Organization Active NPI

Rosanne J Hooks MD PA

Doing business as Independent Physicians Group

  • Family Medicine Physician
  • Mullins, SC
National Provider Identifier
1396825030
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
110597 Issued in SC
Legal business name
ROSANNE J HOOKS MD PA
Doing business as
Independent Physicians Group
Practice address
1004 S Main St
Basily BLDG
Mullins, SC 29574-3920
Phone
(843) 464-1201
Fax
(843) 464-1219
NPI assigned
Oct 17, 2006
Last updated
Jun 18, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
ROSANNE J HOOKS MD PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
Dr. Rosanne J. Hooks, MD
Title
Ceo
Phone
(843) 464-1201

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 110597 SC Primary

Addresses

Primary practice location

1004 S Main St
Basily BLDG
Mullins, SC 29574-3920

Mailing address

1004 S Main St
Basily BLDG
Mullins, SC 29574-3920
Phone (843) 464-1201

Other identifiers 1

IdentifierTypeStateIssuer
RHC119MedicaidSC

Other names 1

  • Independent Physicians Group Doing business as

National Provider Directory

National Provider Directory
Part of
Rosanne J Hooks MD PA

Locations

1004 S Main St
Mullins, SC 29574
Phone (843) 464-1201

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 7

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": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1396825030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 S MAIN ST",
            "address_2": "BASILY BLDG",
            "city": "MULLINS",
            "state": "SC",
            "postal_code": "295743920",
            "telephone_number": "843-464-1201",
            "fax_number": "843-464-1219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 S MAIN ST",
            "address_2": "BASILY BLDG",
            "city": "MULLINS",
            "state": "SC",
            "postal_code": "295743920",
            "telephone_number": "843-464-1201",
            "fax_number": "843-464-1219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSANNE J HOOKS MD PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ROSANNE J HOOKS MD PA",
        "enumeration_date": "2006-10-17",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "HOOKS",
        "authorized_official_first_name": "ROSANNE",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "843-464-1201",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "110597",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RHC119",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Independent Physicians Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mullins, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.