Organization Active NPI

Columbia Plastic Surgery, PC

  • Specialist
  • West Columbia, SC
National Provider Identifier
1356549505
Registry record updated Apr 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
23116 Issued in SC
Legal business name
COLUMBIA PLASTIC SURGERY, PC
Practice address
3020 Sunset Blvd
Suite 100
West Columbia, SC 29169-3493
Phone
(803) 796-2770
Fax
(803) 796-2755
NPI assigned
Jul 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2009

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

Authorized official

Name
Dr. John D Newkirk, MD
Title
Pres/Owner
Phone
(803) 796-2770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 23116 SC Primary

Addresses

Primary practice location

3020 Sunset Blvd
Suite 100
West Columbia, SC 29169-3493

Mailing address

3020 Sunset Blvd
Suite 100
West Columbia, SC 29169-3493
Phone (803) 796-2770

Other identifiers 1

IdentifierTypeStateIssuer
1508837345OtherSCPROVIDER NPI

National Provider Directory

National Provider Directory

Locations

1119 Little St
Camden, SC 29020
Phone (803) 272-8034

NPI Registry JSON

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239840000000",
    "number": "1356549505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 SUNSET BLVD",
            "address_2": "SUITE 100",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291693493",
            "telephone_number": "803-796-2770",
            "fax_number": "803-796-2755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 SUNSET BLVD",
            "address_2": "SUITE 100",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291693493",
            "telephone_number": "803-796-2770",
            "fax_number": "803-796-2755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA PLASTIC SURGERY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-10",
        "last_updated": "2009-04-16",
        "status": "A",
        "authorized_official_last_name": "NEWKIRK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRES/OWNER",
        "authorized_official_telephone_number": "803-796-2770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "SC",
            "license": "23116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NPI",
            "identifier": "1508837345",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2009; 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.