Active NPI
Musc Prosthetic Orthotic Services LLC
- Prosthetic/Orthotic Supplier
- Charleston, SC
National Provider Identifier
1306350426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- MUSC PROSTHETIC ORTHOTIC SERVICES LLC
- Practice address
- 135 Rutledge Ave FL 4
Charleston, SC 29425-8903 - Phone
- (843) 876-7063
- NPI assigned
- Nov 28, 2017
- Last updated
- Mar 24, 2022
- 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
- David Vick
- Title
- Managing Partner
- Phone
- (843) 577-9577
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | NU | Primary |
Addresses
Primary practice location
135 Rutledge Ave FL 4
Charleston, SC 29425-8903
Mailing address
4975 Lacross Rd Ste 314
North Charleston, SC 29406-6531
Phone (843) 577-9577
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 335E00000X | Other | TAXONOMY |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
135 Rutledge Ave
Fl 4
Charleston, SC 29425
Phone (843) 876-7063
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1511827200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1648080000000",
"number": "1306350426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4975 LACROSS RD STE 314",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294066531",
"telephone_number": "843-577-9577",
"fax_number": "843-718-1438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 RUTLEDGE AVE FL 4",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294258903",
"telephone_number": "843-876-7063"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MUSC PROSTHETIC ORTHOTIC SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-11-28",
"last_updated": "2022-03-24",
"certification_date": "2022-03-24",
"status": "A",
"authorized_official_last_name": "VICK",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "MANAGING PARTNER",
"authorized_official_telephone_number": "843-577-9577"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAXONOMY",
"identifier": "335E00000X",
"state": null
}
],
"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 Mar 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.