PROVIDENCE PHYSICIAN PRACTICES LLC NPI 1033577002

NPI Information

NPI: 1033577002
Provider Name: PROVIDENCE PHYSICIAN PRACTICES LLC

Doing Business As: HOSPITAL PROFESSIONAL SERVICES

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
2435 FOREST DR
COLUMBIA, SC
ZIP 29204
Phone: (803) 256-5300
Get Directions

PROVIDENCE PHYSICIAN PRACTICES LLC is a diagnostic radiology radiology in Columbia, SC. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. PROVIDENCE PHYSICIAN PRACTICES LLC NPI is 1033577002. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Hospital Professional Services.

The provider's business location address is:

2435 FOREST DR
COLUMBIA, SC
ZIP 29204-026
Phone: (803) 256-5300

The provider's authorized official is Jess Judy .
The authorized official title is President and has the following contact phone number (615) 920-7000.

The enumeration date for this NPI number is 2/5/2016 and was last updated on 2/22/2017.

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	Primary
1	101YP2500X	Counselor	Professional	No
2	133V00000X	Dietitian, Registered		No
3	207Q00000X	Family Medicine		No
4	207RI0200X	Internal Medicine	Infectious Disease	No
5	2084P0800X	Psychiatry & Neurology	Psychiatry	No
6	2085R0202X	Radiology	Diagnostic Radiology	Yes
7	208800000X	Urology		No
8	225100000X	Physical Therapist		No
9	225X00000X	Occupational Therapist		No
10	363L00000X	Nurse Practitioner		No

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: 11/14/2023

NPI Synchronization or Removal

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.

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