Active NPI
Orthopaedic Specialists of Charleston
- Orthopaedic Surgery Physician
- Mount Pleasant, SC
National Provider Identifier
1124231949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- ORTHOPAEDIC SPECIALISTS OF CHARLESTON
- Practice address
- 594 Lone Tree Dr
Mount Pleasant, SC 29464-8170 - Phone
- (843) 958-2500
- Fax
- (843) 884-9357
- NPI assigned
- May 8, 2007
- Last updated
- Apr 17, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John M Graham Jr., MD
- Title
- President
- Phone
- (843) 958-2500
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Primary |
Addresses
Primary practice location
594 Lone Tree Dr
Mount Pleasant, SC 29464-8170
Mailing address
2093 Henry Tecklenburg Dr
Suite 200
Charleston, SC 29414-5741
Phone (843) 958-2500
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Mount Pleasant, SC
- NPI 1790710093
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208390400000",
"number": "1124231949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2093 HENRY TECKLENBURG DR",
"address_2": "SUITE 200",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294145741",
"telephone_number": "843-958-2500",
"fax_number": "843-958-2635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "594 LONE TREE DR",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "294648170",
"telephone_number": "843-958-2500",
"fax_number": "843-884-9357"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORTHOPAEDIC SPECIALISTS OF CHARLESTON",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-08",
"last_updated": "2008-04-17",
"status": "A",
"authorized_official_last_name": "GRAHAM",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "843-958-2500",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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.