NPIMap

Organization Active NPI

Joseph P Jackson Jr

Doing business as Camden Orthopaedic Associates

  • Orthopaedic Surgery Physician
  • Camden, SC
National Provider Identifier
1114915394
Registry record updated Jun 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
JOSEPH P JACKSON JR
Doing business as
Camden Orthopaedic Associates
Practice address
507 Walnut St
Camden, SC 29020-3649
Phone
(803) 432-9300
Fax
(803) 432-9307
NPI assigned
Oct 11, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2008

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

Authorized official

Name
Joseph P Jackson Jr., M.D.
Title
M.D.
Phone
(803) 432-9300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

507 Walnut St
Camden, SC 29020-3649

Mailing address

507 Walnut St
Camden, SC 29020-3649
Phone (803) 432-9300

Other identifiers 1

IdentifierTypeStateIssuer
GP0279MedicaidSC

Other names 1

  • Camden Orthopaedic Associates Doing business as

National Provider Directory

National Provider Directory

Locations

507 Walnut St
Camden, SC 29020
Phone (803) 432-9300

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213142400000",
    "number": "1114915394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 WALNUT ST",
            "city": "CAMDEN",
            "state": "SC",
            "postal_code": "290203649",
            "telephone_number": "803-432-9300",
            "fax_number": "803-432-9307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 WALNUT ST",
            "city": "CAMDEN",
            "state": "SC",
            "postal_code": "290203649",
            "telephone_number": "803-432-9300",
            "fax_number": "803-432-9307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH P JACKSON JR",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-11",
        "last_updated": "2008-06-11",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "803-432-9300",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP0279",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Camden Orthopaedic Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Camden, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.