Organization Active NPI

Santee Cooper OB/GYN

  • Advanced Practice Midwife
  • Kingstree, SC
National Provider Identifier
1679761266
Registry record updated Oct 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
APRN3221 Issued in SC
Legal business name
SANTEE COOPER OB/GYN
Practice address
402 Nelson Blvd
Suite 100
Kingstree, SC 29556-4058
Phone
(843) 355-5401
NPI assigned
Oct 9, 2007
Last updated
Oct 9, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
SANTEE COOPER OB/GYNAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 9, 2007

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

Authorized official

Name
Cindy McWhite
Title
Practice Manager
Phone
(803) 433-7262

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X APRN3221 SC Primary

Addresses

Primary practice location

402 Nelson Blvd
Suite 100
Kingstree, SC 29556-4058

Mailing address

402 Nelson Blvd
Suite 100
Kingstree, SC 29556-4058
Phone (843) 355-5401

Other identifiers 1

IdentifierTypeStateIssuer
GP4314MedicaidSC

National Provider Directory

National Provider Directory
Part of
Santee Cooper OB GYN Assoc PA

Locations

402 Nelson Blvd
Ste 100
Kingstree, SC 29556
Phone (843) 355-5353

Practitioners & affiliated clinicians

Practitioners 1

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": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191888000000",
    "number": "1679761266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 NELSON BLVD",
            "address_2": "SUITE 100",
            "city": "KINGSTREE",
            "state": "SC",
            "postal_code": "295564058",
            "telephone_number": "843-355-5401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 NELSON BLVD",
            "address_2": "SUITE 100",
            "city": "KINGSTREE",
            "state": "SC",
            "postal_code": "295564058",
            "telephone_number": "843-355-5401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTEE COOPER OB/GYN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SANTEE COOPER OB/GYN",
        "enumeration_date": "2007-10-09",
        "last_updated": "2007-10-09",
        "status": "A",
        "authorized_official_last_name": "MCWHITE",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "803-433-7262"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "SC",
            "license": "APRN3221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP4314",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingstree, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.

Verify at the official NPI Registry.