NPIMap

Organization Active NPI

Surgical Associates of Charleston, P.a.

  • Specialist
  • Charleston, SC
National Provider Identifier
1376528950
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
7706 Issued in SC
Legal business name
SURGICAL ASSOCIATES OF CHARLESTON, P.A.
Practice address
510 Albemarle Rd
Charleston, SC 29407-7540
Phone
(843) 723-6426
Fax
(843) 722-2193
NPI assigned
Dec 7, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Lorraine Veronica Tyler
Title
Practice Administrator
Phone
(843) 723-6426

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 7706 SC Primary

Addresses

Primary practice location

510 Albemarle Rd
Charleston, SC 29407-7540

Mailing address

510 Albemarle Rd
Charleston, SC 29407-7540
Phone (843) 723-6426

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

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": "1133913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376528950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 ALBEMARLE RD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294077540",
            "telephone_number": "843-723-6426",
            "fax_number": "843-722-2193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 ALBEMARLE RD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294077540",
            "telephone_number": "843-723-6426",
            "fax_number": "843-722-2193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL ASSOCIATES OF CHARLESTON, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TYLER",
        "authorized_official_first_name": "LORRAINE",
        "authorized_official_middle_name": "VERONICA",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "843-723-6426",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "SC",
            "license": "7706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.