Carolina OBGYN of York County PA

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

T5601 Issued in SC

Legal business name

CAROLINA OBGYN OF YORK COUNTY PA

Practice address

360 South Herlong Avenue
Rock Hill, SC 29732

Phone

(803) 366-4171

Fax

(803) 366-6890

NPI assigned

Aug 12, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Ruth M Gross

Title

Practice Manager

Phone

(803) 366-4171

Specialties & licenses 3

Addresses

Other identifiers 1

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093727638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 SOUTH HERLONG AVENUE",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "29732",
            "telephone_number": "803-366-4171",
            "fax_number": "803-366-6890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 SOUTH HERLONG AVENUE",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "29732",
            "telephone_number": "803-366-4171",
            "fax_number": "803-366-6890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA OBGYN OF YORK COUNTY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GROSS",
        "authorized_official_first_name": "RUTH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "803-366-4171",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "SC",
            "license": "541",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "SC",
            "license": "T5601",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "SC",
            "license": "23673",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PA0588",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolina Hyperbaric and Consultation Services LLC
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• Carolina Lung Clinic, PA
• Carolina Medical Consultants PA
• Carolina Neurosurgery & Spine Associates PA
• Carolina Orthopaedic Surgery Associates, P.a.
• Carolina Pediatric Therapy
• Carolina Pediatric Therapy
• Carolina Pediatrics at Rock Hill LLC
• Carolina Periodontics & Endodontics LLC

• Obstetrics & Gynecology Physician in Rock Hill, SC
• Providers in Rock Hill, SC by specialty
• Obstetrics & Gynecology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.