Francis Marion University

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

22677 Issued in SC

Legal business name

FRANCIS MARION UNIVERSITY

Practice address

4822 E Palmetto St
Florence, SC 29506-4530

Phone

(972) 367-4845

NPI assigned

Dec 6, 2016

Organization subpart

No

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

Authorized official

Name

Mouzon Bass III

Title

Agent

Phone

(972) 367-4845

Specialties & licenses 1

Addresses

Other names 1

• FMU Sports Medicine Doing business as

Tax ID family

Francis Marion University3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Francis Marion University

  • Psychologist
  • Florence, SC
  • NPI 1366033607
  NPD tax ID
• Francis Marion University

  • Speech-Language Pathologist
  • Florence, SC
  • NPI 1538750880
  NPD tax ID

Locations

Practitioners 1

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

• Frances A. Burns, CCC-SLP

  • Speech-Language Pathologist
  • Florence, MA
  • NPI 1588934616
  NPD (past)

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

{
    "created_epoch": "1480982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480982400000",
    "number": "1972047215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 SPRING VALLEY RD.",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752443909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4822 E PALMETTO ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295064530",
            "telephone_number": "972-367-4845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANCIS MARION UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-06",
        "last_updated": "2016-12-06",
        "status": "A",
        "authorized_official_last_name": "BASS",
        "authorized_official_first_name": "MOUZON",
        "authorized_official_title_or_position": "AGENT",
        "authorized_official_telephone_number": "972-367-4845",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "SC",
            "license": "22677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FMU Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kevin Preston Foy, PA
• Dennis Michael Fraley Jr., CRNA
• Francis Marion University
• Francis Marion University
• Francis Marion University
• Elicef Benita Francis
• Antonina Franks, PT
• Nicholas Franza, PHARMD
• Joseph Fraser, DPT
• Brooke Frazer

• All providers in Florence, SC
• Orthopaedic Surgery Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2016; 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.