Organization Active NPI

Medical Consultants PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Aiken, SC
National Provider Identifier
1477584548
Registry record updated Jul 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
22190 Issued in SC
Legal business name
MEDICAL CONSULTANTS PC
Practice address
447 Bainbridge Dr
Aiken, SC 29803-3417
Phone
(803) 642-0111
Fax
(803) 642-0111
NPI assigned
Jul 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2008

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

Authorized official

Name
Dr. Shreedhar M Nagnur, MD
Title
Ceo
Phone
(803) 642-0111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0300X 22190 SC Primary

Addresses

Primary practice location

447 Bainbridge Dr
Aiken, SC 29803-3417

Mailing address

447 Bainbridge Dr
Aiken, SC 29803-3417
Phone (803) 642-0111

Other identifiers 1

IdentifierTypeStateIssuer
GP4730MedicaidSC

National Provider Directory

National Provider Directory

Locations

5721 Springfield Rd
Williston, SC 29853
Phone (803) 266-3229

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214870400000",
    "number": "1477584548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "447 BAINBRIDGE DR",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298033417",
            "telephone_number": "803-642-0111",
            "fax_number": "803-642-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "447 BAINBRIDGE DR",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298033417",
            "telephone_number": "803-642-0111",
            "fax_number": "803-642-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL CONSULTANTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2008-07-01",
        "status": "A",
        "authorized_official_last_name": "NAGNUR",
        "authorized_official_first_name": "SHREEDHAR",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "803-642-0111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "SC",
            "license": "22190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP4730",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiken, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.