OrganizationActive
Providence Cardiology LLC
NPI 1083995641 · Cardiovascular Disease Physician · West Columbia, SC
Provider details
- NPI number
- 1083995641
- Entity type
- Organization
- Primary specialty
- Cardiovascular Disease PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kathleen Koenig, Chief Financial Officer(803) 254-3278
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3103 Sunset Blvd
West Columbia, SC 29169-4817
Phone: (803) 794-3950
Fax: (803) 739-1485
Street-level locationGet directions
Mailing address
2001 Laurel St
Columbia, SC 29204-1018
Other names (DBA / former)
- Doing business as
- Providence Cardiology
Registry dates
- Enumerated
- 2011-09-08
- Last updated
- 2012-06-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.