PROVIDENCE CARDIOLOGY LLC
NPI 1336497742
Internal Medicine - Cardiovascular Disease in Columbia, SC

Q: What is the provider's specialty?

The provider's specialty is Internal Medicine with taxonomy code 207RC0000X and a focus in Cardiovascular Disease.

Active since August 16, 2012

114 GATEWAY CORPORATE BLVD, SUITE 330, COLUMBIA, SC 29203(803) 254-3278 Get Directions Write a Review

NPPES record last updated: August 16, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Providence Cardiology Llc NPPES

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

PROVIDENCE CARDIOLOGY LLC (NPI 1336497742) is a healthcare organization registered as a cardiovascular disease in Columbia, South Carolina and active in the NPI registry since August 2012. The organization lists Larry Ellis, Ceo, as its authorized official.

NPPES Registry Identity

NPI1336497742

Entity TypeOrganization

Primary Taxonomy207RC0000X

Legal Business NamePROVIDENCE CARDIOLOGY LLC

Location Address114 GATEWAY CORPORATE BLVD, SUITE 330Columbia, SC 29203-9740

Mailing Address2001 Laurel StColumbia, SC 29204-1018 · (803) 254-3278 · Fax (803) 376-8010

Phone(803) 254-3278

Organization SubpartYesParent: Providence Cardiology

Authorized OfficialLarry EllisCeo · (803) 254-3278

Enumeration DateAugust 16, 2012

✔ NPI 1336497742 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.

114 GATEWAY CORPORATE BLVD, Columbia, SC 29203

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Other Identifiers 1

Medicare PINA407SC

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