Organization Active NPI

Orangeburg Family Physicians, PA

  • Family Medicine Physician
  • Orangeburg, SC
National Provider Identifier
1467429530
Registry record updated Sep 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
9266 Issued in SC
Legal business name
ORANGEBURG FAMILY PHYSICIANS, PA
Practice address
1205 Hutto St NE
Orangeburg, SC 29118-1454
Phone
(803) 531-3911
Fax
(803) 531-2666
NPI assigned
Mar 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2011

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

Authorized official

Name
Pam Canaday
Title
Office Manager
Phone
(803) 531-3911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 9266 SC Primary

Addresses

Primary practice location

1205 Hutto St NE
Orangeburg, SC 29118-1454

Mailing address

1205 Hutto St NE
Orangeburg, SC 29118-1454

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315872000000",
    "number": "1467429530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 HUTTO ST NE",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291181454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 HUTTO ST NE",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291181454",
            "telephone_number": "803-531-3911",
            "fax_number": "803-531-2666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORANGEBURG FAMILY PHYSICIANS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-07",
        "last_updated": "2011-09-13",
        "status": "A",
        "authorized_official_last_name": "CANADAY",
        "authorized_official_first_name": "PAM",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "803-531-3911"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "9266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orangeburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2011; 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.