Active NPI
Dorchester Medical Associates
- Family Medicine Physician
- Summerville, SC
National Provider Identifier
1881768554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP3122 | Medicaid | SC |
National Provider Directory
National Provider DirectoryNPI 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
- Dorchester County Alcohol & Drug Abuse Commission
- Dorchester County Commission on Alcohol and Drug Abuse
- Dorchester County Disabilities and Special Needs Board
- Dorchester County EMS
- Dorchester County Public Health Department
- Dorchester School District Two
- Dorchester Seniors, Inc.
- Caitlyn Dorn
- Lindsey Hannah Douan, RN
- Michelle Doucette, OTD, OTR
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.