NPIMap

Organization Active NPI

Oconee Pediatrics

  • Pediatric Adolescent Medicine Physician
  • Seneca, SC
National Provider Identifier
1609928472
Registry record updated Dec 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
Legal business name
OCONEE PEDIATRICS
Practice address
15579 Wells Highway
Seneca, SC 29678-4318
Phone
(864) 882-7800
Fax
(864) 882-5908
NPI assigned
Jan 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2008

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

Authorized official

Name
Dr. Frank Stewart, D.O.
Title
Owner
Phone
(864) 882-7800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080A0000X Primary

Addresses

Primary practice location

15579 Wells Highway
Seneca, SC 29678-4318

Mailing address

15579 Wells Highway
Seneca, SC 29678-4318
Phone (864) 882-7800

Other identifiers 1

IdentifierTypeStateIssuer
PC1164MedicaidSC

National Provider Directory

National Provider Directory
Tax ID family
Oconee Pediatrics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228780800000",
    "number": "1609928472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15579 WELLS HIGHWAY",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296784318",
            "telephone_number": "864-882-7800",
            "fax_number": "864-882-5908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15579 WELLS HIGHWAY",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296784318",
            "telephone_number": "864-882-7800",
            "fax_number": "864-882-5908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCONEE PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2008-12-09",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-882-7800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PC1164",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seneca, SC

Sources for this page

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

Verify at the official NPI Registry.