Organization Active NPI

Lowcountry Thoracic Surgery Associates PA

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Mount Pleasant, SC
National Provider Identifier
1184930992
Registry record updated Sep 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
Legal business name
LOWCOUNTRY THORACIC SURGERY ASSOCIATES PA
Practice address
1300 Hospital Dr Ste 360
Mount Pleasant, SC 29464-7776
Phone
(843) 722-3400
Fax
(843) 723-7398
NPI assigned
Aug 31, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2010

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

Authorized official

Name
John Derosimo, MDNPI 1598870594
Title
Owner/ Provider
Phone
(843) 722-3400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208G00000X Primary

Addresses

Primary practice location

1300 Hospital Dr Ste 360
Mount Pleasant, SC 29464-7776

Mailing address

1300 Hospital Dr Ste 360
Mount Pleasant, SC 29464-7776
Phone (843) 722-3400

National Provider Directory

National Provider Directory

Locations

1300 Hospital Dr
Ste 360
Mt Pleasant, SC 29464
Phone (843) 388-5995

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": "1283212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283299200000",
    "number": "1184930992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 HOSPITAL DR STE 360",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294647776",
            "telephone_number": "843-722-3400",
            "fax_number": "843-723-7398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 HOSPITAL DR STE 360",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294647776",
            "telephone_number": "843-722-3400",
            "fax_number": "843-723-7398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOWCOUNTRY THORACIC SURGERY ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-31",
        "last_updated": "2010-09-01",
        "status": "A",
        "authorized_official_last_name": "DEROSIMO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER/ PROVIDER",
        "authorized_official_telephone_number": "843-722-3400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2010; 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.