Organization Active NPI

Medical Endoscopy Professionals, PA

  • Gastroenterology Physician
  • Columbia, SC
National Provider Identifier
1124097563
Registry record updated Nov 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
MEDICAL ENDOSCOPY PROFESSIONALS, PA
Practice address
2631 Forest Dr
Columbia, SC 29204-2363
Phone
(803) 254-8449
Fax
(803) 254-8984
NPI assigned
Mar 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2014

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

Authorized official

Name
Dr. Stephen Lloyd, M.D., PH.D.
Title
Medical Director
Phone
(803) 254-8449

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

2631 Forest Dr
Columbia, SC 29204-2363

Mailing address

2631 Forest Dr
Columbia, SC 29204-2363
Phone (803) 254-8449

Other identifiers 1

IdentifierTypeStateIssuer
GP3616MedicaidSC

National Provider Directory

National Provider Directory

Locations

1735 Taylor St
Columbia, SC 29201
Phone (803) 254-3452

NPI Registry JSON

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415836800000",
    "number": "1124097563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2631 FOREST DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292042363",
            "telephone_number": "803-254-8449",
            "fax_number": "803-254-8984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2631 FOREST DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292042363",
            "telephone_number": "803-254-8449",
            "fax_number": "803-254-8984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL ENDOSCOPY PROFESSIONALS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-17",
        "last_updated": "2014-11-13",
        "status": "A",
        "authorized_official_last_name": "LLOYD",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "803-254-8449",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., PH.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3616",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2014; 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.