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1003967050 NPI number — UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL

NPI Number: 1003967050
Health Care Provider/Practitioner: UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL

Information about “1003967050” NPI (UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL) exists in 1003967050 in HTML format HTML  |  1003967050 in plain Text format TXT  |  1003967050 in PDF (Portable Document Format) PDF  |  1003967050 in an JSON format JSON  formats.

NPI Number : 1003967050 – XML Data Format 

                    
<?xml version="1.0" encoding="UTF-8"?>
<Npi>
	<NPI>
		1003967050
	</NPI>
	<EntityType>
		Organization
	</EntityType>
	<ReplacementNPI/>
	<EIN/>
	<IsSoleProprietor/>
	<IsOrgSubpart>
		N
	</IsOrgSubpart>
	<ParentOrgLBN/>
	<ParentOrgTIN/>
	<OrgName>
		UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL
	</OrgName>
	<LastName/>
	<FirstName/>
	<MiddleName/>
	<NamePrefix/>
	<NameSuffix/>
	<Credential/>
	<OtherOrgName/>
	<OtherOrgNameTypeCode>
		6
	</OtherOrgNameTypeCode>
	<OtherLastName/>
	<OtherFirstName/>
	<OtherMiddleName/>
	<OtherNamePrefix/>
	<OtherNameSuffix/>
	<OtherCredential/>
	<OtherLastNameTypeCode/>
	<FirstLineMailingAddress>
		PO BOX 751461
	</FirstLineMailingAddress>
	<SecondLineMailingAddress/>
	<MailingAddressCityName>
		CHARLOTTE
	</MailingAddressCityName>
	<MailingAddressStateName>
		NC
	</MailingAddressStateName>
	<MailingAddressPostalCode>
		28275-1461
	</MailingAddressPostalCode>
	<MailingAddressCountryCode>
		US
	</MailingAddressCountryCode>
	<MailingAddressTelephoneNumber>
		843-792-6200
	</MailingAddressTelephoneNumber>
	<MailingAddressFaxNumber/>
	<FirstLinePracticeLocationAddress>
		171 ASHLEY AVE
	</FirstLinePracticeLocationAddress>
	<SecondLinePracticeLocationAddress/>
	<PracticeLocationAddressCityName>
		CHARLESTON
	</PracticeLocationAddressCityName>
	<PracticeLocationAddressStateName>
		SC
	</PracticeLocationAddressStateName>
	<PracticeLocationAddressPostalCode>
		29425-8908
	</PracticeLocationAddressPostalCode>
	<PracticeLocationAddressCountryCode>
		US
	</PracticeLocationAddressCountryCode>
	<PracticeLocationAddressTelephoneNumber>
		843-792-1414
	</PracticeLocationAddressTelephoneNumber>
	<PracticeLocationAddressFaxNumber/>
	<EnumerationDate>
		01/16/2007
	</EnumerationDate>
	<LastUpdateDate>
		12/04/2024
	</LastUpdateDate>
	<NPIDeactivationReasonCode/>
	<NPIDeactivationReason/>
	<NPIDeactivationDate/>
	<NPIReactivationDate/>
	<GenderCode/>
	<Gender/>
	<AuthorizedOfficialLastName>
		RAE
	</AuthorizedOfficialLastName>
	<AuthorizedOfficialFirstName>
		KARYN
	</AuthorizedOfficialFirstName>
	<AuthorizedOfficialMiddleName/>
	<AuthorizedOfficialTitle>
		DIRECTOR
	</AuthorizedOfficialTitle>
	<AuthorizedOfficialNamePrefix/>
	<AuthorizedOfficialNameSuffix/>
	<AuthorizedOfficialCredential/>
	<AuthorizedOfficialTelephoneNumber>
		843-876-1344
	</AuthorizedOfficialTelephoneNumber>
	<Taxonomies>
		<Taxonomy>
			<TaxonomyCode>
				363A00000X
			</TaxonomyCode>
			<TaxonomyName>
				Physician Assistant
			</TaxonomyName>
			<LicenseNumber/>
			<LicenseNumberStateCode/>
			<PrimaryTaxonomySwitch>
				N
			</PrimaryTaxonomySwitch>
		</Taxonomy>
		<Taxonomy>
			<TaxonomyCode>
				363L00000X
			</TaxonomyCode>
			<TaxonomyName>
				Nurse Practitioner
			</TaxonomyName>
			<LicenseNumber/>
			<LicenseNumberStateCode/>
			<PrimaryTaxonomySwitch>
				N
			</PrimaryTaxonomySwitch>
		</Taxonomy>
		<Taxonomy>
			<TaxonomyCode>
				2084N0400X
			</TaxonomyCode>
			<TaxonomyName>
				Neurology Physician
			</TaxonomyName>
			<LicenseNumber/>
			<LicenseNumberStateCode/>
			<PrimaryTaxonomySwitch>
				Y
			</PrimaryTaxonomySwitch>
		</Taxonomy>
	</Taxonomies>
	<HealthcareProviderTaxonomyGroups>
		<HealthcareProviderTaxonomyGroup>
			<HealthcareProviderTaxonomyGroupName>
				193200000X MULTI-SPECIALTY GROUP
			</HealthcareProviderTaxonomyGroupName>
			<HealthcareProviderTaxonomyGroupDescription>
				Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization.
			</HealthcareProviderTaxonomyGroupDescription>
		</HealthcareProviderTaxonomyGroup>
		<HealthcareProviderTaxonomyGroup>
			<HealthcareProviderTaxonomyGroupName>
				193200000X MULTI-SPECIALTY GROUP
			</HealthcareProviderTaxonomyGroupName>
			<HealthcareProviderTaxonomyGroupDescription>
				Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization.
			</HealthcareProviderTaxonomyGroupDescription>
		</HealthcareProviderTaxonomyGroup>
		<HealthcareProviderTaxonomyGroup>
			<HealthcareProviderTaxonomyGroupName>
				193200000X MULTI-SPECIALTY GROUP
			</HealthcareProviderTaxonomyGroupName>
			<HealthcareProviderTaxonomyGroupDescription>
				Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization.
			</HealthcareProviderTaxonomyGroupDescription>
		</HealthcareProviderTaxonomyGroup>
	</HealthcareProviderTaxonomyGroups>
</Npi>

NPI Number XSD (XML Schema Definition)

                
<?xml version="1.0" encoding="UTF-8"?>
   <xs:schema xmlns:xs="http://www.w3.org/2001/XMLSchema" elementFormDefault="qualified" attributeFormDefault="unqualified">
         <xs:element name="Npi">
               <xs:complexType>
                     <xs:sequence>
                           <xs:element name="NPI" type="xs:int"></xs:element>
                           <xs:element name="EntityType" type="xs:string"></xs:element>
                           <xs:element name="ReplacementNPI"></xs:element>
                           <xs:element name="EIN"></xs:element>
                           <xs:element name="IsSoleProprietor" type="xs:string"></xs:element>
                           <xs:element name="IsOrgSubpart"></xs:element>
                           <xs:element name="ParentOrgLBN"></xs:element>
                           <xs:element name="ParentOrgTIN"></xs:element>
                           <xs:element name="OrgName"></xs:element>
                           <xs:element name="LastName" type="xs:string"></xs:element>
                           <xs:element name="FirstName" type="xs:string"></xs:element>
                           <xs:element name="MiddleName"></xs:element>
                           <xs:element name="NamePrefix" type="xs:string"></xs:element>
                           <xs:element name="NameSuffix"></xs:element>
                           <xs:element name="Credential" type="xs:string"></xs:element>
                           <xs:element name="OtherOrgName"></xs:element>
                           <xs:element name="OtherOrgNameTypeCode"></xs:element>
                           <xs:element name="OtherLastName"></xs:element>
                           <xs:element name="OtherFirstName"></xs:element>
                           <xs:element name="OtherMiddleName"></xs:element>
                           <xs:element name="OtherNamePrefix"></xs:element>
                           <xs:element name="OtherNameSuffix"></xs:element>
                           <xs:element name="OtherCredential"></xs:element>
                           <xs:element name="OtherLastNameTypeCode"></xs:element>
                           <xs:element name="FirstLineMailingAddress" type="xs:string"></xs:element>
                           <xs:element name="SecondLineMailingAddress"></xs:element>
                           <xs:element name="MailingAddressCityName" type="xs:string"></xs:element>
                           <xs:element name="MailingAddressStateName" type="xs:string"></xs:element>
                           <xs:element name="MailingAddressPostalCode" type="xs:string"></xs:element>
                           <xs:element name="MailingAddressCountryCode" type="xs:string"></xs:element>
                           <xs:element name="MailingAddressTelephoneNumber" type="xs:string"></xs:element>
                           <xs:element name="MailingAddressFaxNumber"></xs:element>
                           <xs:element name="FirstLinePracticeLocationAddress" type="xs:string"></xs:element>
                           <xs:element name="SecondLinePracticeLocationAddress" type="xs:string"></xs:element>
                           <xs:element name="PracticeLocationAddressCityName" type="xs:string"></xs:element>
                           <xs:element name="PracticeLocationAddressStateName" type="xs:string"></xs:element>
                           <xs:element name="PracticeLocationAddressPostalCode" type="xs:string"></xs:element>
                           <xs:element name="PracticeLocationAddressCountryCode" type="xs:string"></xs:element>
                           <xs:element name="PracticeLocationAddressTelephoneNumber" type="xs:string"></xs:element>
                           <xs:element name="PracticeLocationAddressFaxNumber"></xs:element>
                           <xs:element name="EnumerationDate" type="xs:string"></xs:element>
                           <xs:element name="LastUpdateDate" type="xs:string"></xs:element>
                           <xs:element name="NPIDeactivationReasonCode"></xs:element>
                           <xs:element name="NPIDeactivationReason"></xs:element>
                           <xs:element name="NPIDeactivationDate"></xs:element>
                           <xs:element name="NPIReactivationDate"></xs:element>
                           <xs:element name="GenderCode" type="xs:string"></xs:element>
                           <xs:element name="Gender" type="xs:string"></xs:element>
                           <xs:element name="AuthorizedOfficialLastName"></xs:element>
                           <xs:element name="AuthorizedOfficialFirstName"></xs:element>
                           <xs:element name="AuthorizedOfficialMiddleName"></xs:element>
                           <xs:element name="AuthorizedOfficialTitle"></xs:element>
                           <xs:element name="AuthorizedOfficialNamePrefix"></xs:element>
                           <xs:element name="AuthorizedOfficialNameSuffix"></xs:element>
                           <xs:element name="AuthorizedOfficialCredential"></xs:element>
                           <xs:element name="AuthorizedOfficialTelephoneNumber"></xs:element>
                           <xs:element name="Taxonomies">
                                 <xs:complexType>
                                       <xs:sequence>
                                             <xs:element name="Taxonomy" maxOccurs="unbounded">
                                                   <xs:complexType>
                                                         <xs:sequence>
                                                               <xs:element name="TaxonomyCode" type="xs:string"></xs:element>
                                                               <xs:element name="TaxonomyName" type="xs:string"></xs:element>
                                                               <xs:element name="LicenseNumber" type="xs:string"></xs:element>
                                                               <xs:element name="LicenseNumberStateCode" type="xs:string"></xs:element>
                                                               <xs:element name="PrimaryTaxonomySwitch" type="xs:string"></xs:element>
                                                         </xs:sequence>
                                                   </xs:complexType>
                                             </xs:element>
                                       </xs:sequence>
                                 </xs:complexType>
                           </xs:element>
                           <xs:element name="OtherIdentifiers">
                                 <xs:complexType>
                                       <xs:sequence>
                                             <xs:element name="OtherIdentifier" maxOccurs="unbounded">
                                                   <xs:complexType>
                                                         <xs:sequence>
                                                               <xs:element name="OtherIdentifierName" type="xs:string"></xs:element>
                                                               <xs:element name="OtherIdentifierType" type="xs:string"></xs:element>
                                                               <xs:element name="OtherIdentifierState" type="xs:string"></xs:element>
                                                               <xs:element name="OtherIdentifierIssuer"></xs:element>
                                                         </xs:sequence>
                                                   </xs:complexType>
                                             </xs:element>
                                       </xs:sequence>
                                 </xs:complexType>
                           </xs:element>
                           <xs:element name="HealthcareProviderTaxonomyGroups"></xs:element>
                     </xs:sequence>
               </xs:complexType>
         </xs:element>
   </xs:schema>

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