Viphealth LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

MD18512 Issued in SC

Legal business name

VIPHEALTH LLC

Practice address

117 Park Place CT
Lexington, SC 29072-6690

Phone

(803) 309-0685

NPI assigned

Feb 9, 2016

Last updated

Feb 9, 2016By 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. Suzanne Schwab, MD

Title

Medical Director

Phone

(803) 309-0685

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1454976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454976000000",
    "number": "1538527254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 PARK PLACE CT",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290726690",
            "telephone_number": "803-309-0685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 PARK PLACE CT",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290726690",
            "telephone_number": "803-309-0685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIPHEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-09",
        "last_updated": "2016-02-09",
        "status": "A",
        "authorized_official_last_name": "SCHWAB",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "803-309-0685",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "SC",
            "license": "MD18512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE -MEDICAL ENDOSCOPY PROFESSIONALS-GROUP NPI-1124097563, GROUPS PTAN-7538",
            "identifier": "1699786749",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.