Organization Active NPI

Parkside Womens Centre, LLC

  • Ph.D. Medical Genetics
  • Aiken, SC
National Provider Identifier
1790865087
Registry record updated Oct 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ph.D. Medical GeneticsTaxonomy code 170100000X
Legal business name
PARKSIDE WOMENS CENTRE, LLC
Practice address
1518 Two Notch Rd SE
Aiken, SC 29803-5551
Phone
(803) 649-7746
Fax
(803) 649-7730
NPI assigned
Oct 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2010

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

Authorized official

Name
Mrs. Judith L B Hoover, M.D.
Title
Physician
Phone
(803) 649-7746

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ph.D. Medical GeneticsGroup: 193400000X SINGLE SPECIALTY GROUP 170100000X SC Primary

Addresses

Primary practice location

1518 Two Notch Rd SE
Aiken, SC 29803-5551

Mailing address

PO Box 5669
Aiken, SC 29804-5669
Phone (803) 649-7746

Other identifiers 1

IdentifierTypeStateIssuer
GP3641MedicaidSC

National Provider Directory

National Provider Directory

Locations

1518 Two Notch Rd SE
Aiken, SC 29803
Phone (803) 649-7746

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288224000000",
    "number": "1790865087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5669",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298045669",
            "telephone_number": "803-649-7746",
            "fax_number": "803-649-7730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1518 TWO NOTCH RD SE",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298035551",
            "telephone_number": "803-649-7746",
            "fax_number": "803-649-7730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKSIDE WOMENS CENTRE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2010-10-28",
        "status": "A",
        "authorized_official_last_name": "HOOVER",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "L B",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "803-649-7746",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "170100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Medical Genetics, Ph.D. Medical Genetics",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3641",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiken, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2010; 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.