Active NPI
Harbor Town Pulmonary, LLC
- Specialist
- Charleston, SC
National Provider Identifier
1649222589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 13794
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. James Ball, M.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP3875 | Medicaid | SC |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Specialist
- Charleston, SC
- NPI 1235199092
-
- Pulmonary Disease Physician
- Meridian, ID
- NPI 1588649412
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.