Active NPI
Charleston Orthopaedic Associates
- Specialist
- Charleston, SC
National Provider Identifier
1154493252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 12693
- Legal business name
- CHARLESTON ORTHOPAEDIC ASSOCIATES
- Practice address
- 1012 Physicians Dr
Charleston, SC 29414 - Phone
- (843) 769-2000
- NPI assigned
- Nov 14, 2006
- 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
- Richard Joel Friedman, MD
- Title
- President
- Phone
- (843) 769-2000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 12693 | SC | Primary |
Addresses
Primary practice location
1012 Physicians Dr
Charleston, SC 29414
Mailing address
1012 Physicians Dr
Charleston, SC 29414
Phone (843) 769-2000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP2959 | Medicaid | SC |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1204070400000",
"number": "1154493252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1012 PHYSICIANS DR",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "29414",
"telephone_number": "843-769-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1012 PHYSICIANS DR",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "29414",
"telephone_number": "843-769-2000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHARLESTON ORTHOPAEDIC ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-14",
"last_updated": "2008-02-27",
"status": "A",
"authorized_official_last_name": "FRIEDMAN",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "JOEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "843-769-2000",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "SC",
"license": "12693",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP2959",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.