Organization Active NPI

Carolina Musculoskeletal Institute PA

  • Non-Pharmacy Dispensing Site
  • Aiken, SC
National Provider Identifier
1902162803
Registry record updated Apr 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
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 PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 4, 2012

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)CodeLicenseStatePrimary
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.

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

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.

Verify at the official NPI Registry.