Organization Active NPI

Seung-Jun O, PC

  • Medical Specialty Clinic/Center
  • Charleston, SC
National Provider Identifier
1174706337
Registry record updated Dec 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
SC17305 Issued in SC
Legal business name
SEUNG-JUN O, PC
Practice address
2097 Henry Tecklenburg Dr
Suite 212 West
Charleston, SC 29414-5740
Phone
(843) 571-4742
NPI assigned
Dec 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2007

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

Authorized official

Name
Dr. Seung-Jung O, M.D.
Title
Owner
Phone
(843) 571-4742

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X SC17305 SC Primary

Addresses

Primary practice location

2097 Henry Tecklenburg Dr
Suite 212 West
Charleston, SC 29414-5740

Mailing address

2097 Henry Tecklenburg Dr
Suite 212 West
Charleston, SC 29414-5740
Phone (843) 571-4742

National Provider Directory

National Provider Directory

Locations

2097 Henry Tecklenburg Dr
Ste 212
Charleston, SC 29414
Phone (843) 571-4742

Practitioners & affiliated clinicians

Practitioners 1

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": "1197331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197331200000",
    "number": "1174706337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2097 HENRY TECKLENBURG DR",
            "address_2": "SUITE 212 WEST",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145740",
            "telephone_number": "843-571-4742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2097 HENRY TECKLENBURG DR",
            "address_2": "SUITE 212 WEST",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145740",
            "telephone_number": "843-571-4742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEUNG-JUN O, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-11",
        "last_updated": "2007-12-11",
        "status": "A",
        "authorized_official_last_name": "O",
        "authorized_official_first_name": "SEUNG-JUNG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-571-4742",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "SC",
            "license": "SC17305",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 11, 2007; 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.