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  7. NPI Record 1750359501

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

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Table of Contents

  1. NPI
  2. Entity Type Code
  3. Employer Identification Number EIN
  4. Provider Organization Name Legal Business Name
  5. Provider First Line Business Mailing Address
  6. Provider Business Mailing Address City Name
  7. Provider Business Mailing Address State Name
  8. Provider Business Mailing Address Postal Code
  9. Provider Business Mailing Address Country Code If outside U S
  10. Provider Business Mailing Address Telephone Number
  11. Provider Business Mailing Address Fax Number
  12. Provider First Line Business Practice Location Address
  13. Provider Business Practice Location Address City Name
  14. Provider Business Practice Location Address State Name
  15. Provider Business Practice Location Address Postal Code
  16. Provider Business Practice Location Address Country Code If outside U S
  17. Provider Business Practice Location Address Telephone Number
  18. Provider Business Practice Location Address Fax Number
  19. Provider Enumeration Date
  20. Last Update Date
  21. Authorized Official Last Name
  22. Authorized Official First Name
  23. Authorized Official Title or Position
  24. Authorized Official Telephone Number
  25. Healthcare Provider Taxonomy Code 1
  26. Healthcare Provider Primary Taxonomy Switch 1
  27. Healthcare Provider Taxonomy Code 2
  28. Healthcare Provider Primary Taxonomy Switch 2
  29. Healthcare Provider Taxonomy Code 3
  30. Healthcare Provider Primary Taxonomy Switch 3
  31. Healthcare Provider Taxonomy Code 4
  32. Healthcare Provider Primary Taxonomy Switch 4
  33. Is Organization Subpart
  34. Authorized Official Name Prefix Text
  35. Healthcare Provider Taxonomy Group 1
  36. Healthcare Provider Taxonomy Group 2
  37. Healthcare Provider Taxonomy Group 3
  38. 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.
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.
Authorized Official Last Name: MCCRAW
The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
Authorized Official First Name: ANN MARGARET
The first name of the authorized official.
Authorized Official Title or Position: CEO
The title or position of the authorized official.
Authorized Official Telephone Number: 8032564107
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
Authorized Official Name Prefix Text: MRS.
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