Active NPI
Chapin Orthopedic Surgery Center
- Ambulatory Surgical Clinic/Center
- Chapin, SC
National Provider Identifier
1194233189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- CHAPIN ORTHOPEDIC SURGERY CENTER
- Practice address
- 106 Ellett Road
Chapin, SC 29036-8248 - Phone
- (864) 833-3046
- Fax
- (864) 833-1711
- NPI assigned
- Jan 12, 2018
- 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
- Mr. Phillip H. Milner
- Title
- Owner
- Phone
- (864) 833-3046
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
106 Ellett Road
Chapin, SC 29036-8248
Mailing address
22971 Hwy 76E
Clinton, SC 29325
Phone (864) 833-3046
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180220002282 | SC | Part B Supplier - Ambulatory Surgical Center | 4789945486 | Practice locations: Chapin, SC |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Chapin Orthopedic Surgery Center
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 42D2143684 | Chapin Orthopedic Surgery Center | Certificate of waiver | Feb 4, 2028 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
106 Ellett Rd
Chapin, SC 29036
Phone (803) 941-8096
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Clinton, SC
- NPI 1669490405
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515715200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1515715200000",
"number": "1194233189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22971 HWY 76E",
"city": "CLINTON",
"state": "SC",
"postal_code": "29325",
"telephone_number": "864-833-3046",
"fax_number": "864-833-7323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 ELLETT ROAD",
"city": "CHAPIN",
"state": "SC",
"postal_code": "290368248",
"telephone_number": "864-833-3046",
"fax_number": "864-833-1711"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHAPIN ORTHOPEDIC SURGERY CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2018-01-12",
"last_updated": "2018-01-12",
"status": "A",
"authorized_official_last_name": "MILNER",
"authorized_official_first_name": "PHILLIP",
"authorized_official_middle_name": "H.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "864-833-3046",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chapin, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.