COLUMBIA PLASTIC SURGERY PC NPI 1356549505

NPI Information

  • NPI: 1356549505
  • Provider Name: COLUMBIA PLASTIC SURGERY, PC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 3020 SUNSET BLVD
    SUITE 100
    WEST COLUMBIA, SC
    ZIP 29169
  • Phone: (803) 796-2770

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NPI Details

COLUMBIA PLASTIC SURGERY, PC is a specialist in West Columbia, SC. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. COLUMBIA PLASTIC SURGERY, PC NPI is 1356549505. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3020 SUNSET BLVD
SUITE 100
WEST COLUMBIA, SC
ZIP 29169-493
Phone: (803) 796-2770
Fax: (803) 796-2755

The provider's authorized official is John D Newkirk .
The authorized official title is Pres/owner and has the following contact phone number (803) 796-2770.

The enumeration date for this NPI number is 7/10/2007 and was last updated on 4/16/2009.

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
1174400000XSpecialist23116SOUTH 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17408MEDICARE PINSOUTH CAROLINA
2=========OTHERSOUTH CAROLINATAX ID
31508837345OTHERSOUTH CAROLINAPROVIDER NPI
4=========OTHERSOUTH CAROLINATAX ID#
5C33825MEDICARE UPINSOUTH 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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