Oconee Pediatrics, PA

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

18264 Issued in SC

Legal business name

OCONEE PEDIATRICS, PA

Practice address

15579 Wells Hwy
Seneca, SC 29678-1664

Phone

(864) 882-7800

NPI assigned

Jun 5, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Frank Authur Stewart III, D.O.

Title

Physician/Owner

Phone

(864) 882-7800

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Oconee Pediatrics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Oconee Pediatrics

  • Pediatric Adolescent Medicine Physician
  • Seneca, SC
  • NPI 1609928472
  NPD tax ID

Locations

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

{
    "created_epoch": "1370390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379289600000",
    "number": "1235577859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15579 WELLS HWY",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296781664",
            "telephone_number": "864-882-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15579 WELLS HWY",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296781664",
            "telephone_number": "864-882-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCONEE PEDIATRICS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-05",
        "last_updated": "2013-09-16",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "AUTHUR",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "864-882-7800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "18264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP2492",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Oconee Neighborhood Pharmacy LLC
• Oconee OB-GYN Associates, P.a.
• Oconee Ophthalmology PA
• Oconee Pediatrics
• Oconee Pediatrics
• Oconee Physician Practices
• Oconee Physician Practices
• Oconee Physician Practices
• Oconee Physician Practices
• Oconee Physician Practices

• Family Nurse Practitioner in Seneca, SC
• Providers in Seneca, SC by specialty
• Family Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2013; 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.