The Methodist Oaks

Primary specialty

PACE Provider OrganizationTaxonomy code 251T00000X

Legal business name

THE METHODIST OAKS

Practice address

153 Founders CT
Orangeburg, SC 29118-2087

Phone

(803) 268-5300

Fax

(803) 268-5302

NPI assigned

Jul 24, 2012

Organization subpart

Yes

Parent organization

THE METHODIST OAKSAs reported in NPPES

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

Authorized official

Name

Mr. Scott Ewing

Title

Coo

Phone

(803) 534-1212

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Oaks PACE Doing business as

Tax ID family

The Methodist Oaks2 organizations share this tax ID, including this one

Part of

The Methodist Oaks

Other organizations with this tax ID 1

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

• The Methodist Oaks

  • Home Health Agency
  • Orangeburg, SC
  • NPI 1174795942
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• The Methodist Oaks

  • Skilled Nursing Facility
  • Orangeburg, SC
  • NPI 1619907730
  NPPES parent name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cheri Franklin Goodman, MD

  • Internal Medicine Physician
  • Orangeburg, SC
  • NPI 1841259884
  NPD (past)
• Felicia Shavetta Smith

  • Family Nurse Practitioner
  • Orangeburg, SC
  • NPI 1043003858
  NPD (past)

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

{
    "created_epoch": "1343088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343088000000",
    "number": "1679829949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 FOUNDERS CT",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291182087",
            "telephone_number": "803-268-5300",
            "fax_number": "803-268-5302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 FOUNDERS CT",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291182087",
            "telephone_number": "803-268-5300",
            "fax_number": "803-268-5302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE METHODIST OAKS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE METHODIST OAKS",
        "enumeration_date": "2012-07-24",
        "last_updated": "2012-07-24",
        "status": "A",
        "authorized_official_last_name": "EWING",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "803-534-1212",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMS CONTRACT NUMBER",
            "identifier": "H0105",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Oaks PACE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• The Clinicians Clinic at the Veil LLC
• The Couch Co. LLC
• The Hearing Center Inc
• The Methodist Oaks
• The Methodist Oaks
• The Oaks Healthcare LLC
• The Orangeburg Adult Daycare,Inc
• The P Building Pharmacy at the Veil
• The Pediatric Clinic, P.a.
• The Regional Medical Center

• PACE Provider Organization in Orangeburg, SC
• Providers in Orangeburg, SC by specialty
• PACE Provider Organization in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2012; 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.