Organization Active NPI

Preserve Health, PA

  • Family Medicine Physician
  • Travelers Rest, SC
National Provider Identifier
1124299375
Registry record updated Mar 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD 8942 Issued in SC
Legal business name
PRESERVE HEALTH, PA
Practice address
135 Botanical Circle
Travelers Rest, SC 29690
Phone
(864) 836-5322
Fax
(864) 371-1812
NPI assigned
Mar 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2008

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

Authorized official

Name
Dr. Holbrook Raynal, MDNPI 1124099874
Title
President
Phone
(864) 836-5322

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X MD 8942 SC Primary

Addresses

Primary practice location

135 Botanical Circle
Travelers Rest, SC 29690

Mailing address

306 Chestnut St
Clinton, SC 29325
Phone (864) 836-5322

National Provider Directory

National Provider Directory

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": "1205712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205712000000",
    "number": "1124299375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 CHESTNUT ST",
            "city": "CLINTON",
            "state": "SC",
            "postal_code": "29325",
            "telephone_number": "864-836-5322",
            "fax_number": "864-371-1812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 BOTANICAL CIRCLE",
            "city": "TRAVELERS REST",
            "state": "SC",
            "postal_code": "29690",
            "telephone_number": "864-836-5322",
            "fax_number": "864-371-1812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESERVE HEALTH, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-17",
        "last_updated": "2008-03-17",
        "status": "A",
        "authorized_official_last_name": "RAYNAL",
        "authorized_official_first_name": "HOLBROOK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "864-836-5322",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "MD 8942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Travelers Rest, SC

Sources for this page

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