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Export Provider Record NPI 1134153083
South Carolina Ent Allergy & Sleep Medicine Pa
Organization Subpart: NO
Active
NPI Number1134153083
NPI TypeNPI-2 Organization
SpecialtyOtolaryngology
Provider Details
NPI1134153083
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2006-07-10
Last Updated2020-05-26
Authorized OfficialPamela Kirby
Chief Revenue Officer
Phone: 8034242207
Mailing AddressPo Box 520
Lugoff, SC 29078-0520
United States
Phone: (803) 408-3277 | Fax: (803) 408-3277
📍 View Map
Primary Practice Address15 Exchange Dr
Lugoff, SC 29078-9198
United States
Phone: (803) 408-3277 | Fax: (803) 408-3277
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
Other (non-Medicare)SCDE5192unspecified
MEDICAIDSCGP4316-
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No207YP0228X – Otolaryngology, Pediatric Otolaryngology--
No207YS0012X – Otolaryngology, Sleep Medicine--
No225100000X – Physical Therapist--
No235Z00000X – Speech-Language Pathologist, --
Yes207Y00000X – Otolaryngology--
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About NPI 1134153083

South Carolina Ent Allergy & Sleep Medicine Pa is an organization registered in the CMS NPPES NPI Registry with NPI number 1134153083. The primary specialty listed is Otolaryngology. The organization is located in Lugoff, SC. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-07-10. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1134153083?

NPI 1134153083 belongs to South Carolina Ent Allergy & Sleep Medicine Pa, a Otolaryngology in Lugoff, SC. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1134153083 active?

The current status of NPI 1134153083 in the NPPES registry is Active. The record was last updated on 2020-05-26.

What specialty is NPI 1134153083?

NPI 1134153083 is classified under the taxonomy Otolaryngology. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1134153083?

You can verify NPI 1134153083 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1134153083?

The primary practice address on file for NPI 1134153083 is 15 Exchange Dr, Lugoff, SC 29078-9198. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1134153083 issued?

NPI 1134153083 was first issued (enumerated) on 2006-07-10. The NPPES record was last updated on 2020-05-26.

Practice Location Map

South Carolina Ent Allergy & Sleep Medicine Pa is located at 15 Exchange Dr, Lugoff, SC. Use the map below to find directions or verify the practice location.

📍 15 Exchange Dr, Lugoff, SC 29078-9198  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as South Carolina Ent Allergy & Sleep Medicine Pa. All records sourced from the CMS NPPES registry.

Data Verified from CMS NPPES Last synced: 2026-08-16 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162