NPIMap

Organization Active NPI

Palmetto Preferred, OB/GYN, LLC

  • Obstetrics & Gynecology Physician
  • Lancaster, SC
National Provider Identifier
1942290036
Registry record updated Aug 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
12398 Issued in SC
Legal business name
PALMETTO PREFERRED, OB/GYN, LLC
Practice address
834 West Meeting Street
Suite B
Lancaster, SC 29720-6261
Phone
(803) 286-4405
Fax
(803) 286-8487
NPI assigned
Oct 28, 2005
Last updated
Aug 6, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2012

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

Authorized official

Name
Mr. Richard E Townsend, MDNPI 1144213919
Title
President/Owner
Phone
(803) 286-4405

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X
Obstetrics & Gynecology Physician 207V00000X 12398 SC Primary

Addresses

Primary practice location

834 West Meeting Street
Suite B
Lancaster, SC 29720-6261

Mailing address

834 West Meeting Street
Suite B
Lancaster, SC 29720-6261
Phone (803) 286-4405

Other identifiers 1

IdentifierTypeStateIssuer
GP2348MedicaidSC

National Provider Directory

National Provider Directory

Locations

834 W Meeting St
Ste B
Lancaster, SC 29720
Phone (803) 286-4405

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1130457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344211200000",
    "number": "1942290036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "834 WEST MEETING STREET",
            "address_2": "SUITE B",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297206261",
            "telephone_number": "803-286-4405",
            "fax_number": "803-286-8487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "834 WEST MEETING STREET",
            "address_2": "SUITE B",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297206261",
            "telephone_number": "803-286-4405",
            "fax_number": "803-286-8487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO PREFERRED, OB/GYN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-28",
        "last_updated": "2012-08-06",
        "status": "A",
        "authorized_official_last_name": "TOWNSEND",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "803-286-4405",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "SC",
            "license": "12398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP2348",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.