NPIMap

Organization Active NPI

Rosanne J Hooks MD PA

  • Family Medicine Physician
  • Mullins, SC
National Provider Identifier
1073518486
Registry record updated Feb 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
110597 Issued in SC
Legal business name
ROSANNE J HOOKS MD PA
Practice address
1004 S Main St
Mullins, SC 29574-3920
Phone
(843) 464-1201
Fax
(843) 464-1219
NPI assigned
Jun 14, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2008

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

Authorized official

Name
Mr. Wayne Hooks
Title
Cfo
Phone
(843) 464-1201

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 110597 SC Primary

Addresses

Primary practice location

1004 S Main St
Mullins, SC 29574-3920

Mailing address

PO Box 151
Nichols, SC 29581-0151
Phone (843) 464-1201

Other identifiers 2

IdentifierTypeStateIssuer
PA 8599MedicaidSC
RHC 119MedicaidSC

Other names 1

  • Independent Physicians Group Doing business as

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202860800000",
    "number": "1073518486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 151",
            "city": "NICHOLS",
            "state": "SC",
            "postal_code": "295810151",
            "telephone_number": "843-464-1201",
            "fax_number": "843-464-1219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 S MAIN ST",
            "city": "MULLINS",
            "state": "SC",
            "postal_code": "295743920",
            "telephone_number": "843-464-1201",
            "fax_number": "843-464-1219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSANNE J HOOKS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-14",
        "last_updated": "2008-02-13",
        "status": "A",
        "authorized_official_last_name": "HOOKS",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "843-464-1201",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "110597",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PA 8599",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RHC 119",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Independent Physicians Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mullins, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2008; 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.