NPIMap

Organization Active NPI

Marion Regional Healthcare System

Doing business as Marion Medical Center OB/GYN

  • Obstetrics & Gynecology Physician
  • Mullins, SC
National Provider Identifier
1487758041
Registry record updated Jan 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
MARION REGIONAL HEALTHCARE SYSTEM
Doing business as
Marion Medical Center OB/GYN
Practice address
2845 E Highway 76
Suite 3
Mullins, SC 29574-6037
Phone
(843) 431-2740
Fax
(843) 431-2197
NPI assigned
Sep 12, 2006
Last updated
Jan 10, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2008

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

Authorized official

Name
Harold E Tucker
Title
Chief Executive Officer
Phone
(843) 431-2405

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X NU Primary

Addresses

Primary practice location

2845 E Highway 76
Suite 3
Mullins, SC 29574-6037

Mailing address

2845 E Highway 76
Suite 3
Mullins, SC 29574-6037
Phone (843) 431-2740

Other identifiers 1

IdentifierTypeStateIssuer
296147MedicaidSC

Other names 1

  • Marion Medical Center OB/GYN Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199923200000",
    "number": "1487758041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2845 E HIGHWAY 76",
            "address_2": "SUITE 3",
            "city": "MULLINS",
            "state": "SC",
            "postal_code": "295746037",
            "telephone_number": "843-431-2740",
            "fax_number": "843-431-2197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2845 E HIGHWAY 76",
            "address_2": "SUITE 3",
            "city": "MULLINS",
            "state": "SC",
            "postal_code": "295746037",
            "telephone_number": "843-431-2740",
            "fax_number": "843-431-2197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARION REGIONAL HEALTHCARE SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2008-01-10",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "843-431-2405"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "296147",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marion Medical Center OB/GYN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mullins, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.