Individual provider Active NPI

Laurie Ann Kearse, M.D.

  • Family Medicine Physician
  • Mt Pleasant, SC
National Provider Identifier
1750423224
Registry record updated Apr 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
16136 Issued in SC
Practice address
1300 Hospital Dr Ste 310
Mt Pleasant, SC 29464-3217
Phone
(843) 737-6030
Fax
(843) 207-2289
NPI assigned
Feb 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 16136 SC Primary

Addresses

Primary practice location

1300 Hospital Dr Ste 310
Mt Pleasant, SC 29464-3217

Mailing address

PO Box 8159
Mobile, AL 36689-0159
Phone (843) 737-6030

Other identifiers 1

IdentifierTypeStateIssuer
16136OtherSCMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367280000000",
    "number": "1750423224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8159",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366890159",
            "telephone_number": "843-737-6030",
            "fax_number": "843-207-2289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 HOSPITAL DR STE 310",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294643217",
            "telephone_number": "843-737-6030",
            "fax_number": "843-207-2289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEARSE",
        "first_name": "LAURIE",
        "middle_name": "ANN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2013-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "16136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "16136",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2013; 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.