Organization Active NPI

Midlands Surgical Associates

  • Surgery Physician
  • Columbia, SC
National Provider Identifier
1649478108
Registry record updated Feb 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
78011 Issued in SC
Legal business name
MIDLANDS SURGICAL ASSOCIATES
Practice address
2719 Middleburg Dr
Suite 206
Columbia, SC 29204-2414
Phone
(803) 254-0814
NPI assigned
Jul 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2015

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

Authorized official

Name
Nohemi Poyner
Title
Office Manager
Phone
(803) 254-0814

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 78011 SC Primary

Addresses

Primary practice location

2719 Middleburg Dr
Suite 206
Columbia, SC 29204-2414

Mailing address

2719 Middleburg Dr
Suite 206
Columbia, SC 29204-2414
Phone (803) 254-0814

National Provider Directory

National Provider Directory

Locations

2719 Middleburg Dr
Ste 206
Columbia, SC 29204
Phone (803) 254-0814

NPI Registry JSON

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

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424995200000",
    "number": "1649478108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2719 MIDDLEBURG DR",
            "address_2": "SUITE 206",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292042414",
            "telephone_number": "803-254-0814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2719 MIDDLEBURG DR",
            "address_2": "SUITE 206",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292042414",
            "telephone_number": "803-254-0814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDLANDS SURGICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-06",
        "last_updated": "2015-02-27",
        "status": "A",
        "authorized_official_last_name": "POYNER",
        "authorized_official_first_name": "NOHEMI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "803-254-0814"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "SC",
            "license": "78011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2015; 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.