NPIMap

Organization Active NPI

Camden Bone & Joint LLC

  • Orthopaedic Surgery Physician
  • Camden, SC
National Provider Identifier
1497783880
Registry record updated Jan 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
CAMDEN BONE & JOINT LLC
Practice address
1112 Mill St
Camden, SC 29020
Phone
(803) 432-4498
Fax
(803) 425-4123
NPI assigned
Jun 28, 2006
Last updated
Jan 11, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2012

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

Authorized official

Name
Kathy S Parker
Title
Office Manager
Phone
(803) 432-4498

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

1112 Mill St
Camden, SC 29020

Mailing address

1112 Mill St
Camden, SC 29020
Phone (803) 432-4498

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031203000008 SC Part B Supplier - Clinic/Group Practice 3375448442 Receives reassigned benefits from 8 practitioners
Practice locations: Camden, SC
O20100930069611 SC DME Supplier - Physician - Orthopedic/Orthopedic SurgeryDME Supplier - Sports Medicine 3375448442 Practice locations: Camden, SC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

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": "1151452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326240000000",
    "number": "1497783880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 MILL ST",
            "city": "CAMDEN",
            "state": "SC",
            "postal_code": "29020",
            "telephone_number": "803-432-4498",
            "fax_number": "803-425-4123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 MILL ST",
            "city": "CAMDEN",
            "state": "SC",
            "postal_code": "29020",
            "telephone_number": "803-432-4498",
            "fax_number": "803-425-4123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMDEN BONE & JOINT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-28",
        "last_updated": "2012-01-11",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "803-432-4498"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.