Organization Active NPI

Low Country Plastic Surgery

  • Specialist
  • Okatie, SC
National Provider Identifier
1275717407
Registry record updated Dec 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
LOW COUNTRY PLASTIC SURGERY
Practice address
40 Okatie Center Blvd
Ste 350
Okatie, SC 29909
Phone
(843) 705-8940
Fax
(843) 705-6816
NPI assigned
Dec 24, 2007
Last updated
Dec 24, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2007

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

Authorized official

Name
Dr. Brendan E SmithNPI 1588744957
Title
Physician
Phone
(843) 705-8940

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

40 Okatie Center Blvd
Ste 350
Okatie, SC 29909

Mailing address

40 Okatie Center Blvd Ste 350
Okatie, SC 29909-7511
Phone (843) 705-8940

Other identifiers 1

IdentifierTypeStateIssuer
T59479MedicaidSC

National Provider Directory

National Provider Directory

Locations

40 Okatie Center Blvd S
Ste 350
Okatie, SC 29909
Phone (843) 705-8940

Practitioners & affiliated clinicians

Practitioners 1

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": "1198454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198454400000",
    "number": "1275717407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 OKATIE CENTER BLVD STE 350",
            "city": "OKATIE",
            "state": "SC",
            "postal_code": "299097511",
            "telephone_number": "843-705-8940",
            "fax_number": "843-705-6816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 OKATIE CENTER BLVD",
            "address_2": "STE 350",
            "city": "OKATIE",
            "state": "SC",
            "postal_code": "29909",
            "telephone_number": "843-705-8940",
            "fax_number": "843-705-6816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOW COUNTRY PLASTIC SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-24",
        "last_updated": "2007-12-24",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "BRENDAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "843-705-8940",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T59479",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Okatie, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 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.

Verify at the official NPI Registry.