NPIMap

Organization Active NPI

Alpha Medical

  • Specialist
  • Summerville, SC
National Provider Identifier
1366779779
Registry record updated Nov 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
23028 Issued in SC
Legal business name
ALPHA MEDICAL
Practice address
210 W 6TH North St
Summerville, SC 29483-6617
Phone
(843) 832-4357
Fax
(843) 832-4986
NPI assigned
Nov 5, 2009
Organization subpart
Yes
Parent organization
ALPHA MEDICALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 5, 2009

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

Authorized official

Name
Mrs. Laura L Stone
Title
Practice Manager
Phone
(843) 556-7828

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 23028 SC Primary

Addresses

Primary practice location

210 W 6TH North St
Summerville, SC 29483-6617

Mailing address

PO Box 12999
Charleston, SC 29422-2999
Phone (843) 556-7828

National Provider Directory

National Provider Directory
Tax ID family
Alpha Medical3 organizations share this tax ID, including this one
Part of
Alpha Medical Spinal Care

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1257379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257379200000",
    "number": "1366779779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12999",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294222999",
            "telephone_number": "843-556-7828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 W 6TH NORTH ST",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294836617",
            "telephone_number": "843-832-4357",
            "fax_number": "843-832-4986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA MEDICAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALPHA MEDICAL",
        "enumeration_date": "2009-11-05",
        "last_updated": "2009-11-05",
        "status": "A",
        "authorized_official_last_name": "STONE",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "843-556-7828",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "SC",
            "license": "23028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.