MEDICARE NSCSOUTH CAROLINA
47807MEDICARE PINSOUTH CAROLINA

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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