Active NPI
SGKF LLC
- Pain Medicine (Anesthesiology) Physician
- Charleston, SC
National Provider Identifier
1285157735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 22773
- Legal business name
- SGKF LLC
- Practice address
- 764 Saint Andrews Blvd
Charleston, SC 29407-7168 - Phone
- (843) 801-4005
- NPI assigned
- Jul 17, 2017
- 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. Stephen Gibert, MD
- Title
- President
- Phone
- (843) 801-4005
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 22773 | SC | Primary |
Addresses
Primary practice location
764 Saint Andrews Blvd
Charleston, SC 29407-7168
Mailing address
764 Saint Andrews Blvd
Charleston, SC 29407-7168
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500249600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1500249600000",
"number": "1285157735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "764 SAINT ANDREWS BLVD",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294077168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "764 SAINT ANDREWS BLVD",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294077168",
"telephone_number": "843-801-4005"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SGKF LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-07-17",
"last_updated": "2017-07-17",
"status": "A",
"authorized_official_last_name": "GIBERT",
"authorized_official_first_name": "STEPHEN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "843-801-4005",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": "SC",
"license": "22773",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.