New River Urology PA

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

NEW RIVER UROLOGY PA

Practice address

29 Plantation Park Dr
Suite 202
Bluffton, SC 29910-9001

Phone

(843) 706-2255

Fax

(843) 706-2257

NPI assigned

Aug 19, 2009

Organization subpart

No

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

Authorized official

Name

Pamela S Langley

Title

Administrator

Phone

(843) 706-2255

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1250640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394150400000",
    "number": "1194957548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2989",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299102989",
            "telephone_number": "843-706-2255",
            "fax_number": "843-706-2257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 PLANTATION PARK DR",
            "address_2": "SUITE 202",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299109001",
            "telephone_number": "843-706-2255",
            "fax_number": "843-706-2257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW RIVER UROLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-19",
        "last_updated": "2014-03-07",
        "status": "A",
        "authorized_official_last_name": "LANGLEY",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "843-706-2255"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0321734",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Urology Physician in Bluffton, SC
• Providers in Bluffton, SC by specialty
• Urology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2014; 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.