NPIMap

Organization Active NPI

Williamsburg Regional Hospital

  • Podiatrist
  • Kingstree, SC
National Provider Identifier
1962949933
Registry record updated May 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
WILLIAMSBURG REGIONAL HOSPITAL
Practice address
500 Thurgood Marshall Hwy
Suite B
Kingstree, SC 29556-4143
Phone
(843) 355-5363
Fax
(843) 355-5365
NPI assigned
Jan 27, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2021

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

Authorized official

Name
Ms. Katie Dorrell
Title
Physician Practice Director
Phone
(843) 355-1772

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X SC Primary

Addresses

Primary practice location

500 Thurgood Marshall Hwy
Suite B
Kingstree, SC 29556-4143

Mailing address

500 Thurgood Marshall Hwy
Suite B
Kingstree, SC 29556-4143
Phone (843) 355-0174

Other names 1

  • Williamsburg Foot Center Doing business as

National Provider Directory

National Provider Directory

Locations

402 Nelson Blvd
Ste 300
Kingstree, SC 29556
Phone (843) 355-0255

402 Nelson Blvd
Ste 400
Kingstree, SC 29556
Phone (843) 355-0174

500 Thurgood Marshall Hwy
Ste B
Kingstree, SC 29556
Phone (843) 355-0255

402 Nelson Blvd
Ste 100200
Kingstree, SC 29556
Phone (843) 355-5363

Practitioners & affiliated clinicians

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1485475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621382400000",
    "number": "1962949933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 THURGOOD MARSHALL HWY",
            "address_2": "SUITE B",
            "city": "KINGSTREE",
            "state": "SC",
            "postal_code": "295564143",
            "telephone_number": "843-355-0174",
            "fax_number": "843-355-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 THURGOOD MARSHALL HWY",
            "address_2": "SUITE B",
            "city": "KINGSTREE",
            "state": "SC",
            "postal_code": "295564143",
            "telephone_number": "843-355-5363",
            "fax_number": "843-355-5365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMSBURG REGIONAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-27",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A",
        "authorized_official_last_name": "DORRELL",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "PHYSICIAN PRACTICE DIRECTOR",
        "authorized_official_telephone_number": "843-355-1772",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Williamsburg Foot Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Williamsburg Foot Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kingstree, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; 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.