Camden General and Vascular Surgery

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

16224 Issued in SC

Legal business name

CAMDEN GENERAL AND VASCULAR SURGERY

Practice address

1001 Fairlawn Dr
Camden, SC 29020-4525

Phone

(803) 432-8989

NPI assigned

Jul 29, 2006

Last updated

Dec 14, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Sharon Austin Knight

Title

Office Manager

Phone

(803) 432-8989

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355443200000",
    "number": "1912912130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 FAIRLAWN DR",
            "city": "CAMDEN",
            "state": "SC",
            "postal_code": "290204525",
            "telephone_number": "803-432-8989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 FAIRLAWN DR",
            "city": "CAMDEN",
            "state": "SC",
            "postal_code": "290204525",
            "telephone_number": "803-432-8989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMDEN GENERAL AND VASCULAR SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-29",
        "last_updated": "2012-12-14",
        "status": "A",
        "authorized_official_last_name": "KNIGHT",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "AUSTIN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "803-432-8989",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "SC",
            "license": "16224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TL9141",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP4285",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Camden Associated Physicians, P.a.
• Camden Bone & Joint LLC
• Camden Clinic of Chiropractic, LLC
• Camden Family Care LLC
• Camden Foot Clinic
• Camden Heart Care, LLC
• Camden Open MRI
• Camden Oral Surgery & Implant Center
• Camden Pediatric Dentistry, LLC (Camden Pediatric Dentistry and Orthodontics)
• Camden Radiology Associates, LLC

• Cardiovascular Disease Physician in Camden, SC
• Providers in Camden, SC by specialty
• Cardiovascular Disease Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.