NPIMap

Organization Active NPI

Moore Orthopaedic Clinic, P.a.

  • Orthopaedic Surgery Physician
  • Columbia, SC
National Provider Identifier
1730296310
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
MOORE ORTHOPAEDIC CLINIC, P.A.
Practice address
The Plex
741 Fashion Drive
Columbia, SC 29229
Phone
(803) 227-8005
NPI assigned
Aug 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Sean McNally
Title
Ceo
Phone
(803) 227-8152

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

The Plex
741 Fashion Drive
Columbia, SC 29229

Mailing address

PO Box 843384
Boston, MA 02284-3384
Phone (803) 227-8000

Other identifiers 3

IdentifierTypeStateIssuer
DM0194OtherSCMEDICAID DME PROVIDER #
PA0686MedicaidSC
0497990001OtherSCMEDICARE DMERC PROVIDER #

National Provider Directory

National Provider Directory
Tax ID family
Moore Orthopaedic Clinic5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

741 Fashion Dr
Columbia, SC 29229
Phone (803) 227-8005

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730296310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 843384",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022843384",
            "telephone_number": "803-227-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "THE PLEX",
            "address_2": "741 FASHION DRIVE",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29229",
            "telephone_number": "803-227-8005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOORE ORTHOPAEDIC CLINIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCNALLY",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "803-227-8152",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID DME PROVIDER #",
            "identifier": "DM0194",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PA0686",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DMERC PROVIDER #",
            "identifier": "0497990001",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.