Organization Active NPI

Seasons OB-GYN LLC

  • Obstetrics & Gynecology Physician
  • North Charleston, SC
National Provider Identifier
1821055252
Registry record updated Sep 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
SEASONS OB-GYN LLC
Practice address
9279 Medical Plaza Dr Ste a
North Charleston, SC 29406-9141
Phone
(843) 569-2900
Fax
(843) 569-7752
NPI assigned
Apr 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2014

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

Authorized official

Name
Ms. Taffy W Baker
Title
Financial Counselor / CPC
Phone
(843) 569-2900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

9279 Medical Plaza Dr Ste a
North Charleston, SC 29406-9141

Mailing address

9279 Medical Plaza Dr Ste a
North Charleston, SC 29406-9141
Phone (843) 569-2900

Other identifiers 1

IdentifierTypeStateIssuer
GP2041MedicaidSC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411516800000",
    "number": "1821055252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9279 MEDICAL PLAZA DR STE A",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069141",
            "telephone_number": "843-569-2900",
            "fax_number": "843-569-7752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9279 MEDICAL PLAZA DR STE A",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069141",
            "telephone_number": "843-569-2900",
            "fax_number": "843-569-7752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEASONS OB-GYN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-28",
        "last_updated": "2014-09-24",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "TAFFY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "FINANCIAL COUNSELOR / CPC",
        "authorized_official_telephone_number": "843-569-2900",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP2041",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2014; 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.