NPIMap

Organization Active NPI

Cannon Memorial Hospital

  • Orthopaedic Surgery Physician
  • Easley, SC
National Provider Identifier
1679738199
Registry record updated Jan 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
CANNON MEMORIAL HOSPITAL
Practice address
115 Brushy Creek Rd
Easley, SC 29642-1120
Phone
(864) 855-1633
NPI assigned
Jul 24, 2008
Organization subpart
Yes
Parent organization
CANNON MEMORIAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 21, 2009

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

Authorized official

Name
Mr. Norman G Rentz
Title
Ceo
Phone
(864) 878-4791

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X SC Primary

Addresses

Primary practice location

115 Brushy Creek Rd
Easley, SC 29642-1120

Mailing address

PO Box 919
Pickens, SC 29671-0919
Phone (864) 897-8286

Other names 1

  • Cannon Orthopedics - Divina Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cannon Memorial Hospital13 organizations share this tax ID, including this one
Part of
Cannon Memorial Hospital

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1216857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232496000000",
    "number": "1679738199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 919",
            "city": "PICKENS",
            "state": "SC",
            "postal_code": "296710919",
            "telephone_number": "864-897-8286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 BRUSHY CREEK RD",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296421120",
            "telephone_number": "864-855-1633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANNON MEMORIAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CANNON MEMORIAL HOSPITAL",
        "enumeration_date": "2008-07-24",
        "last_updated": "2009-01-21",
        "status": "A",
        "authorized_official_last_name": "RENTZ",
        "authorized_official_first_name": "NORMAN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "864-878-4791",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cannon Orthopedics - Divina",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Easley, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.