Organization Active NPI

The Regional Medical Center of Orangeburg and Calhoun Counties

Doing business as SC Orthopaedic Institute

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Orangeburg, SC
National Provider Identifier
1922063858
Registry record updated Mar 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X
License
19837 Issued in SC
Legal business name
THE REGIONAL MEDICAL CENTER OF ORANGEBURG AND CALHOUN COUNTIES
Doing business as
SC Orthopaedic Institute
Practice address
1175 Cook Rd
Suite 215
Orangeburg, SC 29118-8201
Phone
(803) 531-0126
Fax
(803) 536-5122
NPI assigned
Apr 20, 2006
Organization subpart
Yes
Parent organization
THE REGIONAL MEDICAL CENTER OF ORANGEBURG AND CALHOUN COUNTIESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 14, 2016

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

Authorized official

Name
Mrs. Cathy J Soles
Title
Practice Manager
Phone
(803) 531-0126

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Neuromusculoskeletal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 204C00000X 19837 SC Primary
Durable Medical Equipment & Medical Supplies 332B00000X DE2770 SC

Addresses

Primary practice location

1175 Cook Rd
Suite 215
Orangeburg, SC 29118-8201

Mailing address

PO Box 1245
Orangeburg, SC 29116-1245
Phone (803) 395-4497

Other identifiers 2

IdentifierTypeStateIssuer
GP3618MedicaidSC
DE2770OtherSCMEDICAID DME

Other names 1

  • SC Orthopaedic Institute Doing business as

National Provider Directory

National Provider Directory
Part of
TRMC

NPI Registry JSON

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457913600000",
    "number": "1922063858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1245",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291161245",
            "telephone_number": "803-395-4497",
            "fax_number": "803-395-2237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 COOK RD",
            "address_2": "SUITE 215",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291188201",
            "telephone_number": "803-531-0126",
            "fax_number": "803-536-5122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE REGIONAL MEDICAL CENTER OF ORANGEBURG AND CALHOUN COUNTIES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE REGIONAL MEDICAL CENTER OF ORANGEBURG AND CALHOUN COUNTIES",
        "enumeration_date": "2006-04-20",
        "last_updated": "2016-03-14",
        "status": "A",
        "authorized_official_last_name": "SOLES",
        "authorized_official_first_name": "CATHY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "803-531-0126",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "SC",
            "license": "19837",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "SC",
            "license": "DE2770",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3618",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID DME",
            "identifier": "DE2770",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SC Orthopaedic Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orangeburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2016; 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.