Providence Orthopaedic Group LLC
Orthopaedic Surgery in Columbia, South Carolina
1255308342- Practice location
- 14 Medical Park RD, Suite 200, Columbia, SC 29203-6877
- Phone
- 803-227-8152
- Fax
- 803-227-8011
- Last updated
- October 22, 2010
Providence Orthopaedic Group LLC is a healthcare organization based in Columbia, SC. Providence Orthopaedic Group LLC practices in Columbia, SC. The NPI Number for Providence Orthopaedic Group LLC is 1255308342 and holds a License No. 570521956 (SC). The current practice location address for Providence Orthopaedic Group LLC is 14 Medical Park RD, Suite 200, Columbia, SC 29203-6877 and can be reached out via phone at 803-227-8152 and via fax at 803-227-8011.
Provider Profile Details
- NPI Number
- 1255308342
- Provider Name
- Providence Orthopaedic Group LLC
- Provider Entity Type
- Organization
- Address
- 14 Medical Park RD, Suite 200, Columbia, SC 29203-6877
- Phone Number
- 803-227-8152
- Fax Number
- 803-227-8011
- Primary Taxonomy
- Orthopaedic Surgery · 207X00000X
- Organization Subpart
- No
- Authorized Official
- Mr. Sean P. Mcnally · Ceo · 803-227-8152
- Other Names
- Moore Orthopaedic Clinic (Doing Business As)
- Provider Enumeration Date
- March 7, 2006
- Last Update Date
- October 22, 2010
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 14 Medical Park RD
Suite 200
Columbia, SC 29203-6877 - City
- Columbia
- State
- South Carolina
- Zip
- 29203-6877
- Phone Number
- 803-227-8152
- Fax Number
- 803-227-8011
Provider Business Mailing Address Details
- Address
- Po Box 9592
Belfast, ME 04915-9592 - City
- Belfast
- State
- ME
- Zip
- 04915-9592
- Phone Number
- 803-227-8152
- Fax Number
- 803-227-8011
License Information
- License Number
- 570521956
- License State
- SC
- Taxonomy
- Orthopaedic Surgery · 207X00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Orthopaedic Surgery providers near Columbia, SC
View all Orthopaedic Surgery providers in Columbia →Frequently Asked Questions
What is the NPI number of Providence Orthopaedic Group LLC?
The NPI number of Providence Orthopaedic Group LLC is 1255308342. It was assigned on March 7, 2006 and is currently active in the NPPES registry.
What is the specialty of Providence Orthopaedic Group LLC?
Providence Orthopaedic Group LLC is registered under the primary taxonomy Orthopaedic Surgery (code 207X00000X), licensed in SC under license number 570521956.
Where does Providence Orthopaedic Group LLC practice?
The practice location is 14 Medical Park RD, Suite 200, Columbia, SC 29203-6877. The office can be reached at 803-227-8152 (phone) or 803-227-8011 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1255308342 directly on the NPPES registry website.