Willamsburg Regional Hospital

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

13042 Issued in SC

Legal business name

WILLAMSBURG REGIONAL HOSPITAL

Practice address

500 Thurgood Marshall Hwy Ste G
Kingstree, SC 29556-4143

Phone

(843) 355-0180

Fax

(843) 355-1606

NPI assigned

Sep 26, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Katie Dorrell

Title

Practice Manager

Phone

(843) 355-1772

Specialties & licenses 1

Addresses

Other names 1

• Williamsburg Surgical Group Doing business as

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Willamsburg Regional Hospital

  • Orthopaedic Surgery Physician
  • Kingstree, SC
  • NPI 1174095525
  NPPES parent name

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

{
    "created_epoch": "1348617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621382400000",
    "number": "1447501754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 THURGOOD MARSHALL HWY STE G",
            "city": "KINGSTREE",
            "state": "SC",
            "postal_code": "295564143",
            "telephone_number": "843-355-0180",
            "fax_number": "843-355-1606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 THURGOOD MARSHALL HWY STE G",
            "city": "KINGSTREE",
            "state": "SC",
            "postal_code": "295564143",
            "telephone_number": "843-355-0180",
            "fax_number": "843-355-1606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLAMSBURG REGIONAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-26",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A",
        "authorized_official_last_name": "DORRELL",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "PRACTICE  MANAGER",
        "authorized_official_telephone_number": "843-355-1772",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "SC",
            "license": "13042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Williamsburg Surgical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jamie Roberts Webb, LPN
• Joseph Edmund Whetsell, RESPIRATORY THERAPIS
• Madison Graham Wiggins, PA-C
• Shawntoya Wilkerson
• Willamsburg Regional Hospital
• Brianna Williams, PHARMD
• Deloris Williams, CCC-SLP
• Shadera Williams
• Williamsburg Chiropractic and Wellness Center LLC
• Williamsburg County Alcohol and Drug Abuse

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Kingstree, SC
• Providers in Kingstree, SC by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; 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.