MIDLANDS ORTHOPAEDICS AND NEUROSURGERY, PA
Complete NPI Record 1750359501
Orthopaedic Surgery in West Columbia, SC
NPI Status: Active since March 09, 2006
Contact Information
2989 SUNSET BLVD
WEST COLUMBIA, SC
ZIP 29169
Phone: (803) 256-4107
Fax: (803) 253-6676
- NPI
- Entity Type Code
- Employer Identification Number EIN
- Provider Organization Name Legal Business Name
- Provider First Line Business Mailing Address
- Provider Business Mailing Address City Name
- Provider Business Mailing Address State Name
- Provider Business Mailing Address Postal Code
- Provider Business Mailing Address Country Code If outside U S
- Provider Business Mailing Address Telephone Number
- Provider Business Mailing Address Fax Number
- Provider First Line Business Practice Location Address
- Provider Business Practice Location Address City Name
- Provider Business Practice Location Address State Name
- Provider Business Practice Location Address Postal Code
- Provider Business Practice Location Address Country Code If outside U S
- Provider Business Practice Location Address Telephone Number
- Provider Business Practice Location Address Fax Number
- Provider Enumeration Date
- Last Update Date
- Authorized Official Last Name
- Authorized Official First Name
- Authorized Official Title or Position
- Authorized Official Telephone Number
- Healthcare Provider Taxonomy Code 1
- Healthcare Provider Primary Taxonomy Switch 1
- Healthcare Provider Taxonomy Code 2
- Healthcare Provider Primary Taxonomy Switch 2
- Healthcare Provider Taxonomy Code 3
- Healthcare Provider Primary Taxonomy Switch 3
- Healthcare Provider Taxonomy Code 4
- Healthcare Provider Primary Taxonomy Switch 4
- Is Organization Subpart
- Authorized Official Name Prefix Text
- Healthcare Provider Taxonomy Group 1
- Healthcare Provider Taxonomy Group 2
- Healthcare Provider Taxonomy Group 3
- NPI Certification Date
Complete NPI Dataset
This page represents the complete record for NPI 1750359501. You can access the complete dataset, including a full list of field names, along with their values, and definitions as recorded by the NPI registry. Each field in the NPI record is explained, highlighting its significance and the possible values it can hold.
- NPI: 1750359501
- The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
- Entity Type Code: 2
- Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
- Employer Identification Number EIN: UNAVAIL
- The telephone number associated with the location address of the provider being identified.
- Provider Organization Name Legal Business Name: MIDLANDS ORTHOPAEDICS AND NEUROSURGERY, PA
- The date the provider was assigned a unique identifier (assigned an NPI).
- Provider First Line Business Mailing Address: 1910 BLANDING ST
- The date that a record was last updated or changed.
- Provider Business Mailing Address City Name: COLUMBIA
- The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
- Provider Business Mailing Address State Name: SC
- The first name of the authorized official.
- Provider Business Mailing Address Postal Code: 292013520
- The middle name of the authorized official.
- Provider Business Mailing Address Country Code If outside U S : US
- The title or position of the authorized official.
- Provider Business Mailing Address Telephone Number: 8032564107
- The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address State name’’.
- Provider Business Mailing Address Fax Number: 8032536676
- The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ‘‘Provider location address postal code’’.
- Provider First Line Business Practice Location Address: 2989 SUNSET BLVD
- The country code in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address country code’’.
- Provider Business Practice Location Address City Name: WEST COLUMBIA
- Provider Business Practice Location Address State Name: SC
- Provider Business Practice Location Address Postal Code: 291693497
- The State code in the location of the provider being identified.
- Provider Business Practice Location Address Country Code If outside U S : US
- Provider Business Practice Location Address Telephone Number: 8032564107
- Provider Business Practice Location Address Fax Number: 8032536676
- The fax number associated with the location address of the provider being identified.
- Provider Enumeration Date: 3/9/2006
- The date the provider was assigned a unique identifier (assigned an NPI).
- Last Update Date: 5/7/2024
- The date that a record was last updated or changed.
- The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
- The first name of the authorized official.
- The title or position of the authorized official.
- The 10-position telephone number of the authorized official.
- Healthcare Provider Taxonomy Code 1: 207T00000X
- Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
- Healthcare Provider Primary Taxonomy Switch 1: N
- Healthcare Provider Taxonomy Code 2: 207X00000X
- Healthcare Provider Primary Taxonomy Switch 2: Y
- Healthcare Provider Taxonomy Code 3: 2081P2900X
- Healthcare Provider Primary Taxonomy Switch 3: N
- Healthcare Provider Taxonomy Code 4: 332B00000X
- Healthcare Provider Primary Taxonomy Switch 4: N
- Is Organization Subpart: N
- The city name in the location address of the provider being identified.
- Healthcare Provider Taxonomy Group 1: 193200000X MULTI-SPECIALTY GROUP
- The State code in the location of the provider being identified.
- Healthcare Provider Taxonomy Group 2: 193200000X MULTI-SPECIALTY GROUP
- The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
- Healthcare Provider Taxonomy Group 3: 193200000X MULTI-SPECIALTY GROUP
- The country code in the location address of the provider being identified.
- NPI Certification Date: 5/7/2024