PROVIDENCE CARDIOLOGY
NPI 1003197666
Internal Medicine - Cardiovascular Disease in Barnwell, SC

Active since September 08, 2011
124 WREN ST, BARNWELL, SC 29812(803) 254-3278(803) 376-8010 Get Directions Write a Review

NPPES record last updated: September 8, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Providence Cardiology NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROVIDENCE CARDIOLOGY (NPI 1003197666) is a healthcare organization registered as a cardiovascular disease in Barnwell, South Carolina and active in the NPI registry since September 2011. The organization lists Kathleen L Koenig, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1003197666
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NamePROVIDENCE CARDIOLOGY LLC
Location Address124 WREN STBarnwell, SC 29812-1527
Mailing Address2001 Laurel StColumbia, SC 29204-1018 · (803) 254-3278 · Fax (803) 376-8010
Fax(803) 376-8010
Organization SubpartNo
Authorized OfficialKathleen L KoenigChief Financial Officer · (803) 254-3278
Enumeration DateSeptember 8, 2011
NPI 1003197666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
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.
124 WREN ST, Barnwell, SC 29812

Other Names 1

Doing Business AsProvidence Cardiology

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Cardiovascular Disease)
124 WREN ST
BARNWELL, SC 29812
Advanced Practice Midwife
124 WREN ST
BARNWELL, SC 29812
Clinic/Center (Federally Qualified Health Center (FQHC))
124 WREN ST
BARNWELL, SC 29812

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Providence Cardiology LLC's NPI number?

The NPI number for Providence Cardiology LLC is 1003197666. It was assigned to this organization in the NPPES registry on September 8, 2011. The provider is doing business as Providence Cardiology.

Where is Providence Cardiology LLC located?

Providence Cardiology LLC is located at 124 Wren St, Barnwell, SC 29812. The listed phone number is (803) 254-3278.

What is Providence Cardiology LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

When was this NPI record last updated?

The NPPES record for Providence Cardiology LLC was last updated on September 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.