MEDICAL PARK OB-GYN, PA
NPI 1114995974
Specialist in Columbia, SC

Active since March 09, 2006
9 MEDICAL PARK RD, SUITE 400, COLUMBIA, SC 29203(803) 254-4110(803) 256-3932 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Medical Park Ob-gyn, Pa NPPES

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

MEDICAL PARK OB-GYN, PA (NPI 1114995974) is a healthcare organization registered as a specialist in Columbia, South Carolina and active in the NPI registry since March 2006. The organization lists Nicole W Popovich, Manager, as its authorized official.

NPPES Registry Identity

NPI1114995974
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameMEDICAL PARK OB-GYN, PA
Location Address9 MEDICAL PARK RD, SUITE 400Columbia, SC 29203-6873
Mailing Address9 Medical Park Rd, Suite 400Columbia, SC 29203-6873 · (803) 254-4110 · Fax (803) 256-3932
Fax(803) 256-3932
Organization SubpartNo
Authorized OfficialNicole W PopovichManager · (803) 254-4110
Enumeration DateMarch 9, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1114995974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in SC · 8080
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
9 MEDICAL PARK RD, Columbia, SC 29203

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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.

Pediatrics (Pediatric Infectious Diseases)
9 MEDICAL PARK RD, SUITE 210
COLUMBIA, SC 29203
Nurse Practitioner (Neonatal)
9 MEDICAL PARK RD, SUITE 320
COLUMBIA, SC 29203
Obstetrics & Gynecology
9 MEDICAL PARK RD, STE 620
COLUMBIA, SC 29203

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 Medical Park Ob-Gyn, PA's NPI number?

The NPI number for Medical Park Ob-Gyn, PA is 1114995974. It was assigned to this organization in the NPPES registry on March 9, 2006.

Where is Medical Park Ob-Gyn, PA located?

Medical Park Ob-Gyn, PA is located at 9 Medical Park Rd Suite 400, Columbia, SC 29203. The listed phone number is (803) 254-4110.

What is Medical Park Ob-Gyn, PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Medical Park Ob-Gyn, PA was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.