Active NPI
Donald McQueen III, MD
- Orthopaedic Surgery Physician
- Rock Hill, SC
National Provider Identifier
1902889322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 15544
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 15544 | NC | MD | Orthopaedic 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.