NPIMap

Organization Active NPI

McLeod Physician Associates II

  • Cardiovascular Disease Physician
  • Loris, SC
National Provider Identifier
1114217460
Registry record updated Sep 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
33449 Issued in SC
Legal business name
MCLEOD PHYSICIAN ASSOCIATES II
Practice address
3485 Mitchell St
Loris, SC 29569-2823
Phone
(843) 756-7029
Fax
(843) 756-7033
NPI assigned
Apr 7, 2011
Organization subpart
Yes
Parent organization
MCLEOD HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 27, 2012

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

Authorized official

Name
Dane Ficco
Title
Sr VP
Phone
(843) 777-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X 33449 SC Primary

Addresses

Primary practice location

3485 Mitchell St
Loris, SC 29569-2823

Mailing address

PO Box 3239
Florence, SC 29502-3239
Phone (843) 777-7000

Other names 1

  • Pee Dee Cardiology Associates Loris Doing business as

National Provider Directory

National Provider Directory
Tax ID family
McLeod Physician Associates II138 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1302134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348704000000",
    "number": "1114217460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3239",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295023239",
            "telephone_number": "843-777-7000",
            "fax_number": "843-777-7006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3485 MITCHELL ST",
            "city": "LORIS",
            "state": "SC",
            "postal_code": "295692823",
            "telephone_number": "843-756-7029",
            "fax_number": "843-756-7033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCLEOD PHYSICIAN ASSOCIATES II",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MCLEOD HEALTH",
        "enumeration_date": "2011-04-07",
        "last_updated": "2012-09-27",
        "status": "A",
        "authorized_official_last_name": "FICCO",
        "authorized_official_first_name": "DANE",
        "authorized_official_title_or_position": "SR VP",
        "authorized_official_telephone_number": "843-777-7000"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "SC",
            "license": "33449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pee Dee Cardiology Associates Loris",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Loris, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.

Verify at the official NPI Registry.