NPIMap

Organization Active NPI

Lakelands Orthopaedic Clinic

  • Orthopaedic Surgery Physician
  • Abbeville, SC
National Provider Identifier
1154594786
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
LAKELANDS ORTHOPAEDIC CLINIC
Practice address
103 Commercial Drive
Abbeville, SC 29620-5593
Phone
(864) 366-8332
Fax
(864) 366-0635
NPI assigned
Apr 3, 2008
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mrs. Susan Poore
Title
Billing Supervisor
Phone
(864) 323-0527

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 18

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

103 Commercial Drive
Abbeville, SC 29620-5593

Mailing address

PO Box 3243
Greenwood, SC 29646-3243
Phone (864) 229-2663

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
GP3321MedicaidSC

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 22, 2008.

{
    "created_epoch": "1207180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1154594786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3243",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296463243",
            "telephone_number": "864-229-2663",
            "fax_number": "864-223-5694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 COMMERCIAL DRIVE",
            "city": "ABBEVILLE",
            "state": "SC",
            "postal_code": "296205593",
            "telephone_number": "864-366-8332",
            "fax_number": "864-366-0635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKELANDS ORTHOPAEDIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-03",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "POORE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "864-323-0527",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3321",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Abbeville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.