Individual provider · Type 1 NPI

Phillips Ruth Deridder, MD

Pediatric Critical Care Medicine Physician · Columbia, SC

NPI number 1124512454 Active

Practice location

9 Richland Medical Park Dr Ste 530
Columbia, SC 29203-6870

Call (803) 434-4603 Map

Fax (803) 434-7983

Mailing address

300 E Mcbee Ave Fl 4
Greenville, SC 29601-2842

Other practice locations

  • 701 Grove Rd, Greenville, SC 29605-4210 · (864) 455-7844

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000XLL52457 (SC)
Pediatric Critical Care Medicine Physician Primary 2080P0203X52457 (SC)
Pediatrics Physician 208000000XLL52457 (SC)

Pediatric Critical Care Medicine Physician: A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates…

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About NPI 1124512454

Phillips Ruth Deridder, MD's National Provider Identifier is 1124512454, issued on Jun 20, 2018. The primary taxonomy on file is Pediatric Critical Care Medicine Physician (2080P0203X), and the practice location is in Columbia, SC. The record was last updated on Dec 8, 2025.