NPIMap

Organization Active NPI

Lowcountry Plastic Surgery Center LLC

  • Plastic Surgery Physician
  • Mount Pleasant, SC
National Provider Identifier
1942368279
Registry record updated Jan 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
18370 Issued in SC
Legal business name
LOWCOUNTRY PLASTIC SURGERY CENTER LLC
Practice address
1205 Two Island CT
Suite 203
Mt Pleasant, SC 29466-7406
Phone
(843) 971-2860
Fax
(843) 971-0660
NPI assigned
Dec 6, 2006
Last updated
Jan 8, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2015

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

Authorized official

Name
Ms. Michele Hensel
Title
Office Manager
Phone
(843) 971-2860

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 18370 SC Primary

Addresses

Primary practice location

1205 Two Island CT
Suite 203
Mt Pleasant, SC 29466-7406

Mailing address

1205 Two Island CT
Suite 203
Mt Pleasant, SC 29466-7406
Phone (843) 971-2860

Other identifiers 2

IdentifierTypeStateIssuer
GP3224MedicaidSC
183704MedicaidSC

National Provider Directory

National Provider Directory

Locations

1205 Two Island Ct
Unit 203
Mt Pleasant, SC 29466
Phone (843) 971-2860

Practitioners & affiliated clinicians

Practitioners 4

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": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420675200000",
    "number": "1942368279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 TWO ISLAND CT",
            "address_2": "SUITE 203",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294667406",
            "telephone_number": "843-971-2860",
            "fax_number": "843-971-0660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 TWO ISLAND CT",
            "address_2": "SUITE 203",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294667406",
            "telephone_number": "843-971-2860",
            "fax_number": "843-971-0660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOWCOUNTRY PLASTIC SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2015-01-08",
        "status": "A",
        "authorized_official_last_name": "HENSEL",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "843-971-2860",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "SC",
            "license": "18370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3224",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "183704",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2015; 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.