Active NPI
Winford Graves Gasperson, CPO
- Specialist
- Charleston, SC
National Provider Identifier
1659565471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 543 Wappoo Rd
Charleston, SC 29407-2223 - Phone
- (843) 225-0809
- Fax
- (843) 278-9185
- NPI assigned
- Sep 5, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
543 Wappoo Rd
Charleston, SC 29407-2223
Mailing address
543 Wappoo Rd
Charleston, SC 29407-2223
Phone (843) 225-0809
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DE3028 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193011200000",
"number": "1659565471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "543 WAPPOO RD",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294072223",
"telephone_number": "843-225-0809",
"fax_number": "843-278-9185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "543 WAPPOO RD",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294072223",
"telephone_number": "843-225-0809",
"fax_number": "843-278-9185"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GASPERSON",
"first_name": "WINFORD",
"middle_name": "GRAVES",
"name_prefix": "Mr.",
"credential": "CPO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-09-05",
"last_updated": "2007-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DE3028",
"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 Oct 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.