Organization Active NPI

Gorrin'S Clinic, Inc.

  • Customized Equipment (DME)
  • Greenville, SC
National Provider Identifier
1285635839
Registry record updated Nov 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
GORRIN'S CLINIC, INC.
Practice address
11 E Park Ave
Greenville, SC 29601-1629
Phone
(864) 233-2270
Fax
(864) 235-4327
NPI assigned
Aug 4, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2007

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

Authorized official

Name
Mr. Joseph O Gorrin Jr., BCCA
Title
Anaplastologist/Ocularist/Owner
Phone
(864) 233-2270

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

11 E Park Ave
Greenville, SC 29601-1629

Mailing address

11 E Park Ave
Greenville, SC 29601-1629
Phone (864) 233-2270

Other identifiers 1

IdentifierTypeStateIssuer
557524MedicaidSC

National Provider Directory

National Provider Directory

Locations

11 E Park Ave
Greenville, SC 29601
Phone (864) 233-2270

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1123113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196035200000",
    "number": "1285635839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 E PARK AVE",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296011629",
            "telephone_number": "864-233-2270",
            "fax_number": "864-235-4327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 E PARK AVE",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296011629",
            "telephone_number": "864-233-2270",
            "fax_number": "864-235-4327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GORRIN'S CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-04",
        "last_updated": "2007-11-26",
        "status": "A",
        "authorized_official_last_name": "GORRIN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "ANAPLASTOLOGIST/OCULARIST/OWNER",
        "authorized_official_telephone_number": "864-233-2270",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "BCCA"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "557524",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.