Active NPI
Peter P Okelly MD PA Flor
- Urology Physician
- Florence, SC
National Provider Identifier
1083899108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Peter P O'Kelly, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 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 DirectoryLocations
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.
-
- Urology Physician
- Florence, SC
- NPI 1033289673
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.