Carolina Surg Assoc PA

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

SC6699 Issued in SC

Legal business name

CAROLINA SURG ASSOC PA

Practice address

9326 Medical Plaza Dr
Ste D
Charleston, SC 29406-9138

Phone

(843) 797-5353

Fax

(843) 797-6496

NPI assigned

Jun 22, 2006

Last updated

Nov 9, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael S Sabback, MDNPI 1124055298

Title

President

Phone

(843) 797-5353

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Michael S Sabback, MD

  • Surgery Physician
  • Charleston, SC
  • NPI 1124055298
  Authorized official Same address or phone

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194566400000",
    "number": "1689610982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9326 MEDICAL PLAZA DR",
            "address_2": "STE D",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294069138",
            "telephone_number": "843-797-5353",
            "fax_number": "843-797-6496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9326 MEDICAL PLAZA DR",
            "address_2": "STE D",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294069138",
            "telephone_number": "843-797-5353",
            "fax_number": "843-797-6496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA SURG ASSOC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2007-11-09",
        "status": "A",
        "authorized_official_last_name": "SABBACK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-797-5353",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "SC",
            "license": "SC6699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PA1658",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolina Orthopedic & Pain, LLC (Schuster Gerald D Single Member)
• Carolina Orthotics and Prosthetics LLC
• Carolina Orthotics and Prosthetics of Myrtle Beach LLC
• Carolina Preventive Medicine Assoc Inc
• Carolina Spine and Sport
• Carolina Youth Services
• Laura Howard Carpenter, MA, BCBA
• Laura M Carpenter, PHD
• Megan Carpenter, RBT
• Stephanie Hamlin Carpentier, MD

• Surgery Physician in Charleston, SC
• Providers in Charleston, SC by specialty
• Surgery Physician in South Carolina

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