Organization Active NPI

Palmetto Surgery LLC

  • Surgery Physician
  • Rock Hill, SC
National Provider Identifier
1629039102
Registry record updated Nov 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
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

Updated by the provider on Nov 7, 2007

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)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Practitioners & 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

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.

Verify at the official NPI Registry.