NPIMap

Organization Active NPI

Medical University of South Carolina

  • General Acute Care Hospital
  • Charleston, SC
National Provider Identifier
1780714907
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
APN114 Issued in SC
Legal business name
MEDICAL UNIVERSITY OF SOUTH CAROLINA
Practice address
96 Jonathan Lucas St
CSB 816
Charleston, SC 29425-8900
Phone
(843) 792-2529
Fax
(843) 792-4114
NPI assigned
Mar 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Lee Allen Erbe, FNP-BC
Title
Nurse Practitioner
Phone
(843) 792-3862

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X APN114 SC Primary

Addresses

Primary practice location

96 Jonathan Lucas St
CSB 816
Charleston, SC 29425-8900

Mailing address

96 Jonathan Lucas St
CSB 816, P.O.Box 250624
Charleston, SC 29425-8900
Phone (843) 792-2529

Other identifiers 1

IdentifierTypeStateIssuer
2488OtherSCBILLING NUMBER

National Provider Directory

National Provider Directory
Tax ID family
Medical University of South13 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.

Locations

96 Jonathan Lucas St
#816
Charleston, SC 29425
Phone (843) 792-2529

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780714907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 JONATHAN LUCAS ST",
            "address_2": "CSB 816, P.O.BOX 250624",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294258900",
            "telephone_number": "843-792-2529",
            "fax_number": "843-792-4114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 JONATHAN LUCAS ST",
            "address_2": "CSB 816",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294258900",
            "telephone_number": "843-792-2529",
            "fax_number": "843-792-4114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL UNIVERSITY OF SOUTH CAROLINA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ERBE",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "843-792-3862",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "SC",
            "license": "APN114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BILLING NUMBER",
            "identifier": "2488",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.