Threshold Pediatrics, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

35715 Issued in SC

Legal business name

THRESHOLD PEDIATRICS, LLC

Practice address

125 River Landing Dr
Suite 103
Daniel Island, SC 29492-7551

Phone

(843) 607-6009

NPI assigned

May 10, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Steven Chad Hayes, MD

Title

President

Phone

(843) 607-6009

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1462838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462838400000",
    "number": "1588010474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 RIVER LANDING DR",
            "address_2": "SUITE 103",
            "city": "DANIEL ISLAND",
            "state": "SC",
            "postal_code": "294927551",
            "telephone_number": "843-607-6009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 RIVER LANDING DR",
            "address_2": "SUITE 103",
            "city": "DANIEL ISLAND",
            "state": "SC",
            "postal_code": "294927551",
            "telephone_number": "843-607-6009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRESHOLD PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-10",
        "last_updated": "2016-05-10",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "CHAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-607-6009",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "SC",
            "license": "35715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Daniel Island, SC
• Providers in Daniel Island, SC by specialty
• Primary Care Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.