Provider Type Icon

PALMETTO HEALTH NPI 1003844556


NPI Information

NPI: 1003844556
Provider Name: PALMETTO HEALTH

Doing Business As: PEDIATRIC SURGERY

Classification: Surgery - 2086S0120X
Entity Type: Organization

Specialization: Pediatric Surgery

Address:
9 RICHLAND MEDICAL PARK DR
SUITE 500
COLUMBIA, SC
ZIP 29203
Phone: (803) 296-7304
Get Directions

PALMETTO HEALTH is a pediatric surgery surgery in Columbia, SC. The provider is a surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. PALMETTO HEALTH NPI is 1003844556. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Pediatric Surgery.

The provider's business location address is:

9 RICHLAND MEDICAL PARK DR
SUITE 500
COLUMBIA, SC
ZIP 29203-859
Phone: (803) 296-7304
Fax: (803) 296-7329

The provider's authorized official is Darrell C Coven .
The authorized official title is Director Of Business Dev., Finance and has the following contact phone number (803) 296-7301.

The enumeration date for this NPI number is 6/30/2006 and was last updated on 11/19/2008.


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
12086S0120XSurgeryPediatric SurgeryYes

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
1GP2085MEDICAIDSOUTH CAROLINA
25875MEDICARE 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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.