Active NPI
Charleston Plastic Surgery
- Plastic and Reconstructive Surgery Physician
- Charleston, SC
National Provider Identifier
1689601189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- Legal business name
- CHARLESTON PLASTIC SURGERY
- Practice address
- 261 Calhoun St
Suite 200
Charleston, SC 29401-1371 - Phone
- (843) 722-1985
- NPI assigned
- Jun 28, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Linda Crosby
- Title
- Office Manager
- Phone
- (843) 722-1985
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | Primary |
Addresses
Primary practice location
261 Calhoun St
Suite 200
Charleston, SC 29401-1371
Mailing address
261 Calhoun St
Suite 200
Charleston, SC 29401-1371
Phone (843) 722-1985
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA6840 | Medicaid | SC |
National Provider Directory
National Provider DirectoryLocations
2295 Henry Tecklenburg Dr
Charleston, SC 29414
261 Calhoun St
Ste 200
Charleston, SC 29401
Phone (843) 722-1985
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Plastic and Reconstructive Surgery Physician
- Charleston, SC
- NPI 1790716488
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1689601189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "261 CALHOUN ST",
"address_2": "SUITE 200",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294011371",
"telephone_number": "843-722-1985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "261 CALHOUN ST",
"address_2": "SUITE 200",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294011371",
"telephone_number": "843-722-1985"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHARLESTON PLASTIC SURGERY",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-28",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CROSBY",
"authorized_official_first_name": "LINDA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "843-722-1985"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PA6840",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, SC
- Charleston Physical Medicine LLC
- Charleston Physical Therapy on-Site Partners, LLC
- Charleston Physical Therapy Practice PA
- Charleston Physicians for Women
- Charleston Physicians for Women, PLLC
- Charleston Podiatry PA
- Charleston Primary
- Charleston Psychiatric Associates, PA
- Charleston Psychiatry
- Charleston Psychodynamics LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.