Organization Active NPI

Charlestowne Internal Medicine

  • Specialist
  • Charleston, SC
National Provider Identifier
1689728123
Registry record updated Oct 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
CHARLESTOWNE INTERNAL MEDICINE
Practice address
3531 Mary Ader Ave
Building a
Charleston, SC 29414-5896
Phone
(843) 744-1669
Fax
(843) 769-9971
NPI assigned
Jan 22, 2007
Last updated
Oct 16, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2007

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

Authorized official

Name
Mrs. Beth Postell
Title
Office Manager
Phone
(843) 744-1669

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

3531 Mary Ader Ave
Building a
Charleston, SC 29414-5896

Mailing address

3531 Mary Ader Ave
Building a
Charleston, SC 29414-5896
Phone (843) 744-1669

Other identifiers 1

IdentifierTypeStateIssuer
GP1298MedicaidSC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192492800000",
    "number": "1689728123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3531 MARY ADER AVE",
            "address_2": "BUILDING A",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145896",
            "telephone_number": "843-744-1669",
            "fax_number": "843-769-9971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3531 MARY ADER AVE",
            "address_2": "BUILDING A",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145896",
            "telephone_number": "843-744-1669",
            "fax_number": "843-769-9971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLESTOWNE INTERNAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-10-16",
        "status": "A",
        "authorized_official_last_name": "POSTELL",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "843-744-1669",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP1298",
            "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 Oct 16, 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.