Organization Active NPI

Carolina Cardiovascular Associates PA

  • Cardiovascular Disease Physician
  • Lexington, SC
National Provider Identifier
1851343065
Registry record updated Oct 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
CAROLINA CARDIOVASCULAR ASSOCIATES PA
Practice address
108 Palmetto Park Blvd
Ste D
Lexington, SC 29072-7968
Phone
(803) 356-0949
Fax
(803) 356-1795
NPI assigned
May 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2007

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

Authorized official

Name
Dr. Robert M Amory, D.O.
Title
President
Phone
(803) 356-0949

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

108 Palmetto Park Blvd
Ste D
Lexington, SC 29072-7968

Mailing address

108 Palmetto Park Blvd
Ste D
Lexington, SC 29072-7968
Phone (803) 356-0949

Other identifiers 2

IdentifierTypeStateIssuer
GP2564MedicaidSC
DF4147OtherSCRR MEDICARE

National Provider Directory

National Provider Directory

Locations

108 Palmetto Park Blvd
Ste D
Lexington, SC 29072
Phone (803) 356-0949

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193702400000",
    "number": "1851343065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 PALMETTO PARK BLVD",
            "address_2": "STE D",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290727968",
            "telephone_number": "803-356-0949",
            "fax_number": "803-356-1795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 PALMETTO PARK BLVD",
            "address_2": "STE D",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290727968",
            "telephone_number": "803-356-0949",
            "fax_number": "803-356-1795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA CARDIOVASCULAR ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2007-10-30",
        "status": "A",
        "authorized_official_last_name": "AMORY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-356-0949",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP2564",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DF4147",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; 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.