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: July 19, 2026.

  • Organization
  • Internal Medicine
  • Cardiovascular Disease

About PROVIDENCE CARDIOLOGY

This page provides the complete NPI Profile along with additional information for Providence Cardiology, an internist established in Barnwell, South Carolina operating as a Internal Medicine, focusing in cardiovascular disease . The healthcare provider is registered in the NPI registry with number 1003197666 assigned on September 2011. The practitioner's primary taxonomy code is 207RC0000X. The provider is registered as an organization and their NPI record was last updated 15 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Providence Cardiology. The authorized official of this NPI record is Kathleen L Koenig (Chief Financial Officer)

NPI
1003197666 Verify this NPI
Provider Legal Name
PROVIDENCE CARDIOLOGY LLC
Other Organization Name
PROVIDENCE CARDIOLOGY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
124 WREN ST BARNWELL, SC 29812
Location Phone
(803) 254-3278
Location Fax
(803) 376-8010
Mailing Address
2001 LAUREL ST COLUMBIA, SC 29204
Mailing Phone
(803) 254-3278
Mailing Fax
(803) 376-8010
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-08-2011
Last Update Date
09-08-2011
Code Navigator

An internist like Providence Cardiology is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

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

Internal Medicine Cardiovascular Disease

Taxonomy Code
207RC0000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Group Taxonomy 193400000X 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

KATHLEEN L KOENIG

Authorized Official Title
CHIEF FINANCIAL OFFICER
Authorized Official Phone
(803) 254-3278

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Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

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

The NPI number assigned to this healthcare provider is 1003197666, enumerated as an "organization" on September 08, 2011.

The provider is located at 124 WREN ST BARNWELL, SC 29812 and the phone number is (803) 254-3278.

Internal Medicine with taxonomy code 207RC0000X and a focus in Cardiovascular Disease.