Organization Active NPI

Palmetto Pulmonary Physicians of Charleston PA

  • Pulmonary Disease Physician
  • Charleston, SC
National Provider Identifier
1609825561
Registry record updated Dec 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
10847 Issued in SC
Legal business name
PALMETTO PULMONARY PHYSICIANS OF CHARLESTON PA
Practice address
105 Wappoo Creek Dr
Suite 3-a
Charleston, SC 29412-2134
Phone
(843) 795-1025
Fax
(843) 795-1081
NPI assigned
May 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2010

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

Authorized official

Name
Dr. Cary Erwin Fechter, M.DNPI 1649235714
Title
Owner
Phone
(843) 795-1025

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 10847 SC
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RE0101X 10847 SC
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X 10847 SC Primary
Sleep Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RS0012X 10847 SC

Addresses

Primary practice location

105 Wappoo Creek Dr
Suite 3-a
Charleston, SC 29412-2134

Mailing address

105 Wappoo Creek Dr
Suite 3-a
Charleston, SC 29412-2134
Phone (843) 795-1025

Other identifiers 1

IdentifierTypeStateIssuer
GP2299MedicaidSC

National Provider Directory

National Provider Directory

Locations

2270 Ashley Crossing Dr
Ste 160
Charleston, SC 29414
Phone (843) 763-8555

105 Wappoo Creek Dr
Ste 4A
Charleston, SC 29412
Phone (843) 795-1025

105 Wappoo Creek Dr
Ste 3A
Charleston, SC 29412
Phone (843) 795-1025

Practitioners & affiliated clinicians

Practitioners 1

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": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293408000000",
    "number": "1609825561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 WAPPOO CREEK DR",
            "address_2": "SUITE 3-A",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294122134",
            "telephone_number": "843-795-1025",
            "fax_number": "843-795-1081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 WAPPOO CREEK DR",
            "address_2": "SUITE 3-A",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294122134",
            "telephone_number": "843-795-1025",
            "fax_number": "843-795-1081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO PULMONARY PHYSICIANS OF CHARLESTON PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2010-12-27",
        "status": "A",
        "authorized_official_last_name": "FECHTER",
        "authorized_official_first_name": "CARY",
        "authorized_official_middle_name": "ERWIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-795-1025",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "10847",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "SC",
            "license": "10847",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "SC",
            "license": "10847",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "SC",
            "license": "10847",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP2299",
            "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 Dec 27, 2010; 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.