Organization Active NPI

Laurel Endocrine Thyroid Specialist Inc

  • Endocrinology, Diabetes & Metabolism Physician
  • Columbia, SC
National Provider Identifier
1922051879
Registry record updated Oct 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
12610 Issued in SC
Legal business name
LAUREL ENDOCRINE THYROID SPECIALIST INC
Practice address
1740 Saint Julian PL
Columbia, SC 29204-2410
Phone
(803) 256-3534
Fax
(803) 254-7032
NPI assigned
May 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2022

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

Authorized official

Name
Laura M Laboone, MDNPI 1932364767
Title
Physician
Phone
(803) 256-3534

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RE0101X 12610 SC Primary

Addresses

Primary practice location

1740 Saint Julian PL
Columbia, SC 29204-2410

Mailing address

PO Box 5307
Columbia, SC 29250-5307
Phone (803) 256-3534

Other identifiers 2

IdentifierTypeStateIssuer
GP0426MedicaidSC
1922088483OtherSCDR. HORST'S NPI #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040528000191 SC Part B Supplier - Clinic/Group Practice 4789665316 Receives reassigned benefits from 6 practitioners
Practice locations: Columbia, SC

National Provider Directory

National Provider Directory

Locations

2750 Laurel St
Ste 206
Columbia, SC 29204
Phone (800) 922-8515

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666828800000",
    "number": "1922051879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5307",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292505307",
            "telephone_number": "803-256-3534",
            "fax_number": "803-254-7031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 SAINT JULIAN PL",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292042410",
            "telephone_number": "803-256-3534",
            "fax_number": "803-254-7032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREL ENDOCRINE THYROID SPECIALIST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A",
        "authorized_official_last_name": "LABOONE",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "803-256-3534",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "SC",
            "license": "12610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP0426",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. HORST'S NPI #",
            "identifier": "1922088483",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.