Organization Active NPI

Fitts Surgical, LLC

  • Specialist
  • Charleston, SC
National Provider Identifier
1003947490
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
FITTS SURGICAL, LLC
Practice address
2270 Ashley Crossing Dr
Suite 155
Charleston, SC 29414-5732
Phone
(843) 266-5500
Fax
(843) 266-5505
NPI assigned
Mar 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Robert W Fitts, M.D.
Title
Owner
Phone
(843) 266-5500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

2270 Ashley Crossing Dr
Suite 155
Charleston, SC 29414-5732

Mailing address

2270 Ashley Crossing Dr
Suite 155
Charleston, SC 29414-5732
Phone (843) 266-5500

Other identifiers 1

IdentifierTypeStateIssuer
GP3374MedicaidSC

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1003947490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2270 ASHLEY CROSSING DR",
            "address_2": "SUITE 155",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145732",
            "telephone_number": "843-266-5500",
            "fax_number": "843-266-5505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2270 ASHLEY CROSSING DR",
            "address_2": "SUITE 155",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145732",
            "telephone_number": "843-266-5500",
            "fax_number": "843-266-5505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FITTS SURGICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "FITTS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-266-5500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3374",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.