Organization Active NPI

Center for Plastic Surgery

  • Plastic Surgery Physician
  • Columbia, SC
National Provider Identifier
1053506980
Registry record updated Nov 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
13063 Issued in SC
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, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2007

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)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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": []
}

Other providers in Columbia, SC

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.

Verify at the official NPI Registry.