Organization Active NPI

Baptist Easley

Doing business as Upstate Bone and Joint

  • Orthopaedic Surgery Physician
  • Easley, SC
National Provider Identifier
1770715419
Registry record updated Aug 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
BAPTIST EASLEY
Doing business as
Upstate Bone and Joint
Practice address
112John St Suite 201
Easley, SC 29640-1405
Phone
(864) 442-7557
Fax
(864) 442-7579
NPI assigned
Aug 13, 2009
Last updated
Aug 23, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
BAPTIST EASLEYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 23, 2011

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

Authorized official

Name
James Larry Pope
Title
Vice President of Finance
Phone
(864) 442-7610

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X SC Primary

Addresses

Primary practice location

112John St Suite 201
Easley, SC 29640-1405

Mailing address

PO Box 2089
Easley, SC 29641-2089
Phone (846) 422-7557

Other identifiers 2

IdentifierTypeStateIssuer
DP6711OtherSCRAILROAD
GP5245MedicaidSC

Other names 1

  • Upstate Bone and Joint Doing business as

National Provider Directory

National Provider Directory
Part of
Baptist Easley

Locations

112 John St
Ste 201
Easley, SC 29640
Phone (864) 850-2663

NPI Registry JSON

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

{
    "created_epoch": "1250121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314057600000",
    "number": "1770715419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2089",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296412089",
            "telephone_number": "846-422-7557",
            "fax_number": "864-442-7579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112JOHN ST SUITE 201",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296401405",
            "telephone_number": "864-442-7557",
            "fax_number": "864-442-7579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAPTIST EASLEY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BAPTIST EASLEY",
        "enumeration_date": "2009-08-13",
        "last_updated": "2011-08-23",
        "status": "A",
        "authorized_official_last_name": "POPE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "LARRY",
        "authorized_official_title_or_position": "VICE PRESIDENT OF FINANCE",
        "authorized_official_telephone_number": "864-442-7610"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "DP6711",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP5245",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Upstate Bone and Joint",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Easley, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2011; 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.