Active NPI
A Doctor on Call
- Primary Care Clinic/Center
- Isle of Palms, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 131146SC
- Legal business name
- A DOCTOR ON CALL
- Practice address
- 1202 Palm Blvd
Isle of Palms, SC 29451-2296 - Phone
- (843) 886-4402
- Fax
- (843) 886-4430
- NPI assigned
- May 9, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kathleen R Malaney, M.D.
- Title
- Corporate Officer
- Phone
- (843) 886-4402
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 131146SC | SC | Primary |
Addresses
Primary practice location
1202 Palm Blvd
Isle of Palms, SC 29451-2296
Mailing address
1202 Palm Blvd
Isle of Palms, SC 29451-2296
Phone (843) 886-4402
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 131146 | Medicaid | SC |
Other names 1
- Kathy R Malaney
National Provider Directory
National Provider DirectoryLocations
1202 Palm Blvd
Isle of Palms, SC 29451
Phone (843) 886-4402
1202 Palm Blvd
Ste A
Isle of Palms, SC 29451
Phone (843) 270-7092
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Family Medicine Physician
- Isle of Palms, SC
- NPI 1780682195
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1952515132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1202 PALM BLVD",
"city": "ISLE OF PALMS",
"state": "SC",
"postal_code": "294512296",
"telephone_number": "843-886-4402",
"fax_number": "843-886-4430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1202 PALM BLVD",
"city": "ISLE OF PALMS",
"state": "SC",
"postal_code": "294512296",
"telephone_number": "843-886-4402",
"fax_number": "843-886-4430"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "A DOCTOR ON CALL",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-09",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MALANEY",
"authorized_official_first_name": "KATHLEEN",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "CORPORATE OFFICER",
"authorized_official_telephone_number": "843-886-4402",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "SC",
"license": "131146SC",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "131146",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Kathy R Malaney",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Isle of Palms, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.