Edisto Orthopaedics, PA

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

EDISTO ORTHOPAEDICS, PA

Practice address

302 Medical Park Dr
Suite 111
Walterboro, SC 29488-5747

Phone

(843) 782-4141

Fax

(843) 549-7967

NPI assigned

Jan 19, 2007

Organization subpart

No

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

Authorized official

Name

Jeffrey A Holman, M.D.NPI 1154309615

Title

Surgeon

Phone

(843) 782-4141

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Jeffrey Holman, M.D.

  • Orthopaedic Surgery Physician
  • Walterboro, SC
  • NPI 1154309615

  Orthopaedic Surgery

  NPD (past) Authorized official
• Hildegard H Holman, M.D.

  • Emergency Medicine Physician
  • Walterboro, SC
  • NPI 1548269442
  NPD (past)

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263945600000",
    "number": "1811040322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 MEDICAL PARK DR",
            "address_2": "SUITE 111",
            "city": "WALTERBORO",
            "state": "SC",
            "postal_code": "294885747",
            "telephone_number": "843-782-4141",
            "fax_number": "843-549-7967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 MEDICAL PARK DR",
            "address_2": "SUITE 111",
            "city": "WALTERBORO",
            "state": "SC",
            "postal_code": "294885747",
            "telephone_number": "843-782-4141",
            "fax_number": "843-549-7967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDISTO ORTHOPAEDICS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2010-01-20",
        "status": "A",
        "authorized_official_last_name": "HOLMAN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SURGEON",
        "authorized_official_telephone_number": "843-782-4141",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP2610",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dva Healthcare Renal Care Inc
• Brandi Tucker Eaton, PA
• Eder Chiropractic Center
• Stuart A Eder, D.C.
• Edisto Multispecialty Associates Inc
• Amanda Lewis Elkins, MA, CCC-SLP
• F M Linder & Son LLC
• Faith Transportation Services, LLC
• Jessica Falk
• Marc Joseph Fawal, M.D.

• All providers in Walterboro, SC
• Orthopaedic Surgery Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.