Active NPI
Palmetto Health
- Orthopaedic Surgery Physician
- Lexington, SC
National Provider Identifier
1750767950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- PALMETTO HEALTH
- Practice address
- 104 Saluda Pointe Dr
Lexington, SC 29072-7295 - Phone
- (803) 296-9200
- Fax
- (803) 296-9697
- NPI assigned
- Aug 11, 2015
- Organization subpart
- Yes
- Parent organization
- PALMETTO HEALTH
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Darrell C Coven
- Title
- Director, Bus Finance
- Phone
- (803) 296-7301
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | SC | Primary | |
| Orthopaedic Hand Surgery Physician | 207XS0106X | SC | ||
| Orthopaedic Foot and Ankle Surgery Physician | 207XX0004X | SC |
Addresses
Primary practice location
104 Saluda Pointe Dr
Lexington, SC 29072-7295
Mailing address
PO Box 848932
Boston, MA 02284-8932
Phone (803) 296-7303
Other names 1
- Palmetto Health Orthopedics
National Provider Directory
National Provider Directory- Part of
- Markowitz and Associates
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439251200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1475193600000",
"number": "1750767950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 848932",
"city": "BOSTON",
"state": "MA",
"postal_code": "022848932",
"telephone_number": "803-296-7303",
"fax_number": "803-296-7330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 SALUDA POINTE DR",
"city": "LEXINGTON",
"state": "SC",
"postal_code": "290727295",
"telephone_number": "803-296-9200",
"fax_number": "803-296-9697"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PALMETTO HEALTH",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PALMETTO HEALTH",
"enumeration_date": "2015-08-11",
"last_updated": "2016-09-30",
"status": "A",
"authorized_official_last_name": "COVEN",
"authorized_official_first_name": "DARRELL",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "DIRECTOR, BUS FINANCE",
"authorized_official_telephone_number": "803-296-7301",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "SC",
"license": null,
"primary": true
},
{
"code": "207XS0106X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": "SC",
"license": null,
"primary": false
},
{
"code": "207XX0004X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
"state": "SC",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Palmetto Health Orthopedics",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Lexington, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.