Hartsville Medical Associates LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

32800 Issued in SC

Legal business name

HARTSVILLE MEDICAL ASSOCIATES LLC

Practice address

206 Swift Creek Rd
Hartsville, SC 29550-4383

Phone

(843) 917-4117

NPI assigned

Sep 6, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Luz Yolanda Mendez, MD

Title

Physician

Phone

(646) 683-3793

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1473120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497312000000",
    "number": "1770030926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 247",
            "city": "HARTSVILLE",
            "state": "SC",
            "postal_code": "295510247",
            "telephone_number": "843-917-4117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 SWIFT CREEK RD",
            "city": "HARTSVILLE",
            "state": "SC",
            "postal_code": "295504383",
            "telephone_number": "843-917-4117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARTSVILLE MEDICAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-06",
        "last_updated": "2017-06-13",
        "status": "A",
        "authorized_official_last_name": "MENDEZ",
        "authorized_official_first_name": "LUZ",
        "authorized_official_middle_name": "YOLANDA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "646-683-3793",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "32800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP7551",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER PTAN",
            "identifier": "SC12769293",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1609197623",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Hartsville Imaging Associates LLP
• Hartsville Medical Group LLC
• Hartsville Orthopaedics & Sports Medicine, PA
• Hartsville Physical Therapy & Rehabilitation Center LLC.
• Hartsville Rescue Squad Inc
• Hartsville SC Primary Care LLC (Hartsville Primary Care)

• Family Medicine Physician in Hartsville, SC
• Providers in Hartsville, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2017; 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.