NPIMap

Organization Active NPI

Lowcountry Medical Associates

Doing business as Stono Pediatrics

  • Pediatrics Physician
  • Charleston, SC
National Provider Identifier
1316997000
Registry record updated Sep 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
LOWCOUNTRY MEDICAL ASSOCIATES
Doing business as
Stono Pediatrics
Practice address
333 Folly Rd
Suite F
Charleston, SC 29412-2500
Phone
(843) 795-9179
NPI assigned
May 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2008

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

Authorized official

Name
Linda C Shoemaker
Title
Coo
Phone
(843) 937-8101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X SC Primary

Addresses

Primary practice location

333 Folly Rd
Suite F
Charleston, SC 29412-2500

Mailing address

333 Folly Rd
Suite F
Charleston, SC 29412-2500
Phone (843) 795-9179

Other identifiers 1

IdentifierTypeStateIssuer
GP1200MedicaidSC

Other names 1

  • Stono Pediatrics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
R Scott Thompson MD11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

333 Folly Rd
Ste F
Charleston, SC 29412
Phone (843) 573-9670

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221436800000",
    "number": "1316997000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 FOLLY RD",
            "address_2": "SUITE F",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294122500",
            "telephone_number": "843-795-9179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 FOLLY RD",
            "address_2": "SUITE F",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294122500",
            "telephone_number": "843-795-9179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOWCOUNTRY MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2008-09-15",
        "status": "A",
        "authorized_official_last_name": "SHOEMAKER",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "843-937-8101"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP1200",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stono Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 15, 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.