Active NPI
Cardiology Care of SC, LLC
- Cardiovascular Disease Physician
- Summerville, SC
National Provider Identifier
1528091584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 11269
- Legal business name
- CARDIOLOGY CARE OF SC, LLC
- Practice address
- 109 Burton Ave
Suite E
Summerville, SC 29485-8117 - Phone
- (843) 832-6875
- Fax
- (843) 832-6878
- NPI assigned
- Jul 9, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Lam, MD
- Title
- Owner
- Phone
- (843) 932-6875
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 11269 | SC | Primary |
Addresses
Primary practice location
109 Burton Ave
Suite E
Summerville, SC 29485-8117
Mailing address
109 Burton Ave
Suite E
Summerville, SC 29485-8117
Phone (843) 832-6875
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 112693 | Medicaid | SC | |
| GP4326 | Medicaid | SC |
National Provider Directory
National Provider DirectoryLocations
109 Burton Ave
Ste E
Summerville, SC 29485
Phone (843) 832-6875
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Kinston, NC
- NPI 1336190883
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152403200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1192579200000",
"number": "1528091584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 BURTON AVE",
"address_2": "SUITE E",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294858117",
"telephone_number": "843-832-6875",
"fax_number": "843-832-6878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 BURTON AVE",
"address_2": "SUITE E",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294858117",
"telephone_number": "843-832-6875",
"fax_number": "843-832-6878"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARDIOLOGY CARE OF SC, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-09",
"last_updated": "2007-10-17",
"status": "A",
"authorized_official_last_name": "LAM",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "843-932-6875",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "SC",
"license": "11269",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "112693",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP4326",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Summerville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.