Organization Active NPI

Charleston Plastic Surgery

  • Plastic and Reconstructive Surgery Physician
  • Charleston, SC
National Provider Identifier
1689601189
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
PA6840MedicaidSC

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.