NPIMap

Organization Active NPI

Physicians Healthcare of Dillon

  • Family Medicine Physician
  • Dillon, SC
National Provider Identifier
1255608113
Registry record updated Nov 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
17253 Issued in SC
Legal business name
PHYSICIANS HEALTHCARE OF DILLON
Practice address
1639 Highway 301 N
Dillon, SC 29536-1945
Phone
(843) 774-5182
NPI assigned
Nov 21, 2011
Last updated
Nov 21, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2011

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

Authorized official

Name
Dr. John Kemper Stanton IX, DCNPI 1548328263
Title
Owner
Phone
(843) 774-5182

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
Family Medicine Physician 207Q00000X 17253 SC Primary

Addresses

Primary practice location

1639 Highway 301 N
Dillon, SC 29536-1945

Mailing address

1639 Highway 301 N
Dillon, SC 29536-1945
Phone (843) 774-5182

National Provider Directory

National Provider Directory
Tax ID family
Physicians Healthcare of Dillon2 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.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1321833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321833600000",
    "number": "1255608113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1639 HIGHWAY 301 N",
            "city": "DILLON",
            "state": "SC",
            "postal_code": "295361945",
            "telephone_number": "843-774-5182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1639 HIGHWAY 301 N",
            "city": "DILLON",
            "state": "SC",
            "postal_code": "295361945",
            "telephone_number": "843-774-5182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS HEALTHCARE OF DILLON",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-21",
        "last_updated": "2011-11-21",
        "status": "A",
        "authorized_official_last_name": "STANTON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "KEMPER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-774-5182",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "IX",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "17253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dillon, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2011; 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.