Organization Active NPI

Midlands Urological Specialists

  • Urology Physician
  • West Columbia, SC
National Provider Identifier
1912237074
Registry record updated Jan 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
MIDLANDS UROLOGICAL SPECIALISTS
Practice address
139 Summerplace Dr
West Columbia, SC 29169-3058
Phone
(803) 796-9968
Fax
(803) 753-9105
NPI assigned
Jan 12, 2010
Last updated
Jan 12, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2010

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

Authorized official

Name
Ms. Barbara M Watson, CMM
Title
Practice Administrator
Phone
(803) 796-9968

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

139 Summerplace Dr
West Columbia, SC 29169-3058

Mailing address

139 Summerplace Dr
West Columbia, SC 29169-3058
Phone (803) 796-9968

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1263254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263254400000",
    "number": "1912237074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 SUMMERPLACE DR",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291693058",
            "telephone_number": "803-796-9968",
            "fax_number": "803-753-9105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 SUMMERPLACE DR",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291693058",
            "telephone_number": "803-796-9968",
            "fax_number": "803-753-9105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDLANDS UROLOGICAL SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-12",
        "last_updated": "2010-01-12",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "803-796-9968",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CMM"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2010; 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.