Active NPI
Maureen Murphy North, PA-C
- Surgical Physician Assistant
- North Charleston, SC
National Provider Identifier
1104134063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 2058
- Practice address
- 4975 Lacross Rd Ste 110
North Charleston, SC 29406-6531 - Phone
- (843) 797-1941
- NPI assigned
- Sep 14, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | C0004532 | MD | |
| Surgical Physician Assistant | 363AS0400X | 2058 | SC | Primary |
Addresses
Primary practice location
4975 Lacross Rd Ste 110
North Charleston, SC 29406-6531
Mailing address
4975 Lacross Rd Ste 110
North Charleston, SC 29406-6531
Phone (843) 797-1941
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1883PA | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C0004532 | MD | MD | Physician Assistant |
| 2058 | SC | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Services Associates PLLC | Physician Assistant | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pain Medicine (Anesthesiology) Physician
- Hendersonville, TN
- NPI 1104854124
Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586390400000",
"number": "1104134063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4975 LACROSS RD STE 110",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294066531",
"telephone_number": "843-797-1941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4975 LACROSS RD STE 110",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294066531",
"telephone_number": "843-797-1941"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORTH",
"first_name": "MAUREEN",
"middle_name": "MURPHY",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-14",
"last_updated": "2020-04-09",
"certification_date": "2020-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MD",
"license": "C0004532",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "SC",
"license": "2058",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1883PA",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Charleston, SC
- North Charleston Assisted Living, LLC
- North Charleston Dental Associates, LLC
- North Charleston Dental Outreach
- North Palm Counseling Center, LLC
- North Rivers Dental Assoc Inc
- Northwoods Family Practice, LLC.
- Carolyn Norwood, RN
- Nova Helix Multi Clinic LLC
- Nicole Elizabeth Nowling, OD
- Debbie Kay Nuttall, OTR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.