Neurology Neurosurgery Clinic, P.a.

Key facts

NPI

1760417141

Entity type

Organization (NPI type 2)

Primary specialty

Neurological Surgery Physician 207T00000X

Legal business name

NEUROLOGY NEUROSURGERY CLINIC, P.A.

Practice address

125 Doughty St
Suite 570
Charleston, SC 29403-5744

Phone

(843) 723-8967

Fax

(843) 577-6093

NPI assigned

Jul 12, 2006

Organization subpart

No

Authorized official

Name

Ward Curtis Worthington, M.D.

Title

Partner

Phone

(843) 723-8967

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Adele Petigru Moore, F.N.P. Family Nurse Practitioner · Charleston, SC · NPI 1588819205
  NPD (past)

National Provider Directory

Locations

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 3, 2010.

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267574400000",
    "number": "1760417141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 DOUGHTY ST",
            "address_2": "SUITE 570",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294035744",
            "telephone_number": "843-723-8967",
            "fax_number": "843-577-6093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 DOUGHTY ST",
            "address_2": "SUITE 570",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294035744",
            "telephone_number": "843-723-8967",
            "fax_number": "843-577-6093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGY NEUROSURGERY CLINIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2010-03-03",
        "status": "A",
        "authorized_official_last_name": "WORTHINGTON",
        "authorized_official_first_name": "WARD",
        "authorized_official_middle_name": "CURTIS",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "843-723-8967",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PC0717",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

• Jennings Elliott Nestor, MD
• Network Neurology, LLC
• Martha J Netzler, D.M.D.
• Robert Neuner, D.D.S.
• Bonnie Mechelle Neunsinger, RRT
• Neurosciences MRI, LLC
• Neurosoul LLC
• Don Dawsey Neuroth Sr., RPH
• Brad Wesley Neville, D.D.S.
• Julie H Neville, PA

All providers in Charleston, SC · Neurological Surgery Physician in South Carolina