Individual provider Active NPI

Thomas Compagna

  • Emergency Medicine Physician
  • Daniel Island, SC
National Provider Identifier
1962659946
Registry record updated Aug 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
20212 Issued in SC
Practice address
307 S Ladd CT
Daniel Island, SC 29492-7562
Phone
(843) 377-8913
NPI assigned
Aug 21, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 20212 SC Primary

Addresses

Primary practice location

307 S Ladd CT
Daniel Island, SC 29492-7562

Mailing address

307 S Ladd CT
Daniel Island, SC 29492-7562

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
20212SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
South Carolina Em-I Medical Services PC Emergency Medicine Past Accepting new patients
Floyd Emergency Physicians, LLC Emergency Medicine Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1219276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219276800000",
    "number": "1962659946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 S LADD CT",
            "city": "DANIEL ISLAND",
            "state": "SC",
            "postal_code": "294927562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 S LADD CT",
            "city": "DANIEL ISLAND",
            "state": "SC",
            "postal_code": "294927562",
            "telephone_number": "843-377-8913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMPAGNA",
        "first_name": "THOMAS",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-21",
        "last_updated": "2008-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "SC",
            "license": "20212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daniel Island, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.