Provider Type Icon

PROVIDENCE PHYSICIAN PRACTICES LLC NPI 1689034548


NPI Information

NPI: 1689034548
Provider Name: PROVIDENCE PHYSICIAN PRACTICES LLC

Doing Business As: PROVIDENCE SURGICAL ASSOCIATES

Classification: Surgery - 208600000X
Entity Type: Organization
Address:
1655 BERNARDIN AVE
STE 110
COLUMBIA, SC
ZIP 29204
Phone: (803) 409-7130
Get Directions

PROVIDENCE PHYSICIAN PRACTICES LLC is a surgery in Columbia, SC. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. PROVIDENCE PHYSICIAN PRACTICES LLC NPI is 1689034548. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Providence Surgical Associates.

The provider's business location address is:

1655 BERNARDIN AVE
STE 110
COLUMBIA, SC
ZIP 29204-039
Phone: (803) 409-7130

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 3/4/2016 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208200000XPlastic SurgeryNo
2208600000XSurgeryYes
32086S0122XSurgeryPlastic and Reconstructive SurgeryNo

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.