Organization Active NPI

Lowcountry Health Group LLC

  • Physical Medicine & Rehabilitation Physician
  • Goose Creek, SC
National Provider Identifier
1457604142
Registry record updated Dec 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
2773 Issued in SC
Legal business name
LOWCOUNTRY HEALTH GROUP LLC
Practice address
588 Old Mount Holly Road
Goose Creek, SC 29445-2773
Phone
(843) 376-5595
Fax
(843) 797-7432
NPI assigned
Oct 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2014

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

Authorized official

Name
Jens Franzen, D.C
Title
Owner
Phone
(843) 376-5595

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X 2773 SC Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

588 Old Mount Holly Road
Goose Creek, SC 29445-2773

Mailing address

588 Old Mount Holly Road
Goose Creek, SC 29445-2773
Phone (843) 376-5595

National Provider Directory

National Provider Directory

Locations

508 Old Mt Holly Rd
Goose Creek, SC 29445
Phone (843) 376-5595

Ownership & related parties

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.

NPI Registry JSON

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

{
    "created_epoch": "1350518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418083200000",
    "number": "1457604142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "588 OLD MOUNT HOLLY ROAD",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294452773",
            "telephone_number": "843-376-5595",
            "fax_number": "843-797-7432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "588 OLD MOUNT HOLLY ROAD",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294452773",
            "telephone_number": "843-376-5595",
            "fax_number": "843-797-7432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOWCOUNTRY HEALTH GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-18",
        "last_updated": "2014-12-09",
        "status": "A",
        "authorized_official_last_name": "FRANZEN",
        "authorized_official_first_name": "JENS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-376-5595",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "SC",
            "license": "2773",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goose Creek, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2014; 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.