Organization Active NPI

Panda Healthcare LLC

  • Durable Medical Equipment & Medical Supplies
  • Fountain Inn, SC
National Provider Identifier
1881930659
Registry record updated Dec 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PANDA HEALTHCARE LLC
Practice address
10 Jack Casey CT
Suite E
Fountain Inn, SC 29644-9000
Phone
(864) 862-0517
NPI assigned
Dec 21, 2012
Last updated
Dec 21, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2012

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

Authorized official

Name
Kevin Murdock
Title
President
Phone
(864) 862-0517

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

10 Jack Casey CT
Suite E
Fountain Inn, SC 29644-9000

Mailing address

10 Jack Casey CT
Suite E
Fountain Inn, SC 29644-9000

National Provider Directory

National Provider Directory

Locations

10 Jack Casey Ct
Ste E
Fountain Inn, SC 29644
Phone (864) 862-0517

NPI Registry JSON

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

{
    "created_epoch": "1356048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356048000000",
    "number": "1881930659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 JACK CASEY CT",
            "address_2": "SUITE E",
            "city": "FOUNTAIN INN",
            "state": "SC",
            "postal_code": "296449000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 JACK CASEY CT",
            "address_2": "SUITE E",
            "city": "FOUNTAIN INN",
            "state": "SC",
            "postal_code": "296449000",
            "telephone_number": "864-862-0517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANDA HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-21",
        "last_updated": "2012-12-21",
        "status": "A",
        "authorized_official_last_name": "MURDOCK",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "864-862-0517"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Inn, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2012; 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.