Organization Active NPI

Harbor Town Pulmonary, LLC

  • Specialist
  • Charleston, SC
National Provider Identifier
1649222589
Registry record updated Nov 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
13794 Issued in SC
Legal business name
HARBOR TOWN PULMONARY, LLC
Practice address
12-A Farmfield Ave
Charleston, SC 29407-7755
Phone
(843) 573-2255
Fax
(843) 573-2291
NPI assigned
May 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2011

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

Authorized official

Name
Dr. James Ball, M.D.NPI 1235199092
Title
Owner
Phone
(843) 573-2255

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 13794 SC Primary

Addresses

Primary practice location

12-A Farmfield Ave
Charleston, SC 29407-7755

Mailing address

12-A Farmfield Ave
Charleston, SC 29407-7755
Phone (843) 573-2255

Other identifiers 1

IdentifierTypeStateIssuer
GP3875MedicaidSC

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, 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": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321833600000",
    "number": "1649222589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12-A FARMFIELD AVE",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294077755",
            "telephone_number": "843-573-2255",
            "fax_number": "843-573-2291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12-A FARMFIELD AVE",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294077755",
            "telephone_number": "843-573-2255",
            "fax_number": "843-573-2291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOR TOWN PULMONARY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2011-11-21",
        "status": "A",
        "authorized_official_last_name": "BALL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-573-2255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "SC",
            "license": "13794",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3875",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2011; 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.