Okatie Surgical Partners, LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

OKATIE SURGICAL PARTNERS, LLC

Practice address

40 Okatie Center Blvd S
Suite 100
Okatie, SC 29909-7507

Phone

(843) 705-8888

Fax

(843) 705-7024

NPI assigned

Jan 23, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Michael Kyle Burtnett

Title

SVP of Outpatient Services, Tenet

Phone

(469) 893-2153

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1232668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466035200000",
    "number": "1821236290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 405820",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303845820",
            "telephone_number": "843-705-8888",
            "fax_number": "843-705-7024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 OKATIE CENTER BLVD S",
            "address_2": "SUITE 100",
            "city": "OKATIE",
            "state": "SC",
            "postal_code": "299097507",
            "telephone_number": "843-705-8888",
            "fax_number": "843-705-7024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKATIE SURGICAL PARTNERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-23",
        "last_updated": "2016-06-16",
        "status": "A",
        "authorized_official_last_name": "BURTNETT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "KYLE",
        "authorized_official_title_or_position": "SVP OF OUTPATIENT SERVICES, TENET",
        "authorized_official_telephone_number": "469-893-2153",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP5163",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• National Healthcare Corporation
• Nephrology and Hypertension Medical Associates PC
• Shacola J Nieves, MSN
• Kathleen Elizabeth Nikoukary
• Mikhail Novikov, M.D.
• Angela Olsen, FNP
• Anna Owens
• Taylor Boyd Owens, PA-C
• Donna Pagano, MSPT
• Tammy Sue Page

• Surgery Physician in Okatie, SC
• Providers in Okatie, SC by specialty
• Surgery Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2016; 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.