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PRISMA HEALTH MEDICAL GROUP-MIDLANDS NPI 1003307166


NPI Information

NPI: 1003307166
Provider Name: PRISMA HEALTH MEDICAL GROUP-MIDLANDS

Other Name: PH MEDICAL GROUP MIDLANDS

Classification: Internal Medicine - 207RI0011X
Entity Type: Organization

Specialization: Interventional Cardiology

Address:
8 RICHLAND MEDICAL PARK DR STE 300
COLUMBIA, SC
ZIP 29203
Phone: (803) 256-6511
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PRISMA HEALTH MEDICAL GROUP-MIDLANDS is an interventional cardiology internal medicine in Columbia, SC. The provider is an area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. PRISMA HEALTH MEDICAL GROUP-MIDLANDS NPI is 1003307166. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Ph Medical Group Midlands.

The provider's business location address is:

8 RICHLAND MEDICAL PARK DR STE 300
COLUMBIA, SC
ZIP 29203-008
Phone: (803) 256-6511

The provider's authorized official is James Ellis .
The authorized official title is Chief Integrationl Officer and has the following contact phone number (803) 545-5048.

The enumeration date for this NPI number is 5/24/2018 and was last updated on 9/28/2020.


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
1207RC0000XInternal MedicineCardiovascular DiseaseNo
2207RC0001XInternal MedicineClinical Cardiac ElectrophysiologyNo
3363L00000XNurse PractitionerNo
4363LA2100XNurse PractitionerAcute CareNo
5363LA2200XNurse PractitionerAdult HealthNo
6363LF0000XNurse PractitionerFamilyNo
7363LG0600XNurse PractitionerGerontologyNo
8207RI0011XInternal MedicineInterventional CardiologyYes

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
1GP9147MEDICAIDSOUTH 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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