Organization Active NPI

Hilton Head Laparoscopic and General Surgery PA

  • Specialist
  • Hilton Head, SC
National Provider Identifier
1750339669
Registry record updated Feb 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
HILTON HEAD LAPAROSCOPIC AND GENERAL SURGERY PA
Practice address
25 Hospital Center Common
Suite 100
Hilton Head, SC 29926-2841
Phone
(843) 681-9489
NPI assigned
May 4, 2006
Last updated
Feb 1, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2010

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

Authorized official

Name
Richard HussongNPI 1568410553
Title
Treasurer
Phone
(843) 681-9489

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

25 Hospital Center Common
Suite 100
Hilton Head, SC 29926-2841

Mailing address

25 Hospital Center Common
Suite 100
Hilton Head, SC 29926-2841

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041011000082 SC Part B Supplier - Clinic/Group Practice 5698734036 Receives reassigned benefits from 3 practitioners
Practice locations: Hilton Head Island, SC

National Provider Directory

National Provider Directory

Locations

25 Hospital Center Blvd
#10
Hilton Head Island, SC 29926
Phone (843) 681-9489

25 Hospital Center Cmns
Ste 100
Hilton Head Island, SC 29926
Phone (843) 681-9489

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264982400000",
    "number": "1750339669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 HOSPITAL CENTER COMMON",
            "address_2": "SUITE 100",
            "city": "HILTON HEAD",
            "state": "SC",
            "postal_code": "299262841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 HOSPITAL CENTER COMMON",
            "address_2": "SUITE 100",
            "city": "HILTON HEAD",
            "state": "SC",
            "postal_code": "299262841",
            "telephone_number": "843-681-9489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILTON HEAD LAPAROSCOPIC AND GENERAL SURGERY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2010-02-01",
        "status": "A",
        "authorized_official_last_name": "HUSSONG",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "843-681-9489"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilton Head, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2010; 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.