Organization Active NPI

Peter P Okelly MD PA Flor

  • Urology Physician
  • Florence, SC
National Provider Identifier
1083899108
Registry record updated Feb 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
PETER P OKELLY MD PA FLOR
Practice address
805 Pamplico Hwy Ste B125
Florence, SC 29505-6049
Phone
(843) 674-2125
Fax
(843) 674-2128
NPI assigned
Jan 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2012

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

Authorized official

Name
Dr. Peter P O'Kelly, MDNPI 1033289673
Title
Owner
Phone
(843) 674-2125

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

805 Pamplico Hwy Ste B125
Florence, SC 29505-6049

Mailing address

PO Box 14107
Florence, SC 29504-4107
Phone (843) 674-2125

National Provider Directory

National Provider Directory

Locations

805 Pamplico Hwy
Ste B125
Florence, SC 29505
Phone (843) 629-2605

258 N Ron McNair Blvd
Lake City, SC 29560
Phone (843) 374-2036

Practitioners & affiliated clinicians

Practitioners 1

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": "1199750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328486400000",
    "number": "1083899108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14107",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295044107",
            "telephone_number": "843-674-2125",
            "fax_number": "843-674-2128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 PAMPLICO HWY STE B125",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295056049",
            "telephone_number": "843-674-2125",
            "fax_number": "843-674-2128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER P OKELLY MD PA FLOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-08",
        "last_updated": "2012-02-06",
        "status": "A",
        "authorized_official_last_name": "O'KELLY",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-674-2125",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 6, 2012; 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.