Organization Active NPI

Julia S Haile MD Infectious Disease PA

  • Infectious Disease Physician
  • Charleston, SC
National Provider Identifier
1306036652
Registry record updated Jan 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
24357 Issued in SC
Legal business name
JULIA S HAILE MD INFECTIOUS DISEASE PA
Practice address
635 Saint Andrews Blvd
Charleston, SC 29407-7174
Phone
(843) 556-5621
NPI assigned
Aug 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2010

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

Authorized official

Name
Dr. Julia S. Haile, M.D.
Title
Physician/Owner
Phone
(843) 556-2651

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0200X 24357 SC Primary

Addresses

Primary practice location

635 Saint Andrews Blvd
Charleston, SC 29407-7174

Mailing address

PO Box 890484
Charlotte, NC 28289-0484
Phone (843) 556-5621

Other identifiers 1

IdentifierTypeStateIssuer
GP4715MedicaidSC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1185926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262649600000",
    "number": "1306036652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 890484",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282890484",
            "telephone_number": "843-556-5621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 SAINT ANDREWS BLVD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294077174",
            "telephone_number": "843-556-5621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIA S HAILE MD INFECTIOUS DISEASE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-01",
        "last_updated": "2010-01-05",
        "status": "A",
        "authorized_official_last_name": "HAILE",
        "authorized_official_first_name": "JULIA",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "843-556-2651",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "SC",
            "license": "24357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP4715",
            "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 Jan 5, 2010; 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.