NPIMap

Organization Active NPI

Fig Tree Medical

  • Clinic/Center
  • Lyman, SC
National Provider Identifier
1306998687
Registry record updated Jun 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
00940 Issued in SC
Legal business name
FIG TREE MEDICAL
Practice address
12315 Greenville Hwy
Lyman, SC 29365-1515
Phone
(864) 439-4376
Fax
(864) 439-4385
NPI assigned
Jan 17, 2007
Last updated
Jun 13, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2008

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

Authorized official

Name
Dr. Manuel Fachado Jr., DONPI 1740228394
Title
Ceo
Phone
(864) 439-4376

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 00940 SC Primary

Addresses

Primary practice location

12315 Greenville Hwy
Lyman, SC 29365-1515

Mailing address

12315 Greenville Hwy
PO Box 699
Lyman, SC 29365-1515
Phone (864) 439-4376

National Provider Directory

National Provider Directory

Locations

12315 Greenville Hwy
Lyman, SC 29365
Phone (864) 439-4376

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1306998687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12315 GREENVILLE HWY",
            "address_2": "PO BOX 699",
            "city": "LYMAN",
            "state": "SC",
            "postal_code": "293651515",
            "telephone_number": "864-439-4376",
            "fax_number": "864-439-4385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12315 GREENVILLE HWY",
            "city": "LYMAN",
            "state": "SC",
            "postal_code": "293651515",
            "telephone_number": "864-439-4376",
            "fax_number": "864-439-4385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIG TREE MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "FACHADO",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "864-439-4376",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "SC",
            "license": "00940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lyman, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; 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.