PROVIDENCE CARDIOLOGY LLC NPI 1265716039

NPI Information

NPI: 1265716039
Provider Name: PROVIDENCE CARDIOLOGY LLC
Classification: Internal Medicine - 207RC0000X
Specialization: Cardiovascular Disease
Entity Type: Organization
Doing Business As: SOUTH CAROLINA HEART CENTER
Address: 2001 LAUREL ST
COLUMBIA, SC
ZIP 29204
Phone: (803) 254-3278

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NPI Details

PROVIDENCE CARDIOLOGY LLC is a cardiovascular disease internal medicine in Columbia, SC. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. PROVIDENCE CARDIOLOGY LLC NPI is 1265716039. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As South Carolina Heart Center.

The provider's business location address is:

2001 LAUREL ST
COLUMBIA, SC
ZIP 29204-018
Phone: (803) 254-3278
Fax: (803) 376-8010

The provider's authorized official is Kathleen L Koenig .
The authorized official title is Chief Financial Officer and has the following contact phone number (803) 254-3278.

The enumeration date for this NPI number is 9/28/2011 and was last updated on 1/19/2016.

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	207RC0000X	Internal Medicine	Cardiovascular Disease		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	2904	MEDICAID	SOUTH 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: 11/21/2025

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