Active NPI
Galin J Spicer MD LLC
- Ophthalmology Physician
- Charleston, SC
National Provider Identifier
1598973919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 26761
- Legal business name
- GALIN J SPICER MD LLC
- Practice address
- 2097 Henry Tecklenburg Dr
Suite 204
Charleston, SC 29414-5740 - Phone
- (843) 763-7741
- NPI assigned
- May 18, 2007
- Last updated
- Nov 6, 2007
- 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
- Galin J Spicer, MD
- Title
- Owner
- Phone
- (843) 763-7741
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 26761 | SC | Primary |
Addresses
Primary practice location
2097 Henry Tecklenburg Dr
Suite 204
Charleston, SC 29414-5740
Mailing address
2097 Henry Tecklenburg Dr
Suite 204
Charleston, SC 29414-5740
Phone (843) 763-7741
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP4019 | Medicaid | SC |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Ophthalmology Physician
- Charleston, SC
- NPI 1588627772
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1194307200000",
"number": "1598973919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2097 HENRY TECKLENBURG DR",
"address_2": "SUITE 204",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294145740",
"telephone_number": "843-763-7741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2097 HENRY TECKLENBURG DR",
"address_2": "SUITE 204",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294145740",
"telephone_number": "843-763-7741"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GALIN J SPICER MD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-18",
"last_updated": "2007-11-06",
"status": "A",
"authorized_official_last_name": "SPICER",
"authorized_official_first_name": "GALIN",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "843-763-7741",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "SC",
"license": "26761",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP4019",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.