Sumter Surgical Associate

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

SUMTER SURGICAL ASSOCIATE

Practice address

115 N Sumter St
Suite 300
Sumter, SC 29150-4972

Phone

(803) 778-0212

Fax

(803) 775-7258

NPI assigned

May 17, 2006

Organization subpart

No

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

Authorized official

Name

Henry P Moses, MDNPI 1356395248

Title

Physician-Partner

Phone

(803) 778-0212

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Henry P Moses, MD

  • Specialist
  • Sumter, SC
  • NPI 1356395248
  NPD (past) Authorized official

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193097600000",
    "number": "1124070826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 N SUMTER ST",
            "address_2": "STE 300",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291504972",
            "telephone_number": "803-778-0212",
            "fax_number": "803-775-7258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 N SUMTER ST",
            "address_2": "SUITE 300",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291504972",
            "telephone_number": "803-778-0212",
            "fax_number": "803-775-7258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMTER SURGICAL ASSOCIATE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2007-10-23",
        "status": "A",
        "authorized_official_last_name": "MOSES",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PHYSICIAN-PARTNER",
        "authorized_official_telephone_number": "803-778-0212",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP1090",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sumter Radiological,PA
• Sumter School District
• Sumter School District 17
• Sumter School District Two
• Sumter Senior Services, Inc.
• Sumter Treatment Specialists LLC
• Sumter Urological Associates
• Sumter Urological, LLC
• Sumter Valley Nursing and Rehab Center LLC
• Rozalind Janell Sumter

• Specialist in Sumter, SC
• Providers in Sumter, SC by specialty
• Specialist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; 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.