Active NPI
Sentinel Health Partners, PA
- Optometrist
- Camden, SC
National Provider Identifier
1689879264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- SENTINEL HEALTH PARTNERS, PA
- Practice address
- 615 Laurens St
Camden, SC 29020-3523 - Phone
- (803) 432-9874
- Fax
- (803) 432-8441
- NPI assigned
- Jun 15, 2007
- 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
- Mr. James C. McAlpine Jr., MD
- Title
- Ceo
- Phone
- (803) 438-1806
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
615 Laurens St
Camden, SC 29020-3523
Mailing address
PO Box 1259
Camden, SC 29021-1259
Phone (803) 713-8350
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DA9733 | Medicaid | SC |
National Provider Directory
National Provider Directory- Tax ID family
- Sentinel Health Partner
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Family Medicine Physician
- Camden, SC
- NPI 1033196282
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181865600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1192060800000",
"number": "1689879264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1259",
"city": "CAMDEN",
"state": "SC",
"postal_code": "290211259",
"telephone_number": "803-713-8350",
"fax_number": "803-713-8433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 LAURENS ST",
"city": "CAMDEN",
"state": "SC",
"postal_code": "290203523",
"telephone_number": "803-432-9874",
"fax_number": "803-432-8441"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SENTINEL HEALTH PARTNERS, PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-15",
"last_updated": "2007-10-11",
"status": "A",
"authorized_official_last_name": "MCALPINE",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "C.",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "803-438-1806",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DA9733",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Camden, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.