Individual provider Active NPI

Donald McQueen III, MD

  • Orthopaedic Surgery Physician
  • Rock Hill, SC
National Provider Identifier
1902889322
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
15544 Issued in NC
Practice address
134 Professional Park Dr
Rock Hill, SC 29732-1178
Phone
(803) 329-3130
NPI assigned
Nov 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 10858 SC
Orthopaedic Surgery Physician 207X00000X 15544 NC Primary

Addresses

Primary practice location

134 Professional Park Dr
Rock Hill, SC 29732-1178

Mailing address

PO Box 19305
Charlotte, NC 28219-9305

Other practice location 1

10660 Park Rd
Ste 3100
Charlotte, NC 28210-8413
Phone (704) 667-8750

Other practice location 2

1201 Colonial Commons Ct
Lancaster, SC 29720-2210
Phone (803) 286-8443

Other practice location 3

1690 Highway 160 W
Fort Mill, SC 29708-8024
Phone (803) 548-2424

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Ambulatory@direct.carolinashealthcare.org Atrium Health

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
15544NCMDOrthopaedic Surgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1902889322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19305",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282199305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 PROFESSIONAL PARK DR",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321178",
            "telephone_number": "803-329-3130"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10660 Park Rd",
            "address_2": "Ste 3100",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282108413",
            "country_code": "US",
            "telephone_number": "704-667-8750",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1201 Colonial Commons Ct",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "SC",
            "postal_code": "297202210",
            "country_code": "US",
            "telephone_number": "803-286-8443",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1690 Highway 160 W",
            "address_purpose": "LOCATION",
            "city": "Fort Mill",
            "state": "SC",
            "postal_code": "297088024",
            "country_code": "US",
            "telephone_number": "803-548-2424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCQUEEN",
        "first_name": "DONALD",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-21",
        "last_updated": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "SC",
            "license": "10858",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NC",
            "license": "15544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Ambulatory@direct.carolinashealthcare.org",
            "affiliation": "Y",
            "affiliationName": "Atrium Health",
            "address_1": "134 Professional Park Dr",
            "city": "Rock Hill",
            "state": "SC",
            "country_code": "US",
            "postal_code": "297321178",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; 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.