Active NPI
Palmetto Health
Doing business as Palmetto Bone and Joint
- Orthopaedic Surgery Physician
- Easley, SC
National Provider Identifier
1962604165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- PALMETTO HEALTH
- Doing business as
- Palmetto Bone and Joint
- Practice address
- 112 John St
Suite 103
Easley, SC 29640-1472 - Phone
- (864) 855-5104
- Fax
- (864) 859-9362
- NPI assigned
- Jun 1, 2007
- Last updated
- Jul 9, 2008
- Organization subpart
- Yes
- Parent organization
- PALMETTO HEALTH
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Kendall J Durham
- Title
- Manager Patient Financial Services
- Phone
- (864) 855-5104
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | NU | Primary |
Addresses
Primary practice location
112 John St
Suite 103
Easley, SC 29640-1472
Mailing address
PO Box 2089
Easley, SC 29641-2089
Phone (864) 855-5104
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP4719 | Medicaid | SC | |
| 1093787509 | Other | SC | ROBERSON'S NPI |
Other names 1
- Palmetto Bone and Joint
National Provider Directory
National Provider Directory- Part of
- Northeast Family Practi
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180656000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1215561600000",
"number": "1962604165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2089",
"city": "EASLEY",
"state": "SC",
"postal_code": "296412089",
"telephone_number": "864-855-5104",
"fax_number": "864-859-9362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 JOHN ST",
"address_2": "SUITE 103",
"city": "EASLEY",
"state": "SC",
"postal_code": "296401472",
"telephone_number": "864-855-5104",
"fax_number": "864-859-9362"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PALMETTO HEALTH",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PALMETTO HEALTH",
"enumeration_date": "2007-06-01",
"last_updated": "2008-07-09",
"status": "A",
"authorized_official_last_name": "DURHAM",
"authorized_official_first_name": "KENDALL",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "MANAGER PATIENT FINANCIAL SERVICES",
"authorized_official_telephone_number": "864-855-5104",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP4719",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ROBERSON'S NPI",
"identifier": "1093787509",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Palmetto Bone and Joint",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Easley, SC
- Palmetto Health (Easley Orthopaedic Clinic, PA)
- Palmetto Health (Palmetto Health Hospitalist)
- Palmetto Health (Easley General Surgeons)
- Palmetto Health (Medical Center of Easley)
- Palmetto Health (Easley OB-GYN Associates)
- Palmetto Health (Mt View OB GYN)
- Palmetto Health Alliance (Palmetto Bone and Joint Surgery)
- Palmetto Health Alliance (Easley Family Practice)
- Palmetto Health Baptist Easley
- Palmetto Health Baptist Easley
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.