Organization Active NPI

Florence Internal Medicine Associates

  • Internal Medicine Physician
  • Florence, SC
National Provider Identifier
1649389511
Registry record updated Jul 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
04470 Issued in SC
Legal business name
FLORENCE INTERNAL MEDICINE ASSOCIATES
Practice address
2145A Hoffmeyer Rd
Florence, SC 29501-4015
Phone
(843) 665-2246
Fax
(843) 665-2288
NPI assigned
Aug 30, 2006
Last updated
Jul 29, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2009

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

Authorized official

Name
W. Freeman Parker Jr., MD
Title
MD
Phone
(843) 665-2246

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 04470 SC Primary

Addresses

Primary practice location

2145A Hoffmeyer Rd
Florence, SC 29501-4015

Mailing address

2145A Hoffmeyer Rd
Florence, SC 29501-4015
Phone (843) 665-2246

Other identifiers 3

IdentifierTypeStateIssuer
044703MedicaidSC
247467331OtherSCBCBS
CM5066OtherSCRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

2145A Hoffmeyer Rd
Florence, SC 29501
Phone (843) 665-2246

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248825600000",
    "number": "1649389511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2145A HOFFMEYER RD",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295014015",
            "telephone_number": "843-665-2246",
            "fax_number": "843-665-2288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2145A HOFFMEYER RD",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295014015",
            "telephone_number": "843-665-2246",
            "fax_number": "843-665-2288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORENCE INTERNAL MEDICINE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2009-07-29",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "W.",
        "authorized_official_middle_name": "FREEMAN",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "843-665-2246",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "04470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "044703",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "247467331",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CM5066",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2009; 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.