Active NPI
Palmetto Health
- Gynecology Physician
- Easley, SC
National Provider Identifier
1831330786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 8415
- Legal business name
- PALMETTO HEALTH
- Practice address
- 112 John St
Su. 201
Easley, SC 29640-1472 - Phone
- (864) 855-2737
- Fax
- (864) 855-2221
- NPI assigned
- Mar 23, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John M Warren Jr., M.D.
- Title
- Physician
- Phone
- (864) 855-2737
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 8415 | SC | Primary |
Addresses
Primary practice location
112 John St
Su. 201
Easley, SC 29640-1472
Mailing address
112 John St
Su. 201
Easley, SC 29640-1472
Phone (864) 855-2737
Other names 1
- EASLEY OB-GYN ASSOCIATES
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237766400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1239580800000",
"number": "1831330786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 JOHN ST",
"address_2": "SU. 201",
"city": "EASLEY",
"state": "SC",
"postal_code": "296401472",
"telephone_number": "864-855-2737",
"fax_number": "864-855-2221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 JOHN ST",
"address_2": "SU. 201",
"city": "EASLEY",
"state": "SC",
"postal_code": "296401472",
"telephone_number": "864-855-2737",
"fax_number": "864-855-2221"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PALMETTO HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2009-03-23",
"last_updated": "2009-04-13",
"status": "A",
"authorized_official_last_name": "WARREN",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "864-855-2737",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "SC",
"license": "8415",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "EASLEY OB-GYN ASSOCIATES",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Easley, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.