NPIMap

Organization Active NPI

Carolina Blood and Cancer Care Associates, P.a.

  • Specialist
  • Rock Hill, SC
National Provider Identifier
1013002013
Registry record updated Apr 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
CAROLINA BLOOD AND CANCER CARE ASSOCIATES, P.A.
Practice address
1583 Health Care Dr
Rock Hill, SC 29732-3858
Phone
(803) 329-7772
Fax
(803) 329-9821
NPI assigned
Oct 4, 2006
Last updated
Apr 24, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2009

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

Authorized official

Name
Dr. James Duncan Welsh, M.D.NPI 1033138359
Title
Ceo
Phone
(803) 329-7772

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Specialist 174400000X Primary
Non-Pharmacy Dispensing Site 332900000X MD 13388 SC

Addresses

Primary practice location

1583 Health Care Dr
Rock Hill, SC 29732-3858

Mailing address

1583 Health Care Dr
Rock Hill, SC 29732-3858
Phone (803) 329-7772

Other identifiers 1

IdentifierTypeStateIssuer
GP3848MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040302000561 SC Part B Supplier - Clinic/Group Practice 7719874031 Receives reassigned benefits from 16 practitioners
Practice locations: Lancaster, SC; Rock Hill, SC

National Provider Directory

National Provider Directory

Locations

2403 Charlotte Hwy
Lancaster, SC 29720
Phone (803) 286-9696

1583 Health Care Dr
#2403
Rock Hill, SC 29732

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240531200000",
    "number": "1013002013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1583 HEALTH CARE DR",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297323858",
            "telephone_number": "803-329-7772",
            "fax_number": "803-329-9821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1583 HEALTH CARE DR",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297323858",
            "telephone_number": "803-329-7772",
            "fax_number": "803-329-9821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA BLOOD AND CANCER CARE ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2009-04-24",
        "status": "A",
        "authorized_official_last_name": "WELSH",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "DUNCAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "803-329-7772",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "SC",
            "license": "MD 13388",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3848",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.