Active NPI
Low Country Plastic Surgery
- Specialist
- Okatie, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- 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, 2007
- 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
- Dr. Brendan E Smith
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| T59479 | Medicaid | SC |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Plastic Surgery Physician
- Okatie, SC
- NPI 1588744957
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.