Palmetto State Surgical Podiatry Associates

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

610 Issued in SC

Legal business name

PALMETTO STATE SURGICAL PODIATRY ASSOCIATES

Practice address

230 Cherokee Rd
Florence, SC 29501-5225

Phone

(843) 790-3338

Fax

(843) 731-9384

NPI assigned

Sep 21, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Misty Lee, DPMNPI 1255503413

Title

Owner

Phone

(843) 773-6246

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC2 enrollments

Enrollment records 2

Locations

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.

• Misty Nicole Lee, DPM

  • Foot & Ankle Surgery Podiatrist
  • Florence, SC
  • NPI 1255503413
  Medicare reassignment NPD Authorized official
• Alan J Block, D.P.M.

  • Podiatrist
  • Florence, SC
  • NPI 1427013093
  Medicare reassignment NPD

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

{
    "created_epoch": "1474416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662681600000",
    "number": "1700335544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 CHEROKEE RD",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295015225",
            "telephone_number": "843-773-6246",
            "fax_number": "843-731-9384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 CHEROKEE RD",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295015225",
            "telephone_number": "843-790-3338",
            "fax_number": "843-731-9384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO STATE SURGICAL PODIATRY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-21",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "MISTY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-773-6246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "SC",
            "license": "610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Palmetto Respiratory & Rehab Inc
• Palmetto Service Company LLC (Palmetto Geriatrics)
• Palmetto Sleep Lab LLC
• Palmetto Smiles of Florence PA
• Palmetto State Staffing Group, LLC
• Palmetto Therapy Group, LLC
• Palmetto Vision Center
• Palmetto Wellness & Injury Center Inc.
• Palmetto Women's Care, LLC
• Gregory Palutsis, MD

• Foot & Ankle Surgery Podiatrist in Florence, SC
• Providers in Florence, SC by specialty
• Foot & Ankle Surgery Podiatrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.