SPARTANBURG MEDICAL CENTER (NPI# 1013272004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013272004 |
| Entity Type | Organization |
| Organization Name | SPARTANBURG MEDICAL CENTER |
| Other Organization Name | MEDICAL GROUP OF THE CAROLINAS - GYNECOLOGIC ONCOLOGY - PELHAM |
| Practice Address |
2759 S Highway 14 Greer SC 29650-4926 |
| Mailing Address |
Po Box 743070 Atlanta GA 30384-3070 |
| Practice Telephone | 8645601915 |
| Practice Fax Number | 8645601925 |
| Mailing Telephone | 8645604304 |
| Mailing Fax Number | 8645604413 |
| Enumeration Date | 2012-07-06 |
| Last Update Date | 2018-12-21 |
| Authorized Official Name | KENNETH MEINKE (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 8645606000 |
| Is Organization Subpart | Y |
| Parent Organization Name | SPARTANBURG REGIONAL HEALTH SERVICES DISTRICT, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP5963 | 05 |
| Other Name | Type Code |
|---|---|
| Medical Group of the Carolinas - Breast Care and Gynecologic Oncology - Pelham | Doing Business As Name - Organization |
| Medical Group of the Carolinas - Gynecologic Oncology - Pelham | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386205094 | Spartanburg Medical Center | Pediatrics | 575 Ingles Dr Ste A, Inman, SC 29349-8314 | 2019-06-24 |
| 1780248211 | Spartanburg Medical Center | Urology | 2755 S Highway 14 Ste 2050a, Greer, SC 29650-4902 | 2019-04-30 |
| 1205499217 | Spartanburg Medical Center | Internal Medicine | 104 Professional Park Ste C, Gaffney, SC 29340-2319 | 2019-04-16 |
| 1649735127 | Spartanburg Medical Center | Family Medicine | 11 Doctors Park Dr Ste 200, Spartanburg, SC 29307-1008 | 2019-02-08 |
| 1316416415 | Spartanburg Medical Center | Orthopaedic Surgery | 1650 Skylyn Dr Ste 120, Spartanburg, SC 29307-1069 | 2018-11-19 |
| 1609345982 | Spartanburg Medical Center | Urology | 1552 N Limestone St Ste A, Gaffney, SC 29340-4750 | 2018-11-16 |
| 1316416688 | Spartanburg Medical Center | Internal Medicine | 104 Professional Park Ste B, Gaffney, SC 29340-2319 | 2018-11-16 |
| 1396220554 | Spartanburg Medical Center | Surgery | 840 W Floyd Baker Blvd Ste B, Gaffney, SC 29341-1845 | 2018-10-03 |
| 1114432077 | Spartanburg Medical Center | Orthopaedic Surgery | 2755 S Highway 14 Ste 1200m, Greer, SC 29650 | 2017-12-13 |
| 1518498336 | Spartanburg Medical Center | Family Medicine | 2846 N Old Laurens Rd, Gray Court, SC 29645-3157 | 2017-03-23 |
| Street Address |
2759 S HIGHWAY 14 |
| City | GREER |
| State | SC |
| Zip Code | 29650-4926 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477524072 | Anita Patt | Surgery | 2759 S Highway 14, Greer, SC 29650 | 2006-01-31 |
| 1902430267 | Spartanburg Regional Health Services District, Inc. | Pharmacy | 2759 S Highway 14, Greer, SC 29650-4926 | 2020-02-26 |
| 1255963088 | Spartanburg Medical Center | Durable Medical Equipment & Medical Supplies | 2759 S Highway 14, Greer, SC 29650-4926 | 2020-02-10 |
| 1285981092 | Katherine Kavanagh Pitts | Pharmacist | 2759 S Highway 14, Greer, SC 29650-4926 | 2012-08-10 |
| 1194979609 | Spartanburg Medical Center | Internal Medicine | 2759 S Highway 14, Suite A, Greer, SC 29650-4926 | 2008-11-11 |
| 1225134075 | Melanie B. Thomas | Internal Medicine | 2759 S Highway 14, Suite A, Greer, SC 29650-4926 | 2006-09-16 |
| 1225055171 | Kacie Beth Carter | Nurse Practitioner | 2759 S Highway 14, Suite A, Greer, SC 29650-4926 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154946424 | Paul Wong | Family Medicine | 109 Physicians Drive Suite A, Greer, SC 29650 | 2020-06-12 |
| 1992273684 | Christopher Michael Campbell | Pharmacist | 845b S Buncombe Rd, Greer, SC 29650 | 2018-11-12 |
| 1376035618 | Jessica Miller | Dentist | 1494 W Wade Hampton Blvd Ste D, Greer, SC 29650 | 2018-06-02 |
| 1992212872 | Greenville Health Corporation | Pharmacy | 845 S Buncombe Rd Ste D, Greer, SC 29650 | 2018-01-02 |
| 1114432077 | Spartanburg Medical Center | Orthopaedic Surgery | 2755 S Highway 14 Ste 1200m, Greer, SC 29650 | 2017-12-13 |
| 1437679750 | Sanders Healthcare LLC | Home Health | 110 W. Church St., Suite A, Greer, SC 29650 | 2017-06-27 |
| 1306291117 | James Elliott Crouch | Occupational Therapy Assistant | 1305 Boilings Springs Rd., Greer, SC 29650 | 2016-04-29 |
| 1033593389 | Premier Medical Transport Service | Non-emergency Medical Transport (VAN) | 120 Glenaire Dr, Greer, SC 29650 | 2015-07-16 |
| 1104176429 | Suchi Chomal | Pharmacist | 6 Colby Ct, Greer, SC 29650 | 2012-09-13 |
| 1447500822 | John Varner | Pharmacist | 821 S. Batesville Road, Greer, SC 29650 | 2012-09-13 |
| Find all providers in zip 29650 | ||||
| Taxonomy Code | 207VX0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecologic Oncology |
| An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306055025 | Sjc Oncology Services-south Carolina, LLC | Obstetrics & Gynecology | 100 Buckwalter Place Blvd Ste 150, Bluffton, SC 29910-5154 | 2007-05-21 |
| 1811374101 | Alessia Perry | Obstetrics & Gynecology | 1175 Cook Rd Ste 145, Orangeburg, SC 29118-8235 | 2015-05-06 |
| 1881018596 | Atlantic Urology Clinics LLC | Obstetrics & Gynecology | 199 Village Center Blvd, Suite 100, Myrtle Beach, SC 29579-3589 | 2014-02-17 |
| 1053667816 | Anmed Health | Obstetrics & Gynecology | 107 Wall St Ste 2, Clemson, SC 29631-2921 | 2012-07-31 |
| 1083862882 | Provident Health Surgical Associates, Inc. | Obstetrics & Gynecology | 14 Okatie Center Blvd. South, Suite 101, Okatie, SC 29909 | 2008-09-04 |
| 1609070143 | William M Merritt | Obstetrics & Gynecology | 166 Stoneridge Dr, Columbia, SC 29210-8239 | 2007-06-11 |
| 1457569923 | Jeffrey Wayne Elder | Obstetrics & Gynecology | 900 W Faris Rd, Greenville, SC 29605-4255 | 2007-05-18 |
| 1558422741 | Mppg, Inc. | Obstetrics & Gynecology | 7 Mallet Way, Bluffton, SC 29910 | 2006-12-12 |
| 1497841027 | Donald Williams Wiper IIi | Obstetrics & Gynecology | 890 W Faris Rd, Suite 470, Greenville, SC 29605-4253 | 2006-10-04 |
| 1982645701 | Anmed Health | Obstetrics & Gynecology | 2000 E Greenville St, Cancer Center 3rd Floor, Anderson, SC 29621-1580 | 2006-06-10 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.