NPIMap

Organization Active NPI

Kershaw Hospital LLC

Doing business as KershawHealth Urgent Care

  • Family Medicine Physician
  • Elgin, SC
National Provider Identifier
1629442397
Registry record updated Nov 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
KERSHAW HOSPITAL LLC
Doing business as
KershawHealth Urgent Care
Practice address
40 Pinnacle Pkwy
Elgin, SC 29045-8390
Phone
(803) 424-8020
Fax
(803) 424-8085
NPI assigned
Nov 18, 2015
Last updated
Nov 18, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2015

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

Authorized official

Name
Elizabeth Estep
Title
Cfo
Phone
(615) 764-3000

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X

Addresses

Primary practice location

40 Pinnacle Pkwy
Elgin, SC 29045-8390

Mailing address

40 Pinnacle Pkwy
Elgin, SC 29045-8390
Phone (803) 424-8020

Other names 1

  • KershawHealth Urgent Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Kershaw Hospital LLC2 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": "1447804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447804800000",
    "number": "1629442397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 PINNACLE PKWY",
            "city": "ELGIN",
            "state": "SC",
            "postal_code": "290458390",
            "telephone_number": "803-424-8020",
            "fax_number": "803-424-8085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 PINNACLE PKWY",
            "city": "ELGIN",
            "state": "SC",
            "postal_code": "290458390",
            "telephone_number": "803-424-8020",
            "fax_number": "803-424-8085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERSHAW HOSPITAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-18",
        "last_updated": "2015-11-18",
        "status": "A",
        "authorized_official_last_name": "ESTEP",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "615-764-3000"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KershawHealth Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elgin, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2015; 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.