NPIMap

Organization Active NPI

Sumter Medical Consultants

  • Cardiovascular Disease Physician
  • Sumter, SC
National Provider Identifier
1649201658
Registry record updated Feb 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
7862 Issued in SC
Legal business name
SUMTER MEDICAL CONSULTANTS
Practice address
540 Physicians LN
Sumter, SC 29150-3370
Phone
(803) 778-1941
Fax
(803) 938-9513
NPI assigned
Jul 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2008

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

Authorized official

Name
Dr. William Strat Stavrou, M.D.
Title
Secretary
Phone
(803) 778-1941

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X 7862 SC Primary
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X 8318 SC
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X 9195 SC

Addresses

Primary practice location

540 Physicians LN
Sumter, SC 29150-3370

Mailing address

540 Physicians LN
Sumter, SC 29150-3370
Phone (803) 778-1941

Other identifiers 2

IdentifierTypeStateIssuer
MPA974MedicaidSC
C30400OtherSCRAILROAD MEDICARE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202342400000",
    "number": "1649201658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 PHYSICIANS LN",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291503370",
            "telephone_number": "803-778-1941",
            "fax_number": "803-938-9513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 PHYSICIANS LN",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291503370",
            "telephone_number": "803-778-1941",
            "fax_number": "803-938-9513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMTER MEDICAL CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2008-02-07",
        "status": "A",
        "authorized_official_last_name": "STAVROU",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "STRAT",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "803-778-1941",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "SC",
            "license": "7862",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "SC",
            "license": "8318",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "SC",
            "license": "9195",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MPA974",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "C30400",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sumter, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2008; 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.