Palmetto Cardiovascular and Thoracic Assoc PA

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

Legal business name

PALMETTO CARDIOVASCULAR AND THORACIC ASSOC PA

Practice address

9231 Medical Plaza Dr Ste D
Charleston, SC 29406-9101

Phone

(843) 553-5616

Fax

(843) 764-2917

NPI assigned

Jan 3, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. James Michael Benner, MDNPI 1447336177

Title

President Thoracic Surgeon

Phone

(843) 553-5616

Specialties & licenses 1

Addresses

Locations

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.

• James Michael Benner, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • North Charleston, SC
  • NPI 1447336177
  NPD (past) Authorized official

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1518024868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9231 MEDICAL PLAZA DR STE D",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294069101",
            "telephone_number": "843-553-5616",
            "fax_number": "843-764-2917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9231 MEDICAL PLAZA DR STE D",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294069101",
            "telephone_number": "843-553-5616",
            "fax_number": "843-764-2917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO CARDIOVASCULAR AND THORACIC ASSOC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BENNER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT THORACIC SURGEON",
        "authorized_official_telephone_number": "843-553-5616",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Palmetto Endoscopy Center LLC

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Charleston, SC
• Providers in Charleston, SC by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.