SC OB-GYN Associates PA

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

SC OB-GYN ASSOCIATES PA

Practice address

1301 Taylor St
Suite 2L
Columbia, SC 29201-2942

Phone

(803) 254-9225

Fax

(803) 771-7597

NPI assigned

Jan 20, 2006

Last updated

Sep 24, 2012By 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

Mrs. Samantha Ann Crider, MS,CHE,CMPE

Title

Administrator

Phone

(803) 254-9225

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348444800000",
    "number": "1538149802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 TAYLOR ST",
            "address_2": "SUITE 2L",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012942",
            "telephone_number": "803-254-9225",
            "fax_number": "803-771-7597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 TAYLOR ST",
            "address_2": "SUITE 2L",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012942",
            "telephone_number": "803-254-9225",
            "fax_number": "803-771-7597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SC OB-GYN ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-20",
        "last_updated": "2012-09-24",
        "status": "A",
        "authorized_official_last_name": "CRIDER",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "803-254-9225",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS,CHE,CMPE"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Columbia, SC
• Providers in Columbia, SC by specialty
• Specialist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2012; 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.