NPIMap

Organization Active NPI

East Cooper Podiatry, P.a.

  • Podiatrist
  • Mount Pleasant, SC
National Provider Identifier
1124044201
Registry record updated Apr 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
127 Issued in SC
Legal business name
EAST COOPER PODIATRY, P.A.
Practice address
389 Johnnie Dodds Blvd
Suite 100
Mount Pleasant, SC 29464-2950
Phone
(843) 881-3668
Fax
(843) 881-9191
NPI assigned
Jul 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2008

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

Authorized official

Name
Dr. Thomas Richard Woods, DPMNPI 1932324076
Title
Owner
Phone
(843) 881-3668

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 127 SC Primary

Addresses

Primary practice location

389 Johnnie Dodds Blvd
Suite 100
Mount Pleasant, SC 29464-2950

Mailing address

389 Johnnie Dodds Blvd
Suite 100
Mount Pleasant, SC 29464-2950
Phone (843) 881-3668

Other identifiers 1

IdentifierTypeStateIssuer
PD1279MedicaidSC

National Provider Directory

National Provider Directory

Locations

389 Johnnie Dodds Blvd
Ste 100
Mt Pleasant, SC 29464
Phone (843) 881-3668

Practitioners & affiliated clinicians

Practitioners 1

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": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208390400000",
    "number": "1124044201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "389 JOHNNIE DODDS BLVD",
            "address_2": "SUITE 100",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294642950",
            "telephone_number": "843-881-3668",
            "fax_number": "843-881-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "389 JOHNNIE DODDS BLVD",
            "address_2": "SUITE 100",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294642950",
            "telephone_number": "843-881-3668",
            "fax_number": "843-881-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST COOPER PODIATRY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2008-04-17",
        "status": "A",
        "authorized_official_last_name": "WOODS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-881-3668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "SC",
            "license": "127",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PD1279",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.