NPIMap

Organization Active NPI

Medical University of South Carolina

  • General Acute Care Hospital
  • Charleston, SC
National Provider Identifier
1407053853
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
LL28899 Issued in SC
Legal business name
MEDICAL UNIVERSITY OF SOUTH CAROLINA
Practice address
167 Ashley Avenue
Suite 301
Charleston, SC 29425
Phone
(843) 792-4316
Fax
(843) 792-9314
NPI assigned
Jun 29, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Teena Wyatt
Title
Residency Program Coordinator
Phone
(843) 792-4316

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X LL28899 SC Primary

Addresses

Primary practice location

167 Ashley Avenue
Suite 301
Charleston, SC 29425

Mailing address

167 Ashley Avenue
Suite 301
Charleston, SC 29425
Phone (843) 792-4316

National Provider Directory

National Provider Directory

Locations

167 Ashley Ave
Ste 301
Charleston, SC 29425
Phone (843) 792-1932

Practitioners & affiliated clinicians

Practitioners 8

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": "1183075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407053853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 ASHLEY AVENUE",
            "address_2": "SUITE 301",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "29425",
            "telephone_number": "843-792-4316",
            "fax_number": "843-792-9314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 ASHLEY AVENUE",
            "address_2": "SUITE 301",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "29425",
            "telephone_number": "843-792-4316",
            "fax_number": "843-792-9314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL UNIVERSITY OF SOUTH CAROLINA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WYATT",
        "authorized_official_first_name": "TEENA",
        "authorized_official_title_or_position": "RESIDENCY PROGRAM COORDINATOR",
        "authorized_official_telephone_number": "843-792-4316"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "SC",
            "license": "LL28899",
            "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.