Active NPI
Seung-Jun O, PC
- Medical Specialty Clinic/Center
- Charleston, SC
National Provider Identifier
1174706337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- SC17305
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Plastic and Reconstructive Surgery Physician
- Charleston, SC
- NPI 1780797449
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.