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ROCK HILL SURGICAL ASSOCIATES PA NPI 1639173388


NPI Information

NPI: 1639173388
Provider Name: ROCK HILL SURGICAL ASSOCIATES PA
Classification: Surgery - 208600000X
Entity Type: Organization

CLIA Number: 42D0253543

Address:
1721 EBENEZER RD
SUITE 175
ROCK HILL, SC
ZIP 29732
Phone: (803) 324-5256
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ROCK HILL SURGICAL ASSOCIATES PA is a surgery in Rock Hill, SC. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. ROCK HILL SURGICAL ASSOCIATES PA NPI is 1639173388. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1721 EBENEZER RD
SUITE 175
ROCK HILL, SC
ZIP 29732-103
Phone: (803) 324-5256
Fax: (803) 328-0440

The provider's authorized official is Pat Fedele .
The authorized official title is Practice Administrator and has the following contact phone number (803) 324-5256.

The CLIA number assigned to this NPI record is 42D0253543 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/10/2005 and was last updated on 5/5/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208600000XSurgery250665365SOUTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11290MEDICARE ID-TYPE UNSPECIFIEDSOUTH CAROLINA
22344391MEDICARE ID-TYPE UNSPECIFIEDNORTH CAROLINA
3PA3601MEDICAIDSOUTH CAROLINA
45293660001MEDICARE NSCSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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