Organization Active NPI

Covenant Surgical Care LLC

  • Specialist
  • Clinton, SC
National Provider Identifier
1376674143
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
27503 Issued in SC
Legal business name
COVENANT SURGICAL CARE LLC
Practice address
400 Plaza Cir Ste H
Clinton, SC 29325-7558
Phone
(864) 833-4166
Fax
(864) 833-5668
NPI assigned
Mar 7, 2007
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
B Sharon Murray, MD
Title
President
Phone
(864) 833-4166

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 27503 SC Primary

Addresses

Primary practice location

400 Plaza Cir Ste H
Clinton, SC 29325-7558

Mailing address

PO Box 120
Clinton, SC 29325-0120
Phone (864) 833-4166

Other identifiers 3

IdentifierTypeStateIssuer
B0828OtherSCMEDCOST
DE8167OtherSCMEDICARE RR
GP4108MedicaidSC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1376674143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 120",
            "city": "CLINTON",
            "state": "SC",
            "postal_code": "293250120",
            "telephone_number": "864-833-4166",
            "fax_number": "864-833-5668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 PLAZA CIR STE H",
            "city": "CLINTON",
            "state": "SC",
            "postal_code": "293257558",
            "telephone_number": "864-833-4166",
            "fax_number": "864-833-5668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT SURGICAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "MURRAY",
        "authorized_official_first_name": "B",
        "authorized_official_middle_name": "SHARON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "864-833-4166",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "SC",
            "license": "27503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "B0828",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "DE8167",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP4108",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.