Active NPI
Orangeburg Medical Associates PA
- Internal Medicine Physician
- Orangeburg, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 15871
- Legal business name
- ORANGEBURG MEDICAL ASSOCIATES PA
- Practice address
- 1291 Glen Gloria St
Orangeburg, SC 29118-2525 - Phone
- (803) 539-2040
- Fax
- (803) 539-2826
- NPI assigned
- May 7, 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
- Ms. Ester Rose Hare, MD
- Title
- President
- Phone
- (803) 539-2040
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 15871 | SC | Primary |
Addresses
Primary practice location
1291 Glen Gloria St
Orangeburg, SC 29118-2525
Mailing address
PO Box 1185
Orangeburg, SC 29116-1185
Phone (803) 539-2040
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP0919 | Medicaid | SC |
Other names 1
- E. Hare, MD
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 42D0886544 | Orangeburg Medical Associates PA | Certificate of waiver | Jul 21, 2027 |
National Provider Directory
National Provider DirectoryLocations
1291 Glen Gloria St
Orangeburg, SC 29118
Phone (803) 539-2040
Interoperability endpoints
- https://api.platform.athenahealth.com/6695/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Orangeburg, SC
- NPI 1538144795
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146960000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1277424000000",
"number": "1336198571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1185",
"city": "ORANGEBURG",
"state": "SC",
"postal_code": "291161185",
"telephone_number": "803-539-2040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1291 GLEN GLORIA ST",
"city": "ORANGEBURG",
"state": "SC",
"postal_code": "291182525",
"telephone_number": "803-539-2040",
"fax_number": "803-539-2826"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORANGEBURG MEDICAL ASSOCIATES PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-07",
"last_updated": "2010-06-25",
"status": "A",
"authorized_official_last_name": "HARE",
"authorized_official_first_name": "ESTER",
"authorized_official_middle_name": "ROSE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "803-539-2040",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "SC",
"license": "15871",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP0919",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "E. Hare, MD",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Orangeburg, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.