Providence Cardiology LLC
NPI 1760763312ActiveOrganization· Internal Medicine, Cardiovascular Disease· Camden, SC
Internal Medicine, Cardiovascular Disease in Camden, South Carolina, registered in NPPES in September 2011. The authorized official on file is Kathleen L. Koenig, Chief Financial Officer.
Overview
| NPI | 1760763312 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 8, 2011 |
| Last updated in NPPES | Jan 19, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Cardiovascular Disease Primary | 207RC0000X | — | — |
| Internal Medicine, Clinical Cardiac Electrophysiology | 207RC0001X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Internal Medicine, Cardiovascular Disease providers in Camden
- 1912912130
- 1053848952
- 1184133258
- 1184886798
- 1124942289
- 1447175575
- 1942204912
- 1336599299
- 1568496271
- 1104858950
All Internal Medicine, Cardiovascular Disease providers in South Carolina →