PROVIDENCE PROFESSIONAL SERVICES LLC
NPI 1659818599
Emergency Medicine in Columbia, SC

NPI Status: Active since January 30, 2017

Contact Information

2435 FOREST DR
COLUMBIA, SC
ZIP 29204
Phone: (615) 920-7514

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  • Organization
  • Emergency Medicine

About PROVIDENCE PROFESSIONAL SERVICES LLC

This page provides the complete NPI Profile along with additional information for Providence Professional Services Llc, a provider established in Columbia, South Carolina operating as a Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1659818599 assigned on January 2017. The practitioner's primary taxonomy code is 207P00000X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Sara Miller (Director)

NPI
1659818599
Provider Name
PROVIDENCE PROFESSIONAL SERVICES LLC
Entity Type
Organization
Location Address
2435 FOREST DR COLUMBIA, SC 29204
Location Phone
(615) 920-7514
Mailing Address
330 SEVEN SPRINGS WAY BRENTWOOD, TN 37027
Mailing Phone
(615) 920-7514
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-30-2017
Last Update Date
01-30-2017
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Emergency Medicine

Taxonomy Code
207P00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SARA MILLER

Authorized Official Title
DIRECTOR
Authorized Official Phone
(615) 920-7514

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1659818599
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2610916116518
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 0 + 9 + 1 + 6 + 1 + 1 + 6 + 5 + 1 + 8 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 99

The NPI number 1659818599 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1700856218 WILLIAM BAKER ALLEN MD
Individual
Specialist2435 FOREST DR
COLUMBIA, SC 29204
(803) 254-5140
1497726160CARDIOVASCULAR ANSTHESIA, LLC
Organization
Anesthesiology2435 FOREST DR
COLUMBIA, SC 29204
(803) 765-1838
1942272745DR. JOSEPH ROBERT MODZELEWSKI M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)2435 FOREST DR C/O PROVIDENCE HOSPITAL
COLUMBIA, SC 29204
(803) 256-5336
1801868609DR. ELIZABETH DERRICK WOFFORD M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)2435 FOREST DR C/O PROVIDENCE HOSPITAL
COLUMBIA, SC 29204
(803) 256-5336
1780656363PROVIDENCE PATHOLOGY ASSOCIATES PA
Organization
Pathology (Anatomic Pathology & Clinical Pathology)2435 FOREST DR C/O PROVIDENCE HOSPITAL
COLUMBIA, SC 29204
(803) 256-5335
1932176815 JOHN F. WILLIAMS MD
Individual
Anesthesiology2435 FOREST DR
COLUMBIA, SC 29204
(803) 454-2613
1518921634MR. ROBERT MARCHI CRNA
Individual
Nurse Anesthetist, Certified Registered2435 FOREST DR
COLUMBIA, SC 29204
(803) 454-2613
1437107745MRS. RITA G PRITCHARD CRNA
Individual
Nurse Anesthetist, Certified Registered2435 FOREST DR MAILBOX 87
COLUMBIA, SC 29204
(803) 256-5336
1093721136 DONNA CAMBRON ACNP
Individual
Nurse Practitioner2435 FOREST DR
COLUMBIA, SC 29204
(803) 256-5320
1285745836MR. TERRELL BARRETT DUKE PHARMD
Individual
Pharmacist2435 FOREST DR
COLUMBIA, SC 29204
(803) 256-5300
1487790457 DONNA FALKENBERG RD
Individual
Dietitian, Registered2435 FOREST DR
COLUMBIA, SC 29204
(803) 256-5806
1316080351 DAWNDEE SMITH-JOYCE CRNA
Individual
Nurse Anesthetist, Certified Registered2435 FOREST DR
COLUMBIA, SC 29204
(803) 256-5300
1548466006AUGUSTINE HEALTH GROUP, LLC
Organization
Internal Medicine2435 FOREST DR
COLUMBIA, SC 29204
(803) 256-5300
1497937916 DEBORAH L GREENLAW NP
Individual
Nurse Practitioner (Acute Care)2435 FOREST DR
COLUMBIA, SC 29204
(803) 256-5458
1376785469MR. JOHN DANIEL GONZALES JR.
Individual
Nurse Anesthetist, Certified Registered2435 FOREST DR
COLUMBIA, SC 29204
(803) 256-5300
1699006593SERIO SOUTH CAROLINA, LLC
Organization
Emergency Medicine2435 FOREST DR
COLUMBIA, SC 29204
(803) 256-5320
1194028019PROVIDENCE ER SERVICES, LLC
Organization
Emergency Medicine2435 FOREST DR
COLUMBIA, SC 29204
(803) 256-5300
1366745945MR. JAMES M CROOK ATC
Individual
Specialist/Technologist (Athletic Trainer)2435 FOREST DR
COLUMBIA, SC 29204
(803) 227-8000
1811289382PROVIDENCE CARDIOVASCULAR & THORACIC SURGERY, LLC
Organization
Specialist2435 FOREST DR
COLUMBIA, SC 29204
(803) 254-5140
1417201344AUGUSTINE HEALTH HOSPITALISTS, LLC
Organization
Hospitalist2435 FOREST DR
COLUMBIA, SC 29204
(803) 227-8845

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1659818599, enumerated in the NPI registry as an "organization" on January 30, 2017

The provider is located at 2435 Forest Dr Columbia, Sc 29204 and the phone number is (615) 920-7514

This medical organization specializes in Emergency Medicine with taxonomy code 207P00000X

This NPI record was last updated on January 30, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.