Active NPI
Carolina Surgery, PA
- Surgery Physician
- Seneca, SC
National Provider Identifier
1316919467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 22165
- Legal business name
- CAROLINA SURGERY, PA
- Practice address
- 109 Omni Dr
Suite a
Seneca, SC 29672-9448 - Phone
- (864) 885-1978
- Fax
- (864) 885-1980
- NPI assigned
- Feb 3, 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
- Mrs. Cindy Hudson
- Title
- Office Manager
- Phone
- (864) 885-1978
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 22165 | SC | Primary |
Addresses
Primary practice location
109 Omni Dr
Suite a
Seneca, SC 29672-9448
Mailing address
PO Box 1647
Seneca, SC 29679-1647
Phone (864) 885-1978
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 221655 | Medicaid | SC |
National Provider Directory
National Provider DirectoryLocations
11602 Lake Underhill Rd
Ste 105
Orlando, FL 32825
Phone (407) 545-2999
102 Omni Dr
#A
Seneca, SC 29672
Phone (864) 885-1978
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138924800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1456444800000",
"number": "1316919467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1647",
"city": "SENECA",
"state": "SC",
"postal_code": "296791647",
"telephone_number": "864-885-1978",
"fax_number": "864-885-1980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 OMNI DR",
"address_2": "SUITE A",
"city": "SENECA",
"state": "SC",
"postal_code": "296729448",
"telephone_number": "864-885-1978",
"fax_number": "864-885-1980"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAROLINA SURGERY, PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-03",
"last_updated": "2016-02-26",
"status": "A",
"authorized_official_last_name": "HUDSON",
"authorized_official_first_name": "CINDY",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "864-885-1978",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "SC",
"license": "22165",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "221655",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seneca, SC
- Carolina Compounding Pharmacy Inc
- Carolina Counseling Professionals, LLC
- Carolina Kids Pediatrics, P.a.
- Carolina Lung & Sleep Center LLC
- Carolina Neurology LLC
- Sharon Lakeisha Carswell-Ector, PTA
- George Emmitt Carter III, PA-C
- Wendy Llew Carter, RPH
- Hannah Genevieve Carvel, OTD, OTR/L
- Dolly S Carver, LPN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.