Organization Active NPI

Tricounty ENT Associates, PA

  • Otolaryngology Physician
  • North Charleston, SC
National Provider Identifier
1639391980
Registry record updated Oct 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
6917 Issued in SC
Legal business name
TRICOUNTY ENT ASSOCIATES, PA
Practice address
9229 University Blvd
Suite E
North Charleston, SC 29406-9150
Phone
(843) 797-2721
Fax
(843) 797-0271
NPI assigned
May 3, 2007
Last updated
Oct 16, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2007

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

Authorized official

Name
Robert A Marwick, MDNPI 1700852423
Title
Physician
Phone
(843) 797-2721

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 6917 SC Primary

Addresses

Primary practice location

9229 University Blvd
Suite E
North Charleston, SC 29406-9150

Mailing address

9229 University Blvd
Suite E
North Charleston, SC 29406-9150
Phone (843) 797-2721

Other identifiers 1

IdentifierTypeStateIssuer
PA8027MedicaidSC

National Provider Directory

National Provider Directory

Locations

9229 University Blvd
Ste E
North Charleston, SC 29406
Phone (843) 797-2721

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192492800000",
    "number": "1639391980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9229 UNIVERSITY BLVD",
            "address_2": "SUITE E",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069150",
            "telephone_number": "843-797-2721",
            "fax_number": "843-797-0271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9229 UNIVERSITY BLVD",
            "address_2": "SUITE E",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069150",
            "telephone_number": "843-797-2721",
            "fax_number": "843-797-0271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRICOUNTY ENT ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2007-10-16",
        "status": "A",
        "authorized_official_last_name": "MARWICK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "843-797-2721",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "SC",
            "license": "6917",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PA8027",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.