Organization Active NPI

The Regional Medical Center of Orangeburg and Calhoun Counties

  • Gastroenterology Physician
  • Orangeburg, SC
National Provider Identifier
1144528670
Registry record updated Feb 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
8663 Issued in SC
Legal business name
THE REGIONAL MEDICAL CENTER OF ORANGEBURG AND CALHOUN COUNTIES
Practice address
2850 Pelham CT
Orangeburg, SC 29118-1400
Phone
(803) 395-2403
Fax
(803) 395-2459
NPI assigned
Mar 8, 2011
Organization subpart
Yes
Parent organization
THE REGIONAL MEDICAL CENTER OF ORANGEBURG AND CALHOUN COUNTIESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 27, 2012

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

Authorized official

Name
Ms. Cheryl S Mason
Title
C.F.O.
Phone
(803) 395-2224

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X 8663 SC Primary

Addresses

Primary practice location

2850 Pelham CT
Orangeburg, SC 29118-1400

Mailing address

PO Box 1245
Orangeburg, SC 29116-1245
Phone (803) 395-4497

Other identifiers 2

IdentifierTypeStateIssuer
GP5655MedicaidSC
8663OtherSCSC BOARD OF MEDICAL EXAMINERS

Other names 1

  • RMC Internal Medicine and Gastroenterology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040202001087 SC Part B Supplier - Clinic/Group Practice 8527970771 Receives reassigned benefits from 42 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Orangeburg, SC; St Matthews, SC

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Steve Madden MD14 organizations share this tax ID, including this one
Part of
Steve Madden MD

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

Locations

1097B Cook Rd
Orangeburg, SC 29118
Phone (803) 534-5110

Practitioners & affiliated clinicians

Practitioners 9

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": "1299542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330300800000",
    "number": "1144528670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1245",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291161245",
            "telephone_number": "803-395-4497",
            "fax_number": "803-536-0998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 PELHAM CT",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291181400",
            "telephone_number": "803-395-2403",
            "fax_number": "803-395-2459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE REGIONAL MEDICAL CENTER OF ORANGEBURG AND CALHOUN COUNTIES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE REGIONAL MEDICAL CENTER OF ORANGEBURG AND CALHOUN COUNTIES",
        "enumeration_date": "2011-03-08",
        "last_updated": "2012-02-27",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "C.F.O.",
        "authorized_official_telephone_number": "803-395-2224",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "SC",
            "license": "8663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP5655",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC BOARD OF MEDICAL EXAMINERS",
            "identifier": "8663",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RMC Internal Medicine and Gastroenterology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orangeburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.