Organization Active NPI

Urology Center of the Midlands

  • Urology Physician
  • Newberry, SC
National Provider Identifier
1174500532
Registry record updated May 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
917 Issued in SC
Legal business name
UROLOGY CENTER OF THE MIDLANDS
Practice address
2616 Main St
Newberry, SC 29108-4002
Phone
(803) 276-1822
Fax
(803) 276-1832
NPI assigned
Dec 28, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2009

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

Authorized official

Name
Dr. Steven P. Kerner, D.O.
Title
Practice Owner
Phone
(803) 276-1822

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X 917 SC Primary

Addresses

Primary practice location

2616 Main St
Newberry, SC 29108-4002

Mailing address

2616 Main St
Newberry, SC 29108-4002
Phone (803) 276-1822

Other identifiers 1

IdentifierTypeStateIssuer
009172MedicaidSC

National Provider Directory

National Provider Directory

Locations

2616 Main St
Newberry, SC 29108
Phone (215) 237-6006

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242604800000",
    "number": "1174500532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2616 MAIN ST",
            "city": "NEWBERRY",
            "state": "SC",
            "postal_code": "291084002",
            "telephone_number": "803-276-1822",
            "fax_number": "803-276-1832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2616 MAIN ST",
            "city": "NEWBERRY",
            "state": "SC",
            "postal_code": "291084002",
            "telephone_number": "803-276-1822",
            "fax_number": "803-276-1832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGY CENTER OF THE MIDLANDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-28",
        "last_updated": "2009-05-18",
        "status": "A",
        "authorized_official_last_name": "KERNER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "803-276-1822",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "SC",
            "license": "917",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009172",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newberry, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2009; 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.