Orthopedic Associates of the Lowcountry, LLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

ORTHOPEDIC ASSOCIATES OF THE LOWCOUNTRY, LLC

Practice address

22 Bethea Dr
Hilton Head, SC 29926-4702

Phone

(843) 682-7480

Fax

(843) 681-9169

NPI assigned

May 5, 2009

Organization subpart

No

Name

Michael Kyle Burtnett

Title

SVP of Outpatient Services, Tenet

Phone

(469) 893-2153

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Choncharoen Amphan, MD

  • Internal Medicine Physician
  • Spartanburg, SC
  • NPI 1992897698

  Internal Medicine

  NPD (past)
• Farnel F Backer, M.D.

  • Hospitalist Physician
  • Greenville, SC
  • NPI 1033302575

  Family Medicine

  NPD (past)
• Andrew S Binamira, MD

  • Internal Medicine Physician
  • Hilton Head Island, SC
  • NPI 1952301939

  Internal Medicine

  NPD (past)
• Gregory Alan Chambers, PA-C

  • Medical Physician Assistant
  • Columbia, SC
  • NPI 1861625683
  NPD (past)
• Carlos A Cordero, M.D.

  • Internal Medicine Physician
  • Hilton Head Island, SC
  • NPI 1952350530

  Internal Medicine

  NPD (past)
• Fletcher Carl Derrick III, M.D.

  • Internal Medicine Physician
  • Beaufort, SC
  • NPI 1083784110

  Internal Medicine

  NPD (past)
• Bamidele A Ekunsanmi, M.D

  • Internal Medicine Physician
  • Rock Hill, SC
  • NPI 1932156171

  Internal Medicine

  NPD (past)
• Cedric Maurice Fisher, MD

  • Hospitalist Physician
  • Spartanburg, SC
  • NPI 1316122682

  Internal Medicine

  NPD (past)
• Feerozeh Dawn Jahanshahi, M.D.

  • Internal Medicine Physician
  • Hilton Head, SC
  • NPI 1598915381

  Internal Medicine

  NPD (past)
• Kirk H Johnson, MD

  • Orthopaedic Surgery Physician
  • Hilton Head Island, SC
  • NPI 1326098385

  Orthopaedic Surgery

  NPD (past)
• Belal S. Khokhar, M.D.

  • Internal Medicine Physician
  • Orangeburg, SC
  • NPI 1568647386

  Internal Medicine

  NPD (past)
• Randy Raissa Lagoc-Dingus, MD

  • Internal Medicine Physician
  • Hilton Head Island, SC
  • NPI 1215987466

  Internal Medicine

  NPD (past)

• Premier Spine of the Carolinas Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 16, 2016.

{
    "created_epoch": "1241481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466035200000",
    "number": "1528292638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 281512",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303841512",
            "telephone_number": "843-682-7480",
            "fax_number": "843-681-9169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 BETHEA DR",
            "city": "HILTON HEAD",
            "state": "SC",
            "postal_code": "299264702",
            "telephone_number": "843-682-7480",
            "fax_number": "843-681-9169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDIC ASSOCIATES OF THE LOWCOUNTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-05",
        "last_updated": "2016-06-16",
        "status": "A",
        "authorized_official_last_name": "BURTNETT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "KYLE",
        "authorized_official_title_or_position": "SVP OF OUTPATIENT SERVICES, TENET",
        "authorized_official_telephone_number": "469-893-2153"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Medical Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP5241",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Spine of the Carolinas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eleanore Kathleen O'Shea, APRN
• Justin Richard Odette, DDS
• Optim Orthopedics, LLC
• Optimal Health and Wellness, LLC
• Orthopaedic Reconstruction PA
• Orthopedic Associates of the Lowcountry, LLC
• Orthosport Physical Therapy, LLC
• P and D LLC
• P23 Labs, LLC
• Pain Management ASC LLC

• All providers in Hilton Head, SC
• Orthopaedic Surgery Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2016; 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.