Organization Active NPI

Chapin Orthopedic Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Chapin, SC
National Provider Identifier
1194233189
Registry record updated Jan 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
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

Updated by the provider on Jan 12, 2018

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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 CenterCCN 42C0001091
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D2143684Chapin Orthopedic Surgery Center106 Ellett Rd, Chapin, SC 29036Certificate of waiverFeb 4, 2028

National Provider Directory

National Provider Directory

Member 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.

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.

Verify at the official NPI Registry.