Charleston Breast Center, Inc.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

14926 Issued in SC

Legal business name

CHARLESTON BREAST CENTER, INC.

Practice address

1930 Charlie Hall Blvd
Charleston, SC 29414-5837

Phone

(843) 556-0036

Fax

(843) 556-3844

NPI assigned

May 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Lisa F Baron, MDNPI 1609823962

Title

Practice Manager

Phone

(843) 556-0036

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Lisa F Baron, MD

  • Diagnostic Radiology Physician
  • Charleston, SC
  • NPI 1609823962
  NPD (past) Authorized official

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193788800000",
    "number": "1093769424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 CHARLIE HALL BLVD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145837",
            "telephone_number": "843-556-0036",
            "fax_number": "843-556-3844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 CHARLIE HALL BLVD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145837",
            "telephone_number": "843-556-0036",
            "fax_number": "843-556-3844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLESTON BREAST CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2007-10-31",
        "status": "A",
        "authorized_official_last_name": "BARON",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "843-556-0036",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "SC",
            "license": "14926",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP4567",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charleston Billing Solutions, LLC
• Charleston Blood Disorders & Cancer Center, P.a.
• Charleston Bone & Joint PA
• Charleston Bone & Joint PA
• Charleston Brace Company, LLC
• Charleston Care Rides LLC
• Charleston Center for Cosmetic & Restorative Dentistry, LLC
• Charleston Chiropractic and Therapy, LLC
• Charleston Chiropractic Associates
• Charleston Chiropractic Studio, LLC

• Diagnostic Radiology Physician in Charleston, SC
• Providers in Charleston, SC by specialty
• Diagnostic Radiology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; 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.