Active NPI
Oconee Physician Practices
- Contractor
- Seneca, SC
National Provider Identifier
1992910210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- Legal business name
- OCONEE PHYSICIAN PRACTICES
- Practice address
- 301 Memorial Dr
Suite G
Seneca, SC 29672-9491 - Phone
- (864) 885-7633
- Fax
- (864) 885-7867
- NPI assigned
- May 11, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeanne L Ward
- Title
- President, Ceo
- Phone
- (864) 885-7191
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | Primary |
Addresses
Primary practice location
301 Memorial Dr
Suite G
Seneca, SC 29672-9491
Mailing address
PO Box 601082
Charlotte, NC 28260-1082
Phone (864) 885-7633
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP4697 | Medicaid | SC |
National Provider Directory
National Provider DirectoryLocations
11082 N Radio Station Rd
Seneca, SC 29678
Phone (864) 882-2314
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178841600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1204675200000",
"number": "1992910210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 601082",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282601082",
"telephone_number": "864-885-7633",
"fax_number": "864-885-7867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 MEMORIAL DR",
"address_2": "SUITE G",
"city": "SENECA",
"state": "SC",
"postal_code": "296729491",
"telephone_number": "864-885-7633",
"fax_number": "864-885-7867"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OCONEE PHYSICIAN PRACTICES",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-11",
"last_updated": "2008-03-05",
"status": "A",
"authorized_official_last_name": "WARD",
"authorized_official_first_name": "JEANNE",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT, CEO",
"authorized_official_telephone_number": "864-885-7191"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Contractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP4697",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Seneca, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.