Active NPI
Center for Plastic Surgery
- Plastic Surgery Physician
- Columbia, SC
National Provider Identifier
1053506980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 13063
- Legal business name
- CENTER FOR PLASTIC SURGERY
- Practice address
- 7033 Saint Andrews Rd
Suite 204
Columbia, SC 29212-1179 - Phone
- (803) 732-5788
- Fax
- (803) 932-9618
- NPI assigned
- Sep 13, 2007
- Last updated
- Nov 16, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Peter C Haines, M.D.
- Title
- President
- Phone
- (803) 732-5788
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 13063 | SC | Primary |
Addresses
Primary practice location
7033 Saint Andrews Rd
Suite 204
Columbia, SC 29212-1179
Mailing address
P.O. Box 11226
Columbia, SC 29211-1226
Phone (803) 732-5788
National Provider Directory
National Provider DirectoryLocations
7033 Saint Andrews Rd
Ste 204
Columbia, SC 29212
Phone (803) 732-5788
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189641600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1195171200000",
"number": "1053506980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 11226",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292111226",
"telephone_number": "803-732-5788",
"fax_number": "803-932-9618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7033 SAINT ANDREWS RD",
"address_2": "SUITE 204",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292121179",
"telephone_number": "803-732-5788",
"fax_number": "803-932-9618"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTER FOR PLASTIC SURGERY",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-13",
"last_updated": "2007-11-16",
"status": "A",
"authorized_official_last_name": "HAINES",
"authorized_official_first_name": "PETER",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "803-732-5788",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": "SC",
"license": "13063",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Center for Vein Restoration SC2 LLC
- Centerwell Senior Primary Care (SC) JV PC (CenterWell Senior Primary Care (SC) JV PC - Forest)
- Centerwell Senior Primary Care (SC) JV PC (CenterWell Senior Primary Care (SC) JV PC - Fairwold)
- Centerwell Senior Primary Care SC JV PC (CenterWell Senior Primary Care-Decker Blvd)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.