Active NPI
Paula Orr MD
- Non-Pharmacy Dispensing Site
- N Charleston, SC
National Provider Identifier
1265500409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-Pharmacy Dispensing Site
- License
- 20332
- Legal business name
- PAULA ORR MD
- Practice address
- 5319 Parkshire Way
Ste B
N Charleston, SC 29418-2051 - Phone
- (843) 767-2121
- Fax
- (843) 767-2112
- NPI assigned
- Dec 4, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Johnny Orr
- Title
- Bus MGR
- Phone
- (843) 767-2121
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-Pharmacy Dispensing Site | 332900000X | 20332 | SC | Primary |
Addresses
Primary practice location
5319 Parkshire Way
Ste B
N Charleston, SC 29418-2051
Mailing address
5319 Parkshire Way
Ste B
N Charleston, SC 29418-2051
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP2837 | Medicaid | SC | |
| 4226103 | Other | OTHER ID NUMBER | |
| 4226103 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER |
Other names 1
- CHARLESTON WOMENS WELLNESS CENTER
National Provider Directory
National Provider Directory- Tax ID family
- Charleston Women Wellness Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Obstetrics & Gynecology Physician
- Charleston, SC
- NPI 1578626552
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1194912000000",
"number": "1265500409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5319 PARKSHIRE WAY",
"address_2": "STE B",
"city": "N CHARLESTON",
"state": "SC",
"postal_code": "294182051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5319 PARKSHIRE WAY",
"address_2": "STE B",
"city": "N CHARLESTON",
"state": "SC",
"postal_code": "294182051",
"telephone_number": "843-767-2121",
"fax_number": "843-767-2112"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAULA ORR MD",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-04",
"last_updated": "2007-11-13",
"status": "A",
"authorized_official_last_name": "ORR",
"authorized_official_first_name": "JOHNNY",
"authorized_official_title_or_position": "BUS MGR",
"authorized_official_telephone_number": "843-767-2121"
},
"taxonomies": [
{
"code": "332900000X",
"taxonomy_group": "",
"desc": "Non-Pharmacy Dispensing Site",
"state": "SC",
"license": "20332",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP2837",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER",
"identifier": "4226103",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "4226103",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CHARLESTON WOMENS WELLNESS CENTER",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in N Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.