Active NPI
Cancer Specialists of Charleston, PA
- Surgical Oncology Physician
- Charleston, SC
National Provider Identifier
1790739134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Oncology Physician
- License
- 14892
- Legal business name
- CANCER SPECIALISTS OF CHARLESTON, PA
- Practice address
- 1930 Charlie Hall Blvd
Charleston, SC 29414-5837 - Phone
- (843) 556-0036
- Fax
- (843) 556-3844
- NPI assigned
- May 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Carol Lane
- Title
- Practice Manager
- Phone
- (843) 556-0036
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Oncology Physician | 2086X0206X | 14892 | SC | Primary |
Addresses
Primary practice location
1930 Charlie Hall Blvd
Charleston, SC 29414-5837
Mailing address
1930 Charlie Hall Blvd
Charleston, SC 29414-5837
Phone (843) 556-0036
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP4298 | Medicaid | SC |
National Provider Directory
National Provider DirectoryLocations
1521 Jarret Pl
Bronx, NY 10461
Phone (718) 239-8733
1930 Charlie Hall Blvd
Charleston, SC 29414
Phone (803) 767-4465
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Charleston, SC
- NPI 1306817200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148083200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1189382400000",
"number": "1790739134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1930 CHARLIE HALL BLVD",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294145837",
"telephone_number": "843-556-0036",
"fax_number": "843-556-3844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1930 CHARLIE HALL BLVD",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294145837",
"telephone_number": "843-556-0036",
"fax_number": "843-556-3844"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CANCER SPECIALISTS OF CHARLESTON, PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-20",
"last_updated": "2007-09-10",
"status": "A",
"authorized_official_last_name": "LANE",
"authorized_official_first_name": "CAROL",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "843-556-0036",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "2086X0206X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Surgical Oncology",
"state": "SC",
"license": "14892",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP4298",
"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 Sep 10, 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.