Organization Active NPI

Carolina Nephrology and Endocrinology, PC

  • Endocrinology, Diabetes & Metabolism Physician
  • Hartsville, SC
National Provider Identifier
1043566573
Registry record updated Mar 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
CAROLINA NEPHROLOGY AND ENDOCRINOLOGY, PC
Practice address
1015 S 4TH St
Hartsville, SC 29550-5791
Phone
(843) 861-4342
Fax
(866) 230-9736
NPI assigned
Aug 2, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2013

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

Authorized official

Name
Naveed Iqbal, M.D.
Title
Owner, Physician
Phone
(412) 298-1339

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RE0101X Primary
Nephrology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RN0300X

Addresses

Primary practice location

1015 S 4TH St
Hartsville, SC 29550-5791

Mailing address

1015 S 4TH St
Hartsville, SC 29550-5791
Phone (843) 861-4342

National Provider Directory

National Provider Directory

Locations

1520 Flag Dr
Florence, SC 29505
Phone (843) 413-0857

1015 S 4th St
Hartsville, SC 29550
Phone (843) 332-5688

5140 Sunset Blvd
Lexington, SC 29072

526 Broad St
Sumter, SC 29150
Phone (803) 773-5891

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/5615/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1343865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364428800000",
    "number": "1043566573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 S 4TH ST",
            "city": "HARTSVILLE",
            "state": "SC",
            "postal_code": "295505791",
            "telephone_number": "843-861-4342",
            "fax_number": "866-230-9736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 S 4TH ST",
            "city": "HARTSVILLE",
            "state": "SC",
            "postal_code": "295505791",
            "telephone_number": "843-861-4342",
            "fax_number": "866-230-9736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA NEPHROLOGY AND ENDOCRINOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-02",
        "last_updated": "2013-03-28",
        "status": "A",
        "authorized_official_last_name": "IQBAL",
        "authorized_official_first_name": "NAVEED",
        "authorized_official_title_or_position": "OWNER, PHYSICIAN",
        "authorized_official_telephone_number": "412-298-1339",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartsville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2013; 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.