Active NPI
Mount Pleasant OB/GYN, PA
- Specialist
- Mt Pleasant, SC
National Provider Identifier
1548215577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 9290
- Legal business name
- MOUNT PLEASANT OB/GYN, PA
- Practice address
- 1400 Hospital Dr
Mt Pleasant, SC 29464-3255 - Phone
- (843) 884-0301
- Fax
- (843) 884-9620
- NPI assigned
- May 25, 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
- Mrs. Lauralee Tabakian
- Title
- Practice Manager
- Phone
- (843) 884-0301
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 9290 | SC | Primary |
Addresses
Primary practice location
1400 Hospital Dr
Mt Pleasant, SC 29464-3255
Mailing address
1400 Hospital Dr
Mt Pleasant, SC 29464-3255
Phone (843) 884-0301
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP0418 | Medicaid | SC |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1219968000000",
"number": "1548215577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 HOSPITAL DR",
"city": "MT PLEASANT",
"state": "SC",
"postal_code": "294643255",
"telephone_number": "843-884-0301",
"fax_number": "843-884-9620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 HOSPITAL DR",
"city": "MT PLEASANT",
"state": "SC",
"postal_code": "294643255",
"telephone_number": "843-884-0301",
"fax_number": "843-884-9620"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOUNT PLEASANT OB/GYN, PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-25",
"last_updated": "2008-08-29",
"status": "A",
"authorized_official_last_name": "TABAKIAN",
"authorized_official_first_name": "LAURALEE",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "843-884-0301",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": "SC",
"license": "9290",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP0418",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mt Pleasant, SC
- Mount Pleasant Chiropractic Center LLC
- Mount Pleasant Emergency Physicians, LLC
- Mount Pleasant Health Center
- Mount Pleasant Manor LLC
- Mount Pleasant Nephrology LLC
- Mount Pleasant Orthodontics LLC
- Mount Pleasant Outpatient Surgery Center LLC
- Mount Pleasant Pediatric Physical Therapy, LLC
- Mount Pleasant Pediatrics, P.a.
- Mount Pleasant Speech and Language, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.