Organization Active NPI

Md2U South Carolina LLC

  • Nurse Practitioner
  • Charleston, SC
National Provider Identifier
1477998094
Registry record updated May 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
MD2U SOUTH CAROLINA LLC
Practice address
4000 Faber Place Dr
Suite 300
Charleston, SC 29405-8585
Phone
(502) 327-9100
Fax
(855) 632-8329
NPI assigned
May 9, 2013
Last updated
May 9, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
MD2U MANAGEMENT LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 9, 2013

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

Authorized official

Name
Gregory Latta
Title
Cio
Phone
(502) 416-1851

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X Primary

Addresses

Primary practice location

4000 Faber Place Dr
Suite 300
Charleston, SC 29405-8585

Mailing address

140 Whittington Pkwy Ste 100
Louisville, KY 40222-4930
Phone (502) 327-9100

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1368057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368057600000",
    "number": "1477998094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 WHITTINGTON PKWY STE 100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402224930",
            "telephone_number": "502-327-9100",
            "fax_number": "855-632-8329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 FABER PLACE DR",
            "address_2": "SUITE 300",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294058585",
            "telephone_number": "502-327-9100",
            "fax_number": "855-632-8329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD2U SOUTH CAROLINA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MD2U MANAGEMENT LLC",
        "enumeration_date": "2013-05-09",
        "last_updated": "2013-05-09",
        "status": "A",
        "authorized_official_last_name": "LATTA",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "CIO",
        "authorized_official_telephone_number": "502-416-1851"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2013; 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.