PMC Physician Network, LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

PMC PHYSICIAN NETWORK, LLC

Doing business as

Piedmont West Urgent Care Center

Practice address

1190 Filbert Hwy
Suite 110
York, SC 29745-9324

Phone

(803) 628-0004

Fax

(803) 628-6004

NPI assigned

Mar 20, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Michael Kyle Burtnett

Title

SVP of Outpatient Services, Tenet

Phone

(469) 893-2902

Specialties & licenses 1

Addresses

Other names 1

• Piedmont West Urgent Care Center Doing business as

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

{
    "created_epoch": "1426809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466640000000",
    "number": "1699169300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 743361",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303743361",
            "telephone_number": "803-628-0004",
            "fax_number": "803-628-6004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 FILBERT HWY",
            "address_2": "SUITE 110",
            "city": "YORK",
            "state": "SC",
            "postal_code": "297459324",
            "telephone_number": "803-628-0004",
            "fax_number": "803-628-6004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PMC PHYSICIAN NETWORK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-20",
        "last_updated": "2016-06-23",
        "status": "A",
        "authorized_official_last_name": "BURTNETT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "KYLE",
        "authorized_official_title_or_position": "SVP OF OUTPATIENT SERVICES, TENET",
        "authorized_official_telephone_number": "469-893-2902",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Piedmont West Urgent Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Piedmont Physician Network LLC
• Katherine Piscatelli, DPT, ATC
• Taylor Addison Plummer-Fox
• PMC Physician Network, L.L.C.
• PMC Physician Network, L.L.C.
• Jacob Alexander Pope, DPT
• Deanna Pounder
• Ethan Powell, PTA
• Kenya Powell
• Premier Clinics of York

• Urgent Care Clinic/Center in York, SC
• Providers in York, SC by specialty
• Urgent Care Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2016; 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.