Active NPI
Palmetto Surgery LLC
- Surgery Physician
- Rock Hill, SC
National Provider Identifier
1629039102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- PALMETTO SURGERY LLC
- Practice address
- 1578 Constitution Blvd
01
Rock Hill, SC 29732-3004 - Phone
- (803) 324-5858
- Fax
- (803) 324-5585
- NPI assigned
- Apr 1, 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. Sharareh V Borhanian, DMD
- Title
- Business Manager
- Phone
- (803) 324-5858
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
1578 Constitution Blvd
01
Rock Hill, SC 29732-3004
Mailing address
PO Box 36548
Rock Hill, SC 29732-0509
Phone (803) 324-5858
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": "1143849600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1194393600000",
"number": "1629039102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 36548",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297320509",
"telephone_number": "803-324-5858",
"fax_number": "803-324-5585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1578 CONSTITUTION BLVD",
"address_2": "01",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297323004",
"telephone_number": "803-324-5858",
"fax_number": "803-324-5585"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PALMETTO SURGERY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-01",
"last_updated": "2007-11-07",
"status": "A",
"authorized_official_last_name": "BORHANIAN",
"authorized_official_first_name": "SHARAREH",
"authorized_official_middle_name": "V",
"authorized_official_title_or_position": "BUSINESS MANAGER",
"authorized_official_telephone_number": "803-324-5858",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rock Hill, SC
- Palmetto Physical Medicine
- Palmetto Podiatry Group of Anderson, PA
- Palmetto Podiatry Group of Anderson, PA
- Palmetto Rehabilitation Specialists
- Palmetto Speech and Swallowing Therapy, LLC
- Courtney Marie Palmiere, AUD
- Panoptic Health LLC
- Caroline Pappas, APRN
- Paramount Physical Therapy Services
- Ishika Parekh
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.