Pace Health Services, Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

PACE HEALTH SERVICES, INC.

Doing business as

Pace Prosthetics

Practice address

1327 Ashley River Rd Ste B
Charleston, SC 29407-5384

Phone

(843) 300-3593

Fax

(843) 747-3055

NPI assigned

Feb 5, 2024

Organization subpart

No

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

Authorized official

Name

Theodore Macdonald

Title

Ceo

Phone

(615) 214-3777

Specialties & licenses 2

Addresses

Other names 1

• Pace Prosthetics Doing business as

Tax ID family

Pace Health Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Pace Health Services, Inc.

  • Prosthetic/Orthotic Supplier
  • Fort Myers, FL
  • NPI 1851163778
  NPD tax ID

Locations

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

{
    "created_epoch": "1707091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725494400000",
    "number": "1487417242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 FESSLERS PKWY STE 315",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372102938",
            "telephone_number": "615-214-3777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1327 ASHLEY RIVER RD STE B",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294075384",
            "telephone_number": "843-300-3593",
            "fax_number": "843-747-3055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACE HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-05",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A",
        "authorized_official_last_name": "MACDONALD",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "615-214-3777"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Prosthetist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pace Prosthetics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pace Prosthetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tania Marie Owens, LISW
• Rebecca Oyetoro, MD
• Shelly D Ozark, MD
• Alison Jane Ozyurt
• Vanessa Tavares P Silvino
• Luz Elizabeth Pacheco, M.D.
• Karen Boulanger Pack, PA
• Artur Pacult, MD
• Sarah Watson Paddrik
• Amanda Padgett, PT

• Prosthetic/Orthotic Supplier in Charleston, SC
• Providers in Charleston, SC by specialty
• Prosthetic/Orthotic Supplier in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; 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.