Active NPI
Lancaster Women's Center,P.a.
- Health Service Clinic/Center
- Lancaster, SC
National Provider Identifier
1700830254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- License
- 27304
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP0072 | Medicaid | SC |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Family Nurse Practitioner
- Spartanburg, SC
- NPI 1396799631
-
- Obstetrics & Gynecology Physician
- Dothan, AL
- NPI 1053410993
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
- Lancaster One Medical PA
- Lancaster Physical Therapy LLC.
- Lancaster Radiological Associates PA
- Lancaster Surgical Associates, P.a.
- Lancaster Treatment Specialists, LLC
- Lancaster Youth Leadership & Development Program
- Rachel Virginia Lang, PA-C
- Nicholas Robert Langan, M.D.
- Mark R Langdon, MD
- Amanda Michele Lanthier, APRN
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.