MEDICARE: DR. PHILIP C HONIG MD

Medicare Provider Information

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	11481	SC

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	P00178829	OTHER	SC	RAILROAD MEDICARE

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	562124971	OTHER	SC	BLUE CROSS BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	562124971	OTHER	SC	CHAMPUS/TRICARE

NPI Number	:	1578521076
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PHILIP C HONIG MD

Provider Business Mailing Address
First Line	:	1818 HENDERSON ST
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29201-2619
Country	:	US
Telephone Number	:	803-758-2602
Fax Number	:	803-253-8896

Provider Business Practice Location Address
First Line	:	2836 AUGUSTA RD
Second Line	:
City	:	WEST COLUMBIA
State	:	SC
Zip	:	29170-3323
Country	:	US
Telephone Number	:	803-939-0545
Fax Number	:	803-939-0583

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/03/2006
Last Update Date	:	05/28/2015

2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNT 6 WEST , KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-6660
Practice Fax: 301-816-6308