Nicholas Loon, M.D., P. C.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

15823 Issued in SC

Legal business name

NICHOLAS LOON, M.D., P. C.

Practice address

25 Hospital Center Blvd
Ste. 104, Medical Pavilion
Hilton Head Island, SC 29926-2738

Phone

(843) 681-5879

Fax

(843) 681-2168

NPI assigned

Oct 7, 2009

Organization subpart

No

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

Authorized official

Name

Judy Loon

Title

Secretary

Phone

(843) 681-5879

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1254873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254873600000",
    "number": "1174858237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 HOSPITAL CENTER BLVD",
            "address_2": "STE. 104, MEDICAL PAVILION",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299262738",
            "telephone_number": "843-681-5879",
            "fax_number": "843-681-2168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 HOSPITAL CENTER BLVD",
            "address_2": "STE. 104, MEDICAL PAVILION",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299262738",
            "telephone_number": "843-681-5879",
            "fax_number": "843-681-2168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHOLAS LOON, M.D., P. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-07",
        "last_updated": "2009-10-07",
        "status": "A",
        "authorized_official_last_name": "LOON",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "843-681-5879"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "SC",
            "license": "15823",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "SC",
            "license": "15823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Hilton Head Island, SC by specialty
• Nephrology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.