Active NPI
Wendy Aragon Hall, CSFA
- Surgical Assistant
- Chester, SC
National Provider Identifier
1962993683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 180757
- Practice address
- 1 Medical Park Dr
Chester, SC 29706-9769 - Phone
- (803) 581-3151
- Fax
- (803) 581-2565
- NPI assigned
- May 29, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 180757 | SC | Primary |
Addresses
Primary practice location
1 Medical Park Dr
Chester, SC 29706-9769
Mailing address
1 Medical Park Dr
Chester, SC 29706-9769
Phone (803) 581-3151
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180757 | SC | MD | Surgical Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527552000000",
"number": "1962993683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 MEDICAL PARK DR",
"city": "CHESTER",
"state": "SC",
"postal_code": "297069769",
"telephone_number": "803-581-3151",
"fax_number": "803-581-2565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MEDICAL PARK DR",
"city": "CHESTER",
"state": "SC",
"postal_code": "297069769",
"telephone_number": "803-581-3151",
"fax_number": "803-581-2565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "WENDY",
"middle_name": "ARAGON",
"name_prefix": "Mrs.",
"credential": "CSFA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-29",
"last_updated": "2018-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "SC",
"license": "180757",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chester, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.