Organization Active NPI

Medcare Urgent Care Center - Anderson LLC

  • Urgent Care Clinic/Center
  • Anderson, SC
National Provider Identifier
1689004095
Registry record updated Dec 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
MEDCARE URGENT CARE CENTER - ANDERSON LLC
Practice address
801 N Fant St
Anderson, SC 29621-5707
Phone
(843) 793-6093
NPI assigned
Nov 21, 2013
Last updated
Dec 9, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2013

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

Authorized official

Name
Dr. Joseph Pawlik, MD
Title
Director
Phone
(843) 793-6093

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X NU Primary

Addresses

Primary practice location

801 N Fant St
Anderson, SC 29621-5707

Mailing address

1850 Sam Rittenberg Blvd
Charleston, SC 29407-4936
Phone (843) 793-6093

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070523000200 SC Part B Supplier - Clinic/Group Practice 7618074899 Receives reassigned benefits from 168 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: West Columbia, SC; Summerville, SC; Spartanburg, SC; Pawleys Island, SC; North Myrtle Beach, SC; North Charleston, SC; Mt Pleasant, SC; Columbia, SC…

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

1850 Sam Rittenberg Blvd
#1C
Charleston, SC 29407

6120 White Horse Rd
Greenville, SC 29611
Phone (864) 315-1915

2863 N Highway 17
Mt Pleasant, SC 29466
Phone (843) 469-6803

8720 Dorchester Rd
North Charleston, SC 29420
Phone (843) 552-3629

Practitioners & affiliated clinicians

Practitioners 164

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.

View all 164

NPI Registry JSON

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

{
    "created_epoch": "1384992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386547200000",
    "number": "1689004095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 SAM RITTENBERG BLVD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294074936",
            "telephone_number": "843-793-6093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N FANT ST",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296215707",
            "telephone_number": "843-793-6093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDCARE URGENT CARE CENTER - ANDERSON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-21",
        "last_updated": "2013-12-09",
        "status": "A",
        "authorized_official_last_name": "PAWLIK",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "843-793-6093",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.