Organization Active NPI

Colorectal Surgery Clinic, LLC

  • Colon & Rectal Surgery Physician
  • Mount Pleasant, SC
National Provider Identifier
1386916450
Registry record updated Mar 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
MD 28532 Issued in SC
Legal business name
COLORECTAL SURGERY CLINIC, LLC
Practice address
1439 Stuart Engals Blvd
Suite 100
Mt Pleasant, SC 29464-3686
Phone
(843) 853-7730
Fax
(843) 722-8766
NPI assigned
Feb 3, 2012
Last updated
Mar 8, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2012

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

Authorized official

Name
Dr. Maria Margarita Murphy, M.D.
Title
Co-Owner
Phone
(843) 853-7730

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X MD 28532 SC Primary

Addresses

Primary practice location

1439 Stuart Engals Blvd
Suite 100
Mt Pleasant, SC 29464-3686

Mailing address

1439 Stuart Engals Blvd
Suite 100
Mt Pleasant, SC 29464-3686
Phone (843) 853-7730

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1328227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331164800000",
    "number": "1386916450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1439 STUART ENGALS BLVD",
            "address_2": "SUITE 100",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294643686",
            "telephone_number": "843-853-7730",
            "fax_number": "843-722-8766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1439 STUART ENGALS BLVD",
            "address_2": "SUITE 100",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294643686",
            "telephone_number": "843-853-7730",
            "fax_number": "843-722-8766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORECTAL SURGERY CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-03",
        "last_updated": "2012-03-08",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "MARGARITA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "843-853-7730",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "SC",
            "license": "MD 28532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2012; 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.