Individual provider Active NPI

Gaston G Machado, MD

  • Personal Emergency Response Attendant
  • North Charleston, SC
National Provider Identifier
1215994850
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Emergency Response AttendantTaxonomy code 146D00000X
License
13512 Issued in SC
Practice address
8740 Rivers Ave
North Charleston, SC 29406-9211
Phone
(843) 572-5990
Fax
(843) 572-2928
NPI assigned
Apr 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Emergency Response Attendant 146D00000X 13512 SC Primary

Addresses

Primary practice location

8740 Rivers Ave
North Charleston, SC 29406-9211

Mailing address

8740 Rivers Ave
Charleston, SC 29406
Phone (843) 572-5990

Other identifiers 1

IdentifierTypeStateIssuer
135124MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040823000184 SC Practitioner - Emergency MedicinePractitioner - General SurgeryPractitioner - Family Practice 0547234924 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
13512SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Medcare Express - North Charleston LLC CurrentSince Dec 11, 2018 Accepting new patients
Medcare Urgent Care Center - Anderson LLC CurrentSince Dec 11, 2018 Accepting new patients

Locations

8740 Rivers Ave
North Charleston, SC 29406
Phone (843) 337-2406

8720 Dorchester Rd
North Charleston, SC 29420
Phone (843) 552-3629

110 Medical Cir
West Columbia, SC 29169
Phone (803) 434-6113

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215994850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8740 RIVERS AVE",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "29406",
            "telephone_number": "843-572-5990",
            "fax_number": "843-572-2928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8740 RIVERS AVE",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069211",
            "telephone_number": "843-572-5990",
            "fax_number": "843-572-2928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACHADO",
        "first_name": "GASTON",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146D00000X",
            "taxonomy_group": "",
            "desc": "Personal Emergency Response Attendant",
            "state": "SC",
            "license": "13512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135124",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

Verify at the official NPI Registry.