Individual provider Active NPI

Christopher L PO, MD

  • Nephrology Physician
  • Loris, SC
National Provider Identifier
1679665608
Registry record updated Feb 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
18741 Issued in SC
Practice address
3617 Casey St
Suite C
Loris, SC 29569-2981
Phone
(843) 716-7163
Fax
(843) 716-7918
NPI assigned
Sep 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 18741 SC
Nephrology Physician 207RN0300X 18741 SC Primary

Addresses

Primary practice location

3617 Casey St
Suite C
Loris, SC 29569-2981

Mailing address

PO Box 3239
Florence, SC 29502-3239
Phone (843) 756-7885

Other identifiers 1

IdentifierTypeStateIssuer
GP0042MedicaidSC

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address christopher.po@mpaii.eclinicaldirectplus.com Direct
Direct Messaging Address christopher.po@mpaii.eclinicaldirectplus.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100525000800 SC Practitioner - Internal MedicinePractitioner - Nephrology 4688703994 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLeod Physician Associates IIGroup PAC ID 8224031307, 541 clinicians

Practice addresses (Care Compare)

3112 Casey St
Loris, SC 29569-2808
Phone (843) 716-8940

Hospital & facility affiliations

  • FMC Loris Dialysis Center Dialysis facility, Loris, SC, CCN 422535
  • McLeod Loris Hospital Hospital, Loris, SC, CCN 420105
  • Loris Rehab And Nursing Center, LLC Nursing home, Loris, SC, CCN 425086

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
18741SCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McLeod Physician Associates II Internal Medicine CurrentSince Jan 1, 2012 Accepting new patients
McLeod Loris Seacoast Hospital CurrentSince Jun 1, 2013 Accepting new patients
Southern Medical Associates, P.a. Current Accepting new patients
McLeod Loris Seacoast Hospital CurrentSince Jun 1, 2013 Accepting new patients
McLeod Physician Associates II CurrentSince Jan 1, 2012 Accepting new patients
McLeod Physician Associates II Past Accepting new patients

Locations

800 E Cheves St
Ste 480A
Florence, SC 29506
Phone (843) 777-7337

800 E Cheves St
Ste 240
Florence, SC 29506
Phone (843) 777-7950

3655 Mitchell St
Loris, SC 29569
Phone (843) 716-7000

3109 Casey St
Loris, SC 29569
Phone (843) 756-7090

3617 Casey St
Ste C
Loris, SC 29569
Phone (843) 716-7911

3418 Casey St
Loris, SC 29569
Phone (843) 716-7911

Interoperability endpoints

  • Direct secure messaging: cpo48771@directmcleodehealth.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613347200000",
    "number": "1679665608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3239",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295023239",
            "telephone_number": "843-756-7885",
            "fax_number": "843-756-7855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3617 CASEY ST",
            "address_2": "SUITE C",
            "city": "LORIS",
            "state": "SC",
            "postal_code": "295692981",
            "telephone_number": "843-716-7163",
            "fax_number": "843-716-7918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PO",
        "first_name": "CHRISTOPHER",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2021-02-15",
        "certification_date": "2021-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "18741",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "SC",
            "license": "18741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP0042",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "christopher.po@mpaii.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "ECW DA",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EHR",
            "address_1": "3617 Casey St",
            "address_2": "Suite C",
            "city": "Loris",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295692981",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "christopher.po@mpaii.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "ECW DA",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EHR",
            "address_1": "3617 Casey St",
            "address_2": "Suite C",
            "city": "Loris",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295692981",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Loris, SC

Sources for this page

Verify at the official NPI Registry.