Organization Active NPI

Fort Sumter Surgical Clinic

  • Surgery Physician
  • Mount Pleasant, SC
National Provider Identifier
1437322542
Registry record updated Apr 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
27394 Issued in SC
Legal business name
FORT SUMTER SURGICAL CLINIC
Practice address
1230 Hospital Dr
Suite a
Mt Pleasant, SC 29464-3251
Phone
(843) 971-4673
Fax
(843) 971-3355
NPI assigned
Apr 9, 2008
Last updated
Apr 10, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2008

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

Authorized official

Name
Dr. William H Lynch, M.D.
Title
President/Owner
Phone
(843) 971-4673

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 27394 SC Primary
Vascular Surgery Physician 2086S0129X 27394 SC
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 27394 SC

Addresses

Primary practice location

1230 Hospital Dr
Suite a
Mt Pleasant, SC 29464-3251

Mailing address

1230 Hospital Dr
Suite a
Mt Pleasant, SC 29464-3251
Phone (843) 971-4673

Other identifiers 1

IdentifierTypeStateIssuer
273947MedicaidSC

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": "1207699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207785600000",
    "number": "1437322542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 HOSPITAL DR",
            "address_2": "SUITE A",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294643251",
            "telephone_number": "843-971-4673",
            "fax_number": "843-971-3355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 HOSPITAL DR",
            "address_2": "SUITE A",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294643251",
            "telephone_number": "843-971-4673",
            "fax_number": "843-971-3355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT SUMTER SURGICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-09",
        "last_updated": "2008-04-10",
        "status": "A",
        "authorized_official_last_name": "LYNCH",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "843-971-4673",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "SC",
            "license": "27394",
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "SC",
            "license": "27394",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "SC",
            "license": "27394",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "273947",
            "state": "SC"
        }
    ],
    "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 Apr 10, 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.