St Lukes Family Practice

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

15938 Issued in SC

Legal business name

ST LUKES FAMILY PRACTICE

Practice address

1435 Stuart Engals Blvd
Mt Pleasant, SC 29464-3305

Phone

(843) 884-9796

Fax

(843) 856-5207

NPI assigned

Nov 28, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Gina Pappas

Title

Administrator

Phone

(843) 884-9796

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Theodore M Pappas, M.D.

  • Family Medicine Physician
  • Charleston, SC
  • NPI 1629086004
  NPD

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

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279065600000",
    "number": "1932381308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1435 STUART ENGALS BLVD",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294643305",
            "telephone_number": "843-884-9796",
            "fax_number": "843-856-5207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1435 STUART ENGALS BLVD",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294643305",
            "telephone_number": "843-884-9796",
            "fax_number": "843-856-5207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST LUKES FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-28",
        "last_updated": "2010-07-14",
        "status": "A",
        "authorized_official_last_name": "PAPPAS",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "843-884-9796",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "SC",
            "license": "15938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sports Medicine & Orthopaedic Centers, LLC
• Kaitlyn Spring
• Stacy Springer, OTR/L
• Jacob Michael Sprouse, PHARM.D.
• Jennifer Spychalski
• Anne Elizabeth St. John, PT, DPT
• Susan Adkins Stabene, FNP
• Sam Stafford III, MD
• Johnna Stahl, MS,SLP
• Ann J Stamper, RPH

• Primary Care Clinic/Center in Mt Pleasant, SC
• Providers in Mt Pleasant, SC by specialty
• Primary Care Clinic/Center in South Carolina

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