NPIMap

Organization Active NPI

Low Country Family Podiatry

  • Foot & Ankle Surgery Podiatrist
  • N Charleston, SC
National Provider Identifier
1104997527
Registry record updated Nov 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
134 Issued in SC
Legal business name
LOW COUNTRY FAMILY PODIATRY
Practice address
9313 Medical Plaza Dr
Suite 301
N Charleston, SC 29406-9155
Phone
(843) 553-2909
Fax
(843) 553-4684
NPI assigned
Nov 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2008

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

Authorized official

Name
Dr. Edwin Blitch, DPM
Title
Partner
Phone
(843) 553-2909

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 134 SC Primary

Addresses

Primary practice location

9313 Medical Plaza Dr
Suite 301
N Charleston, SC 29406-9155

Mailing address

9313 Medical Plaza Dr
Suite 301
N Charleston, SC 29406-9155
Phone (843) 553-2909

Other identifiers 1

IdentifierTypeStateIssuer
GP9982MedicaidSC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227139200000",
    "number": "1104997527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9313 MEDICAL PLAZA DR",
            "address_2": "SUITE 301",
            "city": "N CHARLESTON",
            "state": "SC",
            "postal_code": "294069155",
            "telephone_number": "843-553-2909",
            "fax_number": "843-553-4684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9313 MEDICAL PLAZA DR",
            "address_2": "SUITE 301",
            "city": "N CHARLESTON",
            "state": "SC",
            "postal_code": "294069155",
            "telephone_number": "843-553-2909",
            "fax_number": "843-553-4684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOW COUNTRY FAMILY PODIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-10",
        "last_updated": "2008-11-20",
        "status": "A",
        "authorized_official_last_name": "BLITCH",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "843-553-2909",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "SC",
            "license": "134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP9982",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in N Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2008; 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.