Organization Active NPI

Carolina Internal Medicine of Union, LLC

  • Internal Medicine Physician
  • Union, SC
National Provider Identifier
1083667570
Registry record updated Jul 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CAROLINA INTERNAL MEDICINE OF UNION, LLC
Practice address
1005 Thompson Blvd
Union, SC 29379-7409
Phone
(864) 427-9311
Fax
(864) 427-9309
NPI assigned
May 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2008

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

Authorized official

Name
Dr. Helen M Stockinger, M.D.
Title
Owner
Phone
(864) 427-9311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1005 Thompson Blvd
Union, SC 29379-7409

Mailing address

1005 Thompson Blvd
Union, SC 29379-7409
Phone (864) 427-9311

Other identifiers 1

IdentifierTypeStateIssuer
GP1330MedicaidSC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216339200000",
    "number": "1083667570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 THOMPSON BLVD",
            "city": "UNION",
            "state": "SC",
            "postal_code": "293797409",
            "telephone_number": "864-427-9311",
            "fax_number": "864-427-9309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 THOMPSON BLVD",
            "city": "UNION",
            "state": "SC",
            "postal_code": "293797409",
            "telephone_number": "864-427-9311",
            "fax_number": "864-427-9309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA INTERNAL MEDICINE OF UNION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2008-07-18",
        "status": "A",
        "authorized_official_last_name": "STOCKINGER",
        "authorized_official_first_name": "HELEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-427-9311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP1330",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Union, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.