NPIMap

Organization Active NPI

William J Grossman MD PA

Doing business as Charleston Cardiology

  • Specialist
  • Charleston, SC
National Provider Identifier
1659576114
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
6926 Issued in SC
Legal business name
WILLIAM J GROSSMAN MD PA
Doing business as
Charleston Cardiology
Practice address
191 Rutledge Ave
Charleston, SC 29403-5822
Phone
(843) 723-1614
Fax
(843) 727-2980
NPI assigned
Jun 15, 2007
Last updated
Jun 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

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

Authorized official

Name
Dr. William J Grossman, MDNPI 1023068897
Title
Owner
Phone
(843) 723-1614

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
Specialist 174400000X 6926 SC Primary

Addresses

Primary practice location

191 Rutledge Ave
Charleston, SC 29403-5822

Mailing address

191 Rutledge Ave
Charleston, SC 29403-5822
Phone (843) 723-1614

Other identifiers 1

IdentifierTypeStateIssuer
PA2283MedicaidSC

Other names 1

  • Charleston Cardiology Doing business as

National Provider Directory

National Provider Directory

Locations

191 Rutledge Ave
Charleston, SC 29403
Phone (843) 723-1614

Practitioners & affiliated clinicians

Practitioners 3

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": "1181865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1659576114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 RUTLEDGE AVE",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294035822",
            "telephone_number": "843-723-1614",
            "fax_number": "843-727-2980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 RUTLEDGE AVE",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294035822",
            "telephone_number": "843-723-1614",
            "fax_number": "843-727-2980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM J GROSSMAN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-15",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "GROSSMAN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-723-1614",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "SC",
            "license": "6926",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PA2283",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Charleston Cardiology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 12, 2008; 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.