Sumter Ear, Nose, Throat & Facial Plastic Surgery, LLC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

SUMTER EAR, NOSE, THROAT & FACIAL PLASTIC SURGERY, LLC

Practice address

100 N Sumter St
Suite 400
Sumter, SC 29150-4916

Phone

(803) 778-5970

Fax

(803) 778-5403

NPI assigned

Jun 17, 2006

Organization subpart

No

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

Authorized official

Name

David Brian Lovice, MDNPI 1477521227

Title

Owner/Partner

Phone

(803) 778-5970

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Wesmark Ambulatory Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Sumter, SC
  • NPI 1124098512

  Member Of

  NPD member

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FJCABA

Practitioners 2

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

• David Brian Lovice, MD

  • Plastic and Reconstructive Surgery Physician
  • Sumter, SC
  • NPI 1477521227
  Medicare reassignment Care Compare group NPD Authorized official
• Paul Andrew Evangelisti, MD

  • Otolaryngology/Facial Plastic Surgery Physician
  • Sumter, SC
  • NPI 1982625745
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285679290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N SUMTER ST",
            "address_2": "SUITE 400",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291504916",
            "telephone_number": "803-778-5970",
            "fax_number": "803-778-5403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N SUMTER ST",
            "address_2": "SUITE 400",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291504916",
            "telephone_number": "803-778-5970",
            "fax_number": "803-778-5403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMTER EAR, NOSE, THROAT & FACIAL PLASTIC SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOVICE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "803-778-5970",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP2894",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sumter County Commission on Alcohol and Drug Abuse
• Sumter County Disabilities and Special Needs Boards
• Sumter County EMS
• Sumter Cut Rate Drug Store, LLC
• Sumter Cut Rate Drugstore II Inc
• Sumter East Facility LLC
• Sumter Family Dental Center
• Sumter Family Health Center
• Sumter Family Health Center
• Sumter Family Health Center - Administration

• Otolaryngology Physician in Sumter, SC
• Providers in Sumter, SC by specialty
• Otolaryngology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.