NPIMap

Organization Active NPI

Midlands Orthopaedics and Neurosurgery, PA

  • Durable Medical Equipment & Medical Supplies
  • Irmo, SC
National Provider Identifier
1760674055
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MIDLANDS ORTHOPAEDICS AND NEUROSURGERY, PA
Practice address
1013 Lake Murray Blvd.
Irmo, SC 29063
Phone
(803) 256-4107
Fax
(803) 933-6337
NPI assigned
Aug 10, 2007
Last updated
May 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Authorized official

Name
Ann Margaret McCraw
Title
Ceo
Phone
(803) 256-4107

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X SC Primary

Addresses

Primary practice location

1013 Lake Murray Blvd.
Irmo, SC 29063

Mailing address

1910 Blanding Street
Columbia, SC 29201
Phone (803) 256-4107

Other identifiers 1

IdentifierTypeStateIssuer
0266040004OtherSCNSC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930061725 SC DME Supplier - Multi-Specialty - Physician 8628963287 1 other NPI on this enrollment
Practice locations: Irmo, SC

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Midlands Orthopaedics and Neurosurgery PA13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

Member organizations 13

Organizations listed as members of this organization in the National Provider Directory.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1186704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715040000000",
    "number": "1760674055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 BLANDING STREET",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29201",
            "telephone_number": "803-256-4107",
            "fax_number": "803-254-2825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 LAKE MURRAY BLVD.",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "29063",
            "telephone_number": "803-256-4107",
            "fax_number": "803-933-6337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDLANDS ORTHOPAEDICS AND NEUROSURGERY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-10",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A",
        "authorized_official_last_name": "MCCRAW",
        "authorized_official_first_name": "ANN MARGARET",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "803-256-4107"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NSC",
            "identifier": "0266040004",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irmo, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; 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.