Active NPI
Lowcountry Thoracic Surgery Associates PA
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Mount Pleasant, SC
National Provider Identifier
1184930992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John Derosimo, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 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 DirectoryLocations
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.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Miami, FL
- NPI 1598870594
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.