Carolina Center of Gynecological Oncology PA

Primary specialty

Gynecologic Oncology PhysicianTaxonomy code 207VX0201X

Legal business name

CAROLINA CENTER OF GYNECOLOGICAL ONCOLOGY PA

Practice address

1470 Tobias Gadson Blvd
Suite 110
Charleston, SC 29407

Phone

(843) 556-4380

Fax

(843) 571-5531

NPI assigned

Jun 1, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Scott Jennings, MD FACS

Title

President

Phone

(843) 556-4380

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261008000000",
    "number": "1023055688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1470 TOBIAS GADSON BLVD",
            "address_2": "STE 110",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "29407",
            "telephone_number": "843-556-4380",
            "fax_number": "843-571-5531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1470 TOBIAS GADSON BLVD",
            "address_2": "SUITE 110",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "29407",
            "telephone_number": "843-556-4380",
            "fax_number": "843-571-5531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA CENTER OF GYNECOLOGICAL ONCOLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2009-12-17",
        "status": "A",
        "authorized_official_last_name": "JENNINGS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-556-4380",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD FACS"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PA3941",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Gynecologic Oncology Physician in Charleston, SC
• Providers in Charleston, SC by specialty
• Gynecologic Oncology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2009; 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.