Organization Active NPI

Willamsburg Regional Hospital

  • Orthopaedic Surgery Physician
  • Kingstree, SC
National Provider Identifier
1174095525
Registry record updated May 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
WILLAMSBURG REGIONAL HOSPITAL
Practice address
402 Nelson Blvd Ste 400
Kingstree, SC 29556-4058
Phone
(843) 355-5363
NPI assigned
Dec 26, 2018
Organization subpart
Yes
Parent organization
WILLAMSBURG REGIONAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 19, 2021

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

Authorized official

Name
Katie Dorrell
Title
Office Manager
Phone
(843) 355-0197

Specialties & licenses 1

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

Addresses

Primary practice location

402 Nelson Blvd Ste 400
Kingstree, SC 29556-4058

Mailing address

500 Nelson Blvd
Kingstree, SC 29556-4027
Phone (843) 355-8888

Other names 1

  • Williamsburg Orthopedics Doing business as

National Provider Directory

National Provider Directory
Part of
Williamsburg Memoriale

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

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": "1545782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621382400000",
    "number": "1174095525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 NELSON BLVD",
            "city": "KINGSTREE",
            "state": "SC",
            "postal_code": "295564027",
            "telephone_number": "843-355-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 NELSON BLVD STE 400",
            "city": "KINGSTREE",
            "state": "SC",
            "postal_code": "295564058",
            "telephone_number": "843-355-5363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLAMSBURG REGIONAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WILLAMSBURG REGIONAL HOSPITAL",
        "enumeration_date": "2018-12-26",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A",
        "authorized_official_last_name": "DORRELL",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "843-355-0197"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Williamsburg Orthopedics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Williamsburg Orthopedics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kingstree, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; 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.