MCLEOD CARDIOLOGY ASSOCIATES
Complete NPI Record 1043568090
Internal Medicine - Cardiovascular Disease in Florence, SC
Active since August 23, 2012
101 WILLIAM H. JOHNSON STREET, SUITE 600, FLORENCE, SC 29506(843) 667-1891(843) 665-2516 Get Directions
Complete NPI Dataset
This page contains the complete raw NPPES record for Mcleod Cardiology Associates (NPI 1043568090), an internal medicine organization in Florence, SC. All 38 fields on file are listed with their current values and official NPPES definitions, exactly as recorded in the National Plan and Provider Enumeration System. Only fields that contain data are included, so the number of fields shown varies from one NPI record to another.
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Registry File Document Utilities
- NPI: 1043568090 Field 1/38
- The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
- Entity Type Code: 2 Field 2/38
- 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: Not available Field 3/38
- The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
- Provider Organization Name Legal Business Name: MCLEOD PHYSICIAN ASSOCIATES II Field 4/38
- The name of the organization provider. If the provider is an organization, this is the legal business name.
- Provider Other Organization Name: MCLEOD CARDIOLOGY ASSOCIATES Field 5/38
- Other name by which the organization provider is or has been known.
- Provider Other Organization Name Type Code: 3 Field 6/38
- Code identifying the type of other name. Codes are: 1 = former name; 2 = professional name; 3 = doing business as (d/b/ a) name; 4 = former legal business name; 5 = other.
- Provider First Line Business Mailing Address: PO BOX 3239 Field 7/38
- The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
- Provider Business Mailing Address City Name: FLORENCE Field 8/38
- The city name in the mailing address of the provider being identified.
- Provider Business Mailing Address State Name: SC Field 9/38
- 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 Postal Code: 295023239 Field 10/38
- 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 Business Mailing Address Country Code If outside U S : US Field 11/38
- 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 Mailing Address Telephone Number: 8436671891 Field 12/38
- The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
- Provider Business Mailing Address Fax Number: 8436652516 Field 13/38
- The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as "Provider location address fax number".
- Provider First Line Business Practice Location Address: 101 WILLIAM H. JOHNSON STREET Field 14/38
- The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
- Provider Second Line Business Practice Location Address: SUITE 600 Field 15/38
- The second line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
- Provider Business Practice Location Address City Name: FLORENCE Field 16/38
- The city name in the location address of the provider being identified.
- Provider Business Practice Location Address State Name: SC Field 17/38
- The State code in the location of the provider being identified.
- Provider Business Practice Location Address Postal Code: 295062716 Field 18/38
- The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
- Provider Business Practice Location Address Country Code If outside U S : US Field 19/38
- The country code in the location address of the provider being identified.
- Provider Business Practice Location Address Telephone Number: 8436671891 Field 20/38
- The telephone number associated with the location address of the provider being identified.
- Provider Business Practice Location Address Fax Number: 8436652516 Field 21/38
- The fax number associated with the location address of the provider being identified.
- Authorized Official Last Name: BEASLEY Field 24/38
- 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: KENNETH Field 25/38
- The first name of the authorized official.
- Authorized Official Middle Name: D. Field 26/38
- The middle name of the authorized official.
- Authorized Official Title or Position: SENIOR VICE PRESIDENT Field 27/38
- The title or position of the authorized official.
- Authorized Official Telephone Number: 8437777010 Field 28/38
- The 10-position telephone number of the authorized official.
- Healthcare Provider Taxonomy Code 1: 207RC0001X Field 29/38
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Healthcare Provider Primary Taxonomy Switch 1: N Field 30/38
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Healthcare Provider Taxonomy Code 2: 207RC0000X Field 31/38
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Healthcare Provider Primary Taxonomy Switch 2: Y Field 32/38
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Is Organization Subpart: Y Field 33/38
- Indicates whether the provider is a subpart of a larger organization. This is a single-character code: "Y" means the entity is an organizational subpart, while "N" means it is not. Subparts typically include hospital departments, clinics, or other distinct units that fall under a parent organization.
- Parent Organization LBN: MCLEOD HEALTH Field 34/38
- The Legal Business Name (LBN) of the parent organization, if the provider is a subpart of a larger entity. This field identifies the official registered name of the parent company or organization under which the provider operates.
- Parent Organization TIN: Not available Field 35/38
- The Taxpayer Identification Number (TIN) of the parent organization, provided when the provider is a subpart of a larger entity. This field identifies the federal tax ID used by the parent organization for official and billing purposes.
- Healthcare Provider Taxonomy Group 1: 193200000X MULTI-SPECIALTY GROUP Field 36/38
- Specifies whether the provider is part of a single-specialty or multi-specialty business group. The possible values are: 193200000X – Multi-Specialty Group or 193400000X – Single Specialty Group. This field helps distinguish the organizational structure of a provider group.
- Healthcare Provider Taxonomy Group 2: 193200000X MULTI-SPECIALTY GROUP Field 37/38
- Specifies whether the provider is part of a single-specialty or multi-specialty business group. The possible values are: 193200000X – Multi-Specialty Group or 193400000X – Single Specialty Group. This field helps distinguish the organizational structure of a provider group.
Secondary Practice Locations 3
The first line of the secondary practice location address of the provider being identified. For providers with more than one physical location, this is a secondary practice location address. This address cannot include a Post Office box.
1319 South 4th Street
Location 1/3Hartsville, SC 29550 · Phone (843) 667-1891 · Fax (843) 665-2516
3980 Highway 9 E Ste 220
Location 2/3Little River, SC 29566-8164 · Phone (843) 390-0877 · Fax (843) 390-0881
3485 Mitchell St
Location 3/3Loris, SC 29569-2823 · Phone (843) 756-7029 · Fax (843) 756-7033
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