NPIMap

Organization Active NPI

Palmetto Health Alliance

Doing business as Palmetto Bone and Joint Surgery

  • Durable Medical Equipment & Medical Supplies
  • Easley, SC
National Provider Identifier
1780870667
Registry record updated Sep 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PALMETTO HEALTH ALLIANCE
Doing business as
Palmetto Bone and Joint Surgery
Practice address
112 John St
Suite 103
Easley, SC 29640-1472
Phone
(864) 855-5104
Fax
(864) 859-9362
NPI assigned
Sep 24, 2007
Last updated
Sep 24, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2007

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

Authorized official

Name
Kendall J Durham
Title
Manager-Financial Services Rep
Phone
(864) 855-5104

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary
Orthopaedic Surgery Physician 207X00000X 23481 SC

Addresses

Primary practice location

112 John St
Suite 103
Easley, SC 29640-1472

Mailing address

PO Box 2089
Easley, SC 29641-2089
Phone (864) 855-5104

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGOtherSCMEDICARE DME

Other names 1

  • Palmetto Bone and Joint Surgery Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Northeast Family Practi105 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

112 John St
Ste 103
Easley, SC 29640
Phone (864) 442-8000

NPI Registry JSON

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190592000000",
    "number": "1780870667",
    "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": "864-855-5104",
            "fax_number": "864-859-9362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 JOHN ST",
            "address_2": "SUITE 103",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296401472",
            "telephone_number": "864-855-5104",
            "fax_number": "864-859-9362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO HEALTH ALLIANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-24",
        "last_updated": "2007-09-24",
        "status": "A",
        "authorized_official_last_name": "DURHAM",
        "authorized_official_first_name": "KENDALL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGER-FINANCIAL SERVICES REP",
        "authorized_official_telephone_number": "864-855-5104"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "SC",
            "license": "23481",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DME",
            "identifier": "PENDING",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palmetto Bone and Joint Surgery",
            "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 Sep 24, 2007; 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.