EDISTO UROLOGICAL ASSOCIATES – NPI #1063692457
Urology

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

EDISTO UROLOGICAL ASSOCIATES is an urologist located in ORANGEBURG, SC. NPPES has assigned the NPI number 1063692457 to EDISTO UROLOGICAL ASSOCIATES on November 14, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208800000X from the Health Care Provider Taxonomy code set, which is classified as Urology.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EDISTO UROLOGICAL ASSOCIATES below.

NPI Profile for
EDISTO UROLOGICAL ASSOCIATES

NPI Number
1063692457
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
EDISTO UROLOGICAL ASSOCIATES
Primary location
1175 COOK RD STE 310
ORANGEBURG, SC 29118-8201
Phone: (803) 534-4611 Fax: (803) 534-7269
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
WILLIAM MIMS
OWNER
Phone: (803) 534-4611
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208800000X
- Urology (Primary)
SC 5227

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.