Robert Joseph Healy MD PA

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

11178 Issued in SC

Legal business name

ROBERT JOSEPH HEALY MD PA

Practice address

805 Pamplico Hwy
Suite A130
Florence, SC 29505-6019

Phone

(843) 664-9200

Fax

(843) 664-9202

NPI assigned

Oct 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Robert Joseph Healy, MDNPI 1164400123

Title

Owner

Phone

(843) 664-9200

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Joseph Healy Jr., MD

  • Neurology Physician
  • Florence, SC
  • NPI 1164400123
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215475200000",
    "number": "1366631640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 PAMPLICO HWY",
            "address_2": "SUITE A130",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295056019",
            "telephone_number": "843-664-9200",
            "fax_number": "843-664-9202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 PAMPLICO HWY",
            "address_2": "SUITE A130",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295056019",
            "telephone_number": "843-664-9200",
            "fax_number": "843-664-9202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT JOSEPH HEALY MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-23",
        "last_updated": "2008-07-08",
        "status": "A",
        "authorized_official_last_name": "HEALY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-664-9200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "SC",
            "license": "11178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PC4802",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "130002489",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kim Riggs
• Michael Rintelman, LPC
• Emanuel Rivera Rosado, M.D
• Ciasia Rivera
• Riverside Pediatric Dentistry LLC
• Robert T. Moss, Jr Dba Moss Pharmacy
• Emily Robert, PHARMD
• Edward Earl Roberts IV
• Logan Roberts
• Ron Roberts

• Neurology Physician in Florence, SC
• Providers in Florence, SC by specialty
• Neurology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.