Active NPI
Scotland Memorial Hospital
Doing business as Marlboro OB GYN
- Obstetrics & Gynecology Physician
- Bennettsville, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 36237
- Legal business name
- SCOTLAND MEMORIAL HOSPITAL
- Doing business as
- Marlboro OB GYN
- Practice address
- 1007 Cheraw Highway
Bennettsville, SC 29512 - Phone
- (243) 479-8357
- Fax
- (843) 479-8347
- NPI assigned
- Apr 29, 2008
- Last updated
- Sep 22, 2022
- 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
- Lucien Stonge
- Title
- Cfo
- Phone
- (910) 291-7547
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 36237 | NC | Primary |
Addresses
Primary practice location
1007 Cheraw Highway
Bennettsville, SC 29512
Mailing address
PO Box 604093
Charlotte, NC 28260-4093
Phone (910) 291-7000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP4887 | Medicaid | SC |
Other names 1
- MARLBORO OB GYN
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080304000638 | SC | Part B Supplier - Clinic/Group Practice | 0648208504 |
Receives reassigned benefits from 27 practitioners 3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Bennettsville, SC |
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Marlboro Family Practice and Urgent Care
- Rural Health Clinic/Center
- Bennettsville, SC
- NPI 1770577611
O20080304000638
-
dba Marlboro Surgical Associates
- Surgery Physician
- Bennettsville, SC
- NPI 1598143620
O20080304000638
-
dba Women's health Center of the Carolinas
- Obstetrics & Gynecology Physician
- Laurinburg, NC
- NPI 1992184543
O20080304000638
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Obstetrics & Gynecology Physician
- Lumberton, NC
- NPI 1821101999
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209427200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1663804800000",
"number": "1891960852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 604093",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282604093",
"telephone_number": "910-291-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1007 CHERAW HIGHWAY",
"city": "BENNETTSVILLE",
"state": "SC",
"postal_code": "29512",
"telephone_number": "243-479-8357",
"fax_number": "843-479-8347"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SCOTLAND MEMORIAL HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-29",
"last_updated": "2022-09-22",
"certification_date": "2022-09-22",
"status": "A",
"authorized_official_last_name": "STONGE",
"authorized_official_first_name": "LUCIEN",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "910-291-7547"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NC",
"license": "36237",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP4887",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "MARLBORO OB GYN",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "MARLBORO OB GYN",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bennettsville, SC
- Marissa Lauyans Sanches, PHARMD
- Bianca Michelle Sanchez, RN
- Gilberto Sanchez Jr., FNP
- SC Department of Juvenile Justice
- SC Dept. of Mental Health
- Scotland Memorial Hospital Inc (Scotland Pharmacy - Bennettsville)
- Scotland Memorial Hospital Inc (Marlboro Family Practice and Urgent Care)
- Scotland Memorial Hospital, Inc. (Marlboro Surgical Associates)
- Scotland Orthopedics, PA
- Scotland Regional Health Network (Scotland Surgical and GI Associates)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.