Active NPI
Patricia P Westmoreland, MD
- Dermatology Physician
- Okatie, SC
National Provider Identifier
1477649820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 06361
- Practice address
- 40 Okatie Center Blvd S
Suite 210
Okatie, SC 29909-7507 - Phone
- (843) 705-0890
- NPI assigned
- Oct 5, 2006
- Last updated
- May 5, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 06361 | SC | Primary |
Addresses
Primary practice location
40 Okatie Center Blvd S
Suite 210
Okatie, SC 29909-7507
Mailing address
PO Box 3821
Bluffton, SC 29910-3821
Phone (843) 705-0890
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 063610 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6361 | SC | MD | Pharmacist |
| 06361 | SC | MD | Dermatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430784000000",
"number": "1477649820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3821",
"city": "BLUFFTON",
"state": "SC",
"postal_code": "299103821",
"telephone_number": "843-705-0890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 OKATIE CENTER BLVD S",
"address_2": "SUITE 210",
"city": "OKATIE",
"state": "SC",
"postal_code": "299097507",
"telephone_number": "843-705-0890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WESTMORELAND",
"first_name": "PATRICIA",
"middle_name": "P",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-05",
"last_updated": "2015-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "SC",
"license": "06361",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "063610",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Okatie, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.