NPIMap

Individual provider Active NPI

William D Largen, MD

  • Infectious Disease Physician
  • Summerville, SC
National Provider Identifier
1336435205
Registry record updated Feb 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
33860 Issued in SC
Practice address
1520 Old Trolley Rd
Ste 101
Summerville, SC 29485-5292
Phone
(843) 402-0227
Fax
(843) 402-0232
NPI assigned
Jun 20, 2011
Last updated
Feb 12, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 33860 SC Primary

Addresses

Primary practice location

1520 Old Trolley Rd
Ste 101
Summerville, SC 29485-5292

Mailing address

1938 Charlie Hall Blvd Unit B
Charleston, SC 29414-6099
Phone (843) 402-0227

Other practice location 1

1481 Tobias Gadson Blvd Ste 1A
Charleston, SC 29407-4879
Phone (843) 402-3093

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160602000980 SC Practitioner - Infectious Disease 0840411740 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Temple University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lowcountry Infectious Diseases PAGroup PAC ID 8527070291, 15 clinicians

Practice addresses (Care Compare)

1520 Old Trolley Rd
Suite 101
Summerville, SC 29485-5292
Phone (843) 402-0227

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Roper Hospital, Inc. Infectious Disease CurrentSince Feb 13, 2019 Accepting new patients
Roper Hospital Inc. CurrentSince Feb 13, 2019 Accepting new patients
Lowcountry Infectious Diseases PA Infectious Disease CurrentSince Jul 15, 2016 Accepting new patients
Lowcountry Infectious Diseases PA Infectious Disease CurrentSince Jul 15, 2016 Accepting new patients

Locations

1481 Tobias Gadson Blvd
Ste 1
Charleston, SC 29407
Phone (843) 402-0367

1938 Charlie Hall Blvd
Unit B
Charleston, SC 29414
Phone (803) 402-0227

1520 Old Trolley Rd
Ste 101
Summerville, SC 29485
Phone (843) 402-0227

416 Robertson Blvd
Ste B
Walterboro, SC 29488
Phone (843) 549-2411

Interoperability endpoints

  • Direct secure messaging: william.largen.1@20409.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1308528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549929600000",
    "number": "1336435205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1938 CHARLIE HALL BLVD UNIT B",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294146099",
            "telephone_number": "843-402-0227",
            "fax_number": "843-402-0232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 OLD TROLLEY RD",
            "address_2": "STE 101",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294855292",
            "telephone_number": "843-402-0227",
            "fax_number": "843-402-0232"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1481 Tobias Gadson Blvd Ste 1A",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294074879",
            "country_code": "US",
            "telephone_number": "843-402-3093",
            "fax_number": "843-402-3094",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LARGEN",
        "first_name": "WILLIAM",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-20",
        "last_updated": "2019-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "SC",
            "license": "33860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerville, SC

Sources for this page

Verify at the official NPI Registry.