NPIMap

Organization Active NPI

Charles W. Scowcroft

Doing business as Anderson Gastroenterology Associates,LLC

  • Endoscopy Clinic/Center
  • Anderson, SC
National Provider Identifier
1356477368
Registry record updated Jun 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endoscopy Clinic/CenterTaxonomy code 261QE0800X
License
289 Issued in SC
Legal business name
CHARLES W. SCOWCROFT
Doing business as
Anderson Gastroenterology Associates,LLC
Practice address
1530 N Fant St Ste B
Anderson, SC 29621-4700
Phone
(864) 225-7401
Fax
(864) 225-7201
NPI assigned
Feb 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2008

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

Authorized official

Name
Mrs. Tracy Guin
Title
Practice Manager
Phone
(864) 225-7401

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X 289 SC
Endoscopy Clinic/Center 261QE0800X 289 SC Primary

Addresses

Primary practice location

1530 N Fant St Ste B
Anderson, SC 29621-4700

Mailing address

1530 N Fant St Ste B
Anderson, SC 29621-4700
Phone (864) 225-7401

Other identifiers 2

IdentifierTypeStateIssuer
GP2324MedicaidSC
000338115AMedicaidGA

Other names 1

  • Anderson Gastroenterology Associates,LLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1356477368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 N FANT ST STE B",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296214700",
            "telephone_number": "864-225-7401",
            "fax_number": "864-225-7201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 N FANT ST STE B",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296214700",
            "telephone_number": "864-225-7401",
            "fax_number": "864-225-7201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES W. SCOWCROFT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "GUIN",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "864-225-7401",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "289",
            "primary": false
        },
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": "SC",
            "license": "289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP2324",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000338115A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anderson Gastroenterology Associates,LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anderson, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.