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PROVIDENCE CARDIOLOGY
NPI 1649605247
Internal Medicine - Cardiovascular Disease in Lexington, SC

Active since September 13, 2013
108 PALMETTO PARK BLVD, LEXINGTON, SC 29072(803) 254-3278(803) 255-2715 Get Directions Write a Review

NPPES record last updated: September 13, 2013. 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 1649605247) is a healthcare organization registered as a cardiovascular disease in Lexington, South Carolina and active in the NPI registry since September 2013. The organization lists Kathleen L Koenig, Cfo, as its authorized official.

NPPES Registry Identity

NPI1649605247
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NamePROVIDENCE CARDIOLOGY
Location Address108 PALMETTO PARK BLVDLexington, SC 29072-7968
Mailing Address2001 Laurel StColumbia, SC 29204-1018 · (803) 254-3278 · Fax (803) 255-2715
Phone(803) 254-3278
Fax(803) 255-2715
Organization SubpartYes
Authorized OfficialKathleen L KoenigCfo · (803) 254-3278
Enumeration DateSeptember 13, 2013
✔ NPI 1649605247 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.
108 PALMETTO PARK BLVD, Lexington, SC 29072
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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

Other Providers at the Same Location NPPES 20

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

MS. BENITA REOLAINE TOBIAS PT, CLT
Physical Therapist
108 PALMETTO PARK BLVD, STE B
LEXINGTON, SC 29072
Lexington County (803) 359-2323
KENDRA SPECKMAN
Counselor (Mental Health)
108 PALMETTO PARK BLVD
LEXINGTON, SC 29072
Lexington County (803) 359-3545
MS. SUSAN FULLER LPC-A
Counselor (Mental Health)
108 PALMETTO PARK BLVD
LEXINGTON, SC 29072
Lexington County (803) 399-9232
MISS LAUREN TAYLOR LOLLAR LMSW
Social Worker
108 PALMETTO PARK BLVD
LEXINGTON, SC 29072
Lexington County (803) 755-2261
MR. ROWLAND MALLOY
Peer Specialist
108 PALMETTO PARK BLVD
LEXINGTON, SC 29072
Lexington County (803) 399-1500
MID CAROLINA INTERNAL MEDICINE ASSOC.LLC
Specialist
108 PALMETTO PARK BLVD, SUITE C
LEXINGTON, SC 29072
Lexington County (803) 520-5100
JERRY CUE
Behavior Analyst
108 PALMETTO PARK BLVD
LEXINGTON, SC 29072
Lexington County (803) 995-1500
DR. TOMMY DENTON THOMPSON DMD
Dentist (Endodontics)
108 PALMETTO PARK BLVD
LEXINGTON, SC 29072
Lexington County (803) 808-1110

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's NPI number?

The NPI number for Providence Cardiology is 1649605247. It was assigned to this organization in the NPPES registry on September 13, 2013.

Where is Providence Cardiology located?

Providence Cardiology is located at 108 Palmetto Park Blvd, Lexington, SC 29072. The listed phone number is (803) 254-3278.

What is Providence Cardiology'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 was last updated on September 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.