Active NPI
Medical Consultants PC
- Geriatric Medicine (Internal Medicine) Physician
- Aiken, SC
National Provider Identifier
1477584548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- 22190
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP4730 | Medicaid | SC |
National Provider Directory
National Provider DirectoryLocations
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.