NPIMap

Organization Active NPI

Palmetto Orthopaedic and Sports Medicine Center, LLC

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Sumter, SC
National Provider Identifier
1881604114
Registry record updated May 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X
License
4919 Issued in SC
Legal business name
PALMETTO ORTHOPAEDIC AND SPORTS MEDICINE CENTER, LLC
Practice address
595 W Wesmark Blvd
Sumter, SC 29150-1969
Phone
(803) 469-4028
Fax
(803) 469-2663
NPI assigned
Aug 9, 2006
Last updated
May 1, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2018

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

Authorized official

Name
Karoline K Kirven, DO
Title
Office Manger
Phone
(803) 469-4028

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Neuromusculoskeletal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 204C00000X 4919 SC Primary

Addresses

Primary practice location

595 W Wesmark Blvd
Sumter, SC 29150-1969

Mailing address

595 W Wesmark Blvd
Sumter, SC 29150-1969
Phone (803) 469-4028

National Provider Directory

National Provider Directory

Locations

595 W Wesmark Blvd
Sumter, SC 29150
Phone (803) 469-4028

Practitioners & affiliated clinicians

Practitioners 6

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": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525132800000",
    "number": "1881604114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 W WESMARK BLVD",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291501969",
            "telephone_number": "803-469-4028",
            "fax_number": "803-469-2663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 W WESMARK BLVD",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291501969",
            "telephone_number": "803-469-4028",
            "fax_number": "803-469-2663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO ORTHOPAEDIC AND SPORTS MEDICINE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2018-05-01",
        "status": "A",
        "authorized_official_last_name": "KIRVEN",
        "authorized_official_first_name": "KAROLINE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OFFICE MANGER",
        "authorized_official_telephone_number": "803-469-4028",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "SC",
            "license": "4919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sumter, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2018; 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.