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PROVIDENCE CARDIOLOGY
NPI 1083995641
Internal Medicine - Cardiovascular Disease in West Columbia, SC

Active since September 08, 2011
3103 SUNSET BLVD, WEST COLUMBIA, SC 29169(803) 794-3950(803) 739-1485 Get Directions Write a Review

NPPES record last updated: June 8, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Providence Cardiology NPPES

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

PROVIDENCE CARDIOLOGY (NPI 1083995641) is a healthcare organization registered as a cardiovascular disease in West Columbia, 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

NPI1083995641
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NamePROVIDENCE CARDIOLOGY LLC
Location Address3103 SUNSET BLVDWest Columbia, SC 29169-4817
Mailing Address2001 Laurel StColumbia, SC 29204-1018 · (803) 254-3278 · Fax (803) 376-8010
Phone(803) 794-3950
Fax(803) 739-1485
Organization SubpartNo
Authorized OfficialKathleen L KoenigChief Financial Officer · (803) 254-3278
Enumeration DateSeptember 8, 2011
Last NPPES UpdateJune 8, 2012
✔ NPI 1083995641 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.
3103 SUNSET BLVD, West Columbia, SC 29169
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Other Names 1

Doing Business AsProvidence Cardiology

Other Identifiers 1

MedicaidGP5822SC

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

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 1083995641. 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 3103 Sunset Blvd, West Columbia, SC 29169. The listed phone number is (803) 794-3950.

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 June 8, 2012. 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.