Organization Active NPI

Charleston Neurosurgical

  • Neurological Surgery Physician
  • N Charleston, SC
National Provider Identifier
1639128671
Registry record updated Oct 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
7798 Issued in SC
Legal business name
CHARLESTON NEUROSURGICAL
Practice address
9275 Medical Plaza Dr Ste B
N Charleston, SC 29406-9140
Phone
(843) 553-9300
Fax
(843) 569-7651
NPI assigned
May 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2007

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

Authorized official

Name
Mr. Robert A Faile III, MHA
Title
Administrator
Phone
(843) 723-8823

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X 7798 SC Primary

Addresses

Primary practice location

9275 Medical Plaza Dr Ste B
N Charleston, SC 29406-9140

Mailing address

9275 Medical Plaza Dr Ste B
N Charleston, SC 29406-9140
Phone (843) 553-9300

National Provider Directory

National Provider Directory

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": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193788800000",
    "number": "1639128671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9275 MEDICAL PLAZA DR STE B",
            "city": "N CHARLESTON",
            "state": "SC",
            "postal_code": "294069140",
            "telephone_number": "843-553-9300",
            "fax_number": "843-569-7651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9275 MEDICAL PLAZA DR STE B",
            "city": "N CHARLESTON",
            "state": "SC",
            "postal_code": "294069140",
            "telephone_number": "843-553-9300",
            "fax_number": "843-569-7651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLESTON NEUROSURGICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2007-10-31",
        "status": "A",
        "authorized_official_last_name": "FAILE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "843-723-8823",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MHA"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "SC",
            "license": "7798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in N Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.