Active NPI
Carolina Musculoskeletal Institute PA
- Non-Pharmacy Dispensing Site
- Aiken, SC
National Provider Identifier
1902162803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-Pharmacy Dispensing Site
- Legal business name
- CAROLINA MUSCULOSKELETAL INSTITUTE PA
- Practice address
- 721 Richland Ave W
Ste 100
Aiken, SC 29801-2438 - Phone
- (803) 644-4264
- NPI assigned
- Apr 4, 2012
- Organization subpart
- Yes
- Parent organization
- CAROLINA MUSCULOSKELETAL INSTITUTE PA
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mackie J. Walker Jr., DPM
- Title
- Owner
- Phone
- (803) 644-4264
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-Pharmacy Dispensing Site | 332900000X | Primary |
Addresses
Primary practice location
721 Richland Ave W
Ste 100
Aiken, SC 29801-2438
Mailing address
2980 N Beverly Glen Cir
Suite 301
Los Angeles, CA 90077-1726
Phone (310) 474-9809
National Provider Directory
National Provider Directory- Part of
- Carolina Orthopedic Ass
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Interventional Pain Medicine Physician
- Aiken, SC
- NPI 1518943364
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333497600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1333497600000",
"number": "1902162803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2980 N BEVERLY GLEN CIR",
"address_2": "SUITE 301",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900771726",
"telephone_number": "310-474-9809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "721 RICHLAND AVE W",
"address_2": "STE 100",
"city": "AIKEN",
"state": "SC",
"postal_code": "298012438",
"telephone_number": "803-644-4264"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAROLINA MUSCULOSKELETAL INSTITUTE PA",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CAROLINA MUSCULOSKELETAL INSTITUTE PA",
"enumeration_date": "2012-04-04",
"last_updated": "2012-04-04",
"status": "A",
"authorized_official_last_name": "WALKER",
"authorized_official_first_name": "MACKIE",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "803-644-4264",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "332900000X",
"taxonomy_group": "",
"desc": "Non-Pharmacy Dispensing Site",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aiken, SC
- Carlisle M Vereen III DMD PA
- Carlyle Senior Care of Aiken, LLC
- Chan Carman, LPC
- Carolina Geriatric, LLC
- Carolina Musculoskeletal Institute PA
- Carolina Nuclear Group, LLC
- Carolina Orthopedics LLC
- Carolina Otolaryngology Institute
- Carolina Pain Management Center
- Carolina Podiatric Medical Associates, P.a.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.