Organization Active NPI

Lancaster Women's Center,P.a.

  • Health Service Clinic/Center
  • Lancaster, SC
National Provider Identifier
1700830254
Registry record updated Mar 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
27304 Issued in SC
Legal business name
LANCASTER WOMEN'S CENTER,P.A.
Practice address
1370 W Meeting St
Lancaster, SC 29720-2222
Phone
(803) 286-6922
Fax
(803) 286-4878
NPI assigned
May 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2015

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

Authorized official

Name
Dr. Douglas L. Tiedt, MD
Title
President
Phone
(803) 286-6922

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 27304 SC Primary

Addresses

Primary practice location

1370 W Meeting St
Lancaster, SC 29720-2222

Mailing address

PO Box 1897
Lancaster, SC 29721-1897
Phone (803) 286-6922

Other identifiers 1

IdentifierTypeStateIssuer
GP0072MedicaidSC

National Provider Directory

National Provider Directory

Locations

1370 W Meeting St
Lancaster, SC 29720
Phone (803) 286-6997

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426464000000",
    "number": "1700830254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1897",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297211897",
            "telephone_number": "803-286-6922",
            "fax_number": "803-286-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 W MEETING ST",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297202222",
            "telephone_number": "803-286-6922",
            "fax_number": "803-286-4878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANCASTER WOMEN'S CENTER,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2015-03-16",
        "status": "A",
        "authorized_official_last_name": "TIEDT",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-286-6922",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "SC",
            "license": "27304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP0072",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2015; 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.