Organization Active NPI

Dorchester Medical Associates

  • Family Medicine Physician
  • Summerville, SC
National Provider Identifier
1881768554
Registry record updated Nov 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
DORCHESTER MEDICAL ASSOCIATES
Practice address
299 Midland Pkwy # a
Summerville, SC 29485-8104
Phone
(843) 875-7901
Fax
(843) 832-2038
NPI assigned
Nov 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2017

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

Authorized official

Name
Christine Anderson
Title
Office Manager
Phone
(843) 875-7901

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

299 Midland Pkwy # a
Summerville, SC 29485-8104

Mailing address

299 Midland Pkwy # a
Summerville, SC 29485-8104
Phone (843) 875-7901

Other identifiers 1

IdentifierTypeStateIssuer
GP3122MedicaidSC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510099200000",
    "number": "1881768554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 MIDLAND PKWY # A",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294858104",
            "telephone_number": "843-875-7901",
            "fax_number": "843-832-2038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 MIDLAND PKWY # A",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294858104",
            "telephone_number": "843-875-7901",
            "fax_number": "843-832-2038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DORCHESTER MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2017-11-08",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "843-875-7901"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3122",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2017; 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.