Palmetto General Surgery

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

PALMETTO GENERAL SURGERY

Practice address

9213 C University Blvd
N Charleston, SC 29406

Phone

(843) 764-0754

Fax

(843) 572-2653

NPI assigned

Jan 18, 2007

Last updated

Oct 31, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mark D Fiedler

Title

Physician Owner

Phone

(843) 764-0754

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193788800000",
    "number": "1952453847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9213 C UNIVERSITY BLVD",
            "city": "N CHARLESTON",
            "state": "SC",
            "postal_code": "29406",
            "telephone_number": "843-764-0754",
            "fax_number": "843-572-2653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9213 C UNIVERSITY BLVD",
            "city": "N CHARLESTON",
            "state": "SC",
            "postal_code": "29406",
            "telephone_number": "843-764-0754",
            "fax_number": "843-572-2653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO GENERAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-10-31",
        "status": "A",
        "authorized_official_last_name": "FIEDLER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "843-764-0754",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126768",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marisa A Osterman, LPC
• Otto Bock Patient Care, LLC
• Nicole Owens
• John Chadwick Ownbey, PT
• Tracy Michelle Page, DDS
• Palmetto Primary Care Physicians, LLC (CSU Medical Clinic)
• Palmetto Primary Care Physicians, LLC
• Palmetto Primary Care Physicians, LLC
• Palmetto Primary Care Physicians, LLC (Charleston Neurology Associates)
• Holland Anne Palmgren, NP

• Surgery Physician in N Charleston, SC
• Providers in N Charleston, SC by specialty
• Surgery Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; 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.