NPIMap

Organization Active NPI

Scca, LLC

  • Anesthesiology Physician
  • Moncks Corner, SC
National Provider Identifier
1235232182
Registry record updated Jul 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
14466 Issued in SC
Legal business name
SCCA, LLC
Practice address
730 Stony Landing Road
Roper St. Francis Medical Center Berkeley
Moncks Corner, SC 29461
Phone
(843) 766-3301
NPI assigned
Sep 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2008

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

Authorized official

Name
Dr. Kenneth I. Schlesinger, M.D.NPI 1154338697
Title
Principle Partner
Phone
(843) 766-3301

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)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X 14466 SC Primary

Addresses

Primary practice location

730 Stony Landing Road
Roper St. Francis Medical Center Berkeley
Moncks Corner, SC 29461

Mailing address

PO Box 13509
Charleston, SC 29422-3509
Phone (843) 766-3301

Other identifiers 1

IdentifierTypeStateIssuer
144668MedicaidSC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215475200000",
    "number": "1235232182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13509",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294223509",
            "telephone_number": "843-766-3301",
            "fax_number": "843-762-3913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 STONY LANDING ROAD",
            "address_2": "ROPER ST. FRANCIS MEDICAL CENTER BERKELEY",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "29461",
            "telephone_number": "843-766-3301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCCA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-06",
        "last_updated": "2008-07-08",
        "status": "A",
        "authorized_official_last_name": "SCHLESINGER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "I.",
        "authorized_official_title_or_position": "PRINCIPLE PARTNER",
        "authorized_official_telephone_number": "843-766-3301",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "SC",
            "license": "14466",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144668",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moncks Corner, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; 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.