Active NPI
Palmetto Pathology
- Anatomic Pathology & Clinical Pathology Physician
- Hartsville, SC
National Provider Identifier
1316901523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 5734
- Legal business name
- PALMETTO PATHOLOGY
- Practice address
- 1304 W Bobo Newsom Hwy
Hartsville, SC 29550-4710 - Phone
- (843) 339-4178
- Fax
- (843) 339-4185
- NPI assigned
- Apr 14, 2006
- 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
- Dr. Harold Neil Wheeler, M.D.
- Title
- President
- Phone
- (843) 339-4178
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 5734 | SC | Primary |
Addresses
Primary practice location
1304 W Bobo Newsom Hwy
Hartsville, SC 29550-4710
Mailing address
753 Johnnie Dodds Blvd
Mt Pleasant, SC 29464-3054
Phone (843) 284-3400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA5547 | Medicaid | SC |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Hartsville, SC
- NPI 1972567196
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144972800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1316901523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "753 JOHNNIE DODDS BLVD",
"city": "MT PLEASANT",
"state": "SC",
"postal_code": "294643054",
"telephone_number": "843-284-3400",
"fax_number": "843-284-3401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1304 W BOBO NEWSOM HWY",
"city": "HARTSVILLE",
"state": "SC",
"postal_code": "295504710",
"telephone_number": "843-339-4178",
"fax_number": "843-339-4185"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PALMETTO PATHOLOGY",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-14",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "WHEELER",
"authorized_official_first_name": "HAROLD",
"authorized_official_middle_name": "NEIL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "843-339-4178",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "SC",
"license": "5734",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PA5547",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hartsville, SC
- Joni Sue Ovanna Budhram, M.D.
- Pal Metto Prosthetics and Orthotics, Inc.
- Palmetto Counseling of Hartsville LLC
- Palmetto Family Medicine and Senior Care, LLC
- Palmetto Health - University of South Carolina Medical Group
- Palmetto Wellness and Injury Center of Hartsville SC PA
- Nina Panvelker, DMD
- Jonathan Parrott
- Sava Thakorbhai Patel, PA
- Path to Light Counseling LLC
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.