Organization Active NPI

Orangeburg Medical Associates PA

  • Internal Medicine Physician
  • Orangeburg, SC
National Provider Identifier
1336198571
Registry record updated Jun 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
15871 Issued in SC
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

Updated by the provider on Jun 25, 2010

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

Authorized official

Name
Ms. Ester Rose Hare, MDNPI 1538144795
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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
GP0919MedicaidSC

Other names 1

  • E. Hare, MD Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090121000431 SC Part B Supplier - Clinic/Group Practice 5395809206 Receives reassigned benefits from 1 practitioner
Practice locations: Orangeburg, SC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D0886544Orangeburg Medical Associates PA1291 Glen Gloria Street, Orangeburg, SC 29118Certificate of waiverJul 21, 2027

National Provider Directory

National Provider Directory

Locations

1291 Glen Gloria St
Orangeburg, SC 29118
Phone (803) 539-2040

Interoperability endpoints

  • FHIR API: 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.

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.

Verify at the official NPI Registry.