Organization Active NPI

M.O. Khan, MD.,PA.

  • Ambulatory Surgical Clinic/Center
  • Barnwell, SC
National Provider Identifier
1952576399
Registry record updated Apr 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
8422 Issued in SC
Legal business name
M.O. KHAN, MD.,PA.
Practice address
55 Irving St
Barnwell, SC 29812-1535
Phone
(803) 259-5150
Fax
(803) 259-9078
NPI assigned
Apr 28, 2008
Last updated
Apr 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2008

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

Authorized official

Name
M. O. Khan, M.D.NPI 1942241948
Title
Owner
Phone
(803) 259-5150

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)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 8422 SC Primary

Addresses

Primary practice location

55 Irving St
Barnwell, SC 29812-1535

Mailing address

55 Irving St
Barnwell, SC 29812-1535
Phone (803) 259-5150

Other identifiers 1

IdentifierTypeStateIssuer
084223MedicaidSC

National Provider Directory

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209340800000",
    "number": "1952576399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 IRVING ST",
            "city": "BARNWELL",
            "state": "SC",
            "postal_code": "298121535",
            "telephone_number": "803-259-5150",
            "fax_number": "803-259-9078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 IRVING ST",
            "city": "BARNWELL",
            "state": "SC",
            "postal_code": "298121535",
            "telephone_number": "803-259-5150",
            "fax_number": "803-259-9078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M.O. KHAN, MD.,PA.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-28",
        "last_updated": "2008-04-28",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "M.",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-259-5150",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "SC",
            "license": "8422",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "084223",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Barnwell, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; 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.