Organization Active NPI

McLeod Physician Associates II

  • Cardiovascular Disease Physician
  • Florence, SC
National Provider Identifier
1043568090
Registry record updated Jun 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
MCLEOD PHYSICIAN ASSOCIATES II
Practice address
101 William H. Johnson Street
Suite 600
Florence, SC 29506-2716
Phone
(843) 667-1891
Fax
(843) 665-2516
NPI assigned
Aug 23, 2012
Organization subpart
Yes
Parent organization
MCLEOD HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 10, 2022

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

Authorized official

Name
Kenneth D. Beasley
Title
Senior Vice President
Phone
(843) 777-7010

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X Primary
Clinical Cardiac Electrophysiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0001X

Addresses

Primary practice location

101 William H. Johnson Street
Suite 600
Florence, SC 29506-2716

Mailing address

PO Box 3239
Florence, SC 29502-3239
Phone (843) 667-1891

Other practice location 1

1319 South 4th Street
Hartsville, SC 29550
Phone (843) 667-1891

Other practice location 2

3980 Highway 9 E Ste 220
Little River, SC 29566-8164
Phone (843) 390-0877

Other practice location 3

3485 Mitchell St
Loris, SC 29569-2823
Phone (843) 756-7029

Other names 1

  • McLeod Cardiology Associates Doing business as

National Provider Directory

National Provider Directory
Tax ID family
McLeod Physician Associates II138 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 21

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 21

Locations

3980 Highway 9 E
Ste 220
Little River, SC 29566
Phone (843) 390-0877

NPI Registry JSON

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

{
    "created_epoch": "1345680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654819200000",
    "number": "1043568090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3239",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295023239",
            "telephone_number": "843-667-1891",
            "fax_number": "843-665-2516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 WILLIAM H. JOHNSON STREET",
            "address_2": "SUITE 600",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295062716",
            "telephone_number": "843-667-1891",
            "fax_number": "843-665-2516"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1319 South 4th Street",
            "address_purpose": "LOCATION",
            "city": "Hartsville",
            "state": "SC",
            "postal_code": "29550",
            "country_code": "US",
            "telephone_number": "843-667-1891",
            "fax_number": "843-665-2516",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3980 Highway 9 E Ste 220",
            "address_purpose": "LOCATION",
            "city": "Little River",
            "state": "SC",
            "postal_code": "295668164",
            "country_code": "US",
            "telephone_number": "843-390-0877",
            "fax_number": "843-390-0881",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3485 Mitchell St",
            "address_purpose": "LOCATION",
            "city": "Loris",
            "state": "SC",
            "postal_code": "295692823",
            "country_code": "US",
            "telephone_number": "843-756-7029",
            "fax_number": "843-756-7033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MCLEOD PHYSICIAN ASSOCIATES II",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MCLEOD HEALTH",
        "enumeration_date": "2012-08-23",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-07",
        "status": "A",
        "authorized_official_last_name": "BEASLEY",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "843-777-7010"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McLeod Cardiology Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "McLeod Cardiology Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Florence, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2022; 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.