Organization Active NPI

Lowcountry Surgical Associates, PA

  • Specialist
  • Walterboro, SC
National Provider Identifier
1821277815
Registry record updated May 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
20022 Issued in SC
Legal business name
LOWCOUNTRY SURGICAL ASSOCIATES, PA
Practice address
901 Robertson Blvd
Walterboro, SC 29488-3171
Phone
(843) 549-8003
Fax
(843) 549-8006
NPI assigned
Oct 26, 2007
Last updated
May 10, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2011

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

Authorized official

Name
Linda K Henderson
Title
Office Manager
Phone
(843) 549-8003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 20022 SC Primary

Addresses

Primary practice location

901 Robertson Blvd
Walterboro, SC 29488-3171

Mailing address

901 Robertson Blvd
Walterboro, SC 29488-3171
Phone (843) 549-8003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080512000486 SC Part B Supplier - Clinic/Group Practice 3274612536 Receives reassigned benefits from 1 practitioner
Practice locations: Walterboro, SC

National Provider Directory

National Provider Directory

Locations

901 Robertson Blvd
Walterboro, SC 29488
Phone (843) 549-6729

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BFEEAA

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1193356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304985600000",
    "number": "1821277815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 ROBERTSON BLVD",
            "city": "WALTERBORO",
            "state": "SC",
            "postal_code": "294883171",
            "telephone_number": "843-549-8003",
            "fax_number": "843-549-8006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 ROBERTSON BLVD",
            "city": "WALTERBORO",
            "state": "SC",
            "postal_code": "294883171",
            "telephone_number": "843-549-8003",
            "fax_number": "843-549-8006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOWCOUNTRY SURGICAL ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-26",
        "last_updated": "2011-05-10",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "843-549-8003"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "SC",
            "license": "20022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walterboro, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.