Organization Active NPI

Palmetto Vein Specialists, LLC

  • Medical Specialty Clinic/Center
  • Charleston, SC
National Provider Identifier
1285860098
Registry record updated Dec 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
6391 Issued in SC
Legal business name
PALMETTO VEIN SPECIALISTS, LLC
Practice address
9313 Medical Plaza Dr
Ste 303
Charleston, SC 29406-9155
Phone
(843) 820-5372
Fax
(843) 824-8359
NPI assigned
Jun 8, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2009

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

Authorized official

Name
Karen McCardle, RN
Title
Nurse Manager
Phone
(843) 820-5372

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 6391 SC Primary

Addresses

Primary practice location

9313 Medical Plaza Dr
Ste 303
Charleston, SC 29406-9155

Mailing address

9263 Medical Plaza Dr
Ste B
Charleston, SC 29406-7112
Phone (843) 553-7070

Other identifiers 1

IdentifierTypeStateIssuer
GP5265MedicaidSC

National Provider Directory

National Provider Directory

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": "1244419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259884800000",
    "number": "1285860098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9263 MEDICAL PLAZA DR",
            "address_2": "STE B",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294067112",
            "telephone_number": "843-553-7070",
            "fax_number": "843-553-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9313 MEDICAL PLAZA DR",
            "address_2": "STE 303",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294069155",
            "telephone_number": "843-820-5372",
            "fax_number": "843-824-8359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO VEIN SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-08",
        "last_updated": "2009-12-04",
        "status": "A",
        "authorized_official_last_name": "MCCARDLE",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "NURSE MANAGER",
        "authorized_official_telephone_number": "843-820-5372",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "SC",
            "license": "6391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP5265",
            "state": "SC"
        }
    ],
    "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 Dec 4, 2009; 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.