Organization Active NPI

The Urology Group Whitlock & Devore

  • Urology Physician
  • Greer, SC
National Provider Identifier
1396967162
Registry record updated Oct 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
9586 Issued in SC
Legal business name
THE UROLOGY GROUP WHITLOCK & DEVORE
Practice address
420 The Parkway
BLDG C
Greer, SC 29650
Phone
(864) 879-7481
Fax
(864) 879-1293
NPI assigned
May 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2007

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

Authorized official

Name
Mr. Norris W Whitlock, MD
Title
Norris W Whitlock MD
Phone
(864) 879-7481

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X 9586 SC Primary

Addresses

Primary practice location

420 The Parkway
BLDG C
Greer, SC 29650

Mailing address

420 The Parkway
BLDG C
Greer, SC 29650
Phone (864) 879-7481

Other identifiers 1

IdentifierTypeStateIssuer
GP2090MedicaidSC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192492800000",
    "number": "1396967162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 THE PARKWAY",
            "address_2": "BLDG C",
            "city": "GREER",
            "state": "SC",
            "postal_code": "29650",
            "telephone_number": "864-879-7481",
            "fax_number": "864-879-1293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 THE PARKWAY",
            "address_2": "BLDG C",
            "city": "GREER",
            "state": "SC",
            "postal_code": "29650",
            "telephone_number": "864-879-7481",
            "fax_number": "864-879-1293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE UROLOGY GROUP WHITLOCK & DEVORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2007-10-16",
        "status": "A",
        "authorized_official_last_name": "WHITLOCK",
        "authorized_official_first_name": "NORRIS",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "NORRIS W WHITLOCK MD",
        "authorized_official_telephone_number": "864-879-7481",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "SC",
            "license": "9586",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP2090",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greer, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; 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.