SPARTANBURG REGIONAL MED CTR (NPI# 1023392883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023392883 |
| Entity Type | Organization |
| Organization Name | SPARTANBURG REGIONAL MED CTR |
| Other Organization Name | REGIONAL PEDIATRICS SERVICES |
| Practice Address |
853 N Church St Suite 401 Spartanburg SC 29303-3098 |
| Mailing Address |
Po Box 2168 Spartanburg SC 29304-2168 |
| Practice Telephone | 8645606287 |
| Practice Fax Number | 8645607091 |
| Mailing Telephone | 8645604304 |
| Mailing Fax Number | 8645604413 |
| Enumeration Date | 2011-09-28 |
| Last Update Date | 2011-11-15 |
| Authorized Official Name | MARK AYCOCK (EXECUTIVE VICE PRESIDENT) |
| 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 | 208000000X | Pediatrics | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP5790 | 05 |
| Other Name | Type Code |
|---|---|
| Regional Pediatrics Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710918230 | Spartanburg Regional Med Ctr | Psychiatry & Neurology | 853 N Church Street, Suite 640, Spartanburg, SC 29303-3040 | 2006-07-05 |
| 1710922703 | Spartanburg Regional Med Ctr | Pediatrics | 3941 Hwy 9, Ste B, Boiling Springs, SC 29316 | 2006-06-17 |
| 1700176054 | Spartanburg Regional Med Ctr | Plastic Surgery | 29 Rocky Slope Rd, Greenville, SC 29607-3909 | 2011-04-07 |
| 1588998629 | Spartanburg Regional Med Ctr | Internal Medicine | 322 Memorial Dr, Greer, SC 29650-1521 | 2009-09-22 |
| 1417281650 | Spartanburg Regional Med Ctr | Internal Medicine | 325 Medical Pkwy, Suite 200, Greer, SC 29650-2457 | 2009-09-21 |
| 1922243674 | Spartanburg Regional Med Ctr | Obstetrics & Gynecology | 373 Halton Rd, Greenville, SC 29607-3405 | 2008-12-10 |
| 1497900641 | Spartanburg Regional Med Ctr | Internal Medicine | 101 E Wood St, Spartanburg, SC 29303-3040 | 2008-12-01 |
| 1568616076 | Spartanburg Regional Med Ctr | Internal Medicine | 1702 Skylyn Dr, Unit C, Spartanburg, SC 29307-1040 | 2008-11-11 |
| 1730376948 | Spartanburg Regional Med Ctr | Obstetrics & Gynecology | 1686 Skylyn Dr, Suite 102, Spartanburg, SC 29307-1058 | 2007-10-02 |
| 1427172261 | Spartanburg Regional Med Ctr | Surgery | 100 E Wood St, Suite 301b, Spartanburg, SC 29303-3004 | 2007-03-19 |
| Street Address |
853 N CHURCH ST SUITE 401 |
| City | SPARTANBURG |
| State | SC |
| Zip Code | 29303-3098 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255334306 | Paul Anthony Lepage | Surgery | 853 N Church St, Suite 500, Spartanburg, SC 29303-3098 | 2005-05-23 |
| 1801449673 | Meghan Mace | Family Medicine | 853 N Church St, Spartanburg, SC 29303-3098 | 2019-07-22 |
| 1588216493 | Madeline Topitzes | Family Medicine | 853 N Church St, Suite 510, Spartanburg, SC 29303-3098 | 2019-07-10 |
| 1013402312 | James Spearman | Family Medicine | 853 N Church St, Spartanburg, SC 29303-3098 | 2018-06-28 |
| 1346780814 | Della Greer | Nurse Practitioner | 853 N Church St, Suite 700, Spartanburg, SC 29303-3098 | 2017-03-03 |
| 1588101448 | Kristy Johnson | Nurse Practitioner | 853 N Church St, Suite 620, Spartanburg, SC 29303-3098 | 2017-01-30 |
| 1912442591 | Erin Mcdermott | Registered Nurse | 853 N Church St, Suite 720c, Spartanburg, SC 29303-3098 | 2017-01-05 |
| 1669917241 | Annie Littlejohn | Registered Nurse | 853 N Church St, Suite 720c, Spartanburg, SC 29303-3098 | 2017-01-05 |
| 1801331483 | Cynthia Norris | Registered Nurse | 853 N Church St, Suite 720c, Spartanburg, SC 29303-3098 | 2017-01-05 |
| 1346795085 | Amanda Shugart James | Dietitian, Registered | 853 N Church St, Suite 410a, Spartanburg, SC 29303-3098 | 2016-08-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013532126 | Adam Joseph Fulcher | Family Medicine | Center for Family Medicine, 853 N. Church Street, Suite 510, Spartanburg, SC 29303 | 2020-06-15 |
| 1275011652 | Tri-state Medical Supplies, North Grove | Durable Medical Equipment & Medical Supplies | 1330 Boiling Springs Rd Ste 2900, Spartanburg, SC 29303 | 2018-07-30 |
| 1992227151 | Roxanne Pope | Speech-Language Pathologist | 290 N Grove Medical Park Dr., Spartanburg, SC 29303 | 2017-07-10 |
| 1861934879 | Cortney Redmond Mckinney I | Counselor | 250 Dewey Sve., Spartanburg, SC 29303 | 2016-11-08 |
| 1578011474 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 269 North Grove Medical Drive, Spartanburg, SC 29303 | 2016-09-20 |
| 1023477536 | Whitney Brooke Terry | Physician Assistant | 391 Serpentine Dr Ste 250, Spartanburg, SC 29303 | 2016-02-12 |
| 1306244348 | Medcare Urgent Care Spartanburg, LLC | Clinic/Center | 301 E Wood Street, Spartanburg, SC 29303 | 2014-12-08 |
| 1508201393 | Tom Ju | Anesthesiology | 1330 Boiling Springs Rd Ste 2700, Spartanburg, SC 29303 | 2013-05-07 |
| 1295072312 | Marie O'dell | Registered Nurse | 7 698 Howard Street, Spartanburg School District, Spartanburg, SC 29303 | 2013-01-09 |
| 1518203330 | Sherard Hamilton Ansley | Speech-Language Pathologist | 698 Howard St., Spartanburg School District 7, Spartanburg, SC 29303 | 2012-12-26 |
| Find all providers in zip 29303 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275900961 | Gateway Children's | Pediatrics | 397 Serpentine Dr, Ste B, Spartanburg, SC 29303-3067 | 2015-08-28 |
| 1447477344 | Ann Marie Harrill Edwards | Pediatrics | 249 North Grove Medical Park Dr, Ste 100, Spartanburg, SC 29603-4222 | 2007-04-20 |
| 1245393776 | Monique Hope Fox | Pediatrics | 750 South Church Street, Spartanburg, SC 29306 | 2006-12-18 |
| 1083795934 | Christine Hidalgo Philpott | Pediatrics | 201 E Broad St, Spartanburg, SC 29306-3233 | 2006-10-18 |
| 1801837968 | William Travis Weathers | Pediatrics | 1650 Skyn Drive, Suite 240, Spartanburg, SC 29307-1069 | 2006-06-09 |
| 1093769804 | George Chester Glenn IIi | Pediatrics | 1686 Skyland Drive, Suite 201, Spartanburg, SC 29307 | 2006-05-19 |
| 1386697175 | Michelle Lynn Prigge | Pediatrics | 249 N Grove Medical Park Dr Ste 100, Spartanburg, SC 29303 | 2006-05-19 |
| 1619920808 | H Heywood Nettles | Pediatrics | 147 Oakwood Ave, Spartanburg, SC 29302-1207 | 2006-05-18 |
| 1871552315 | Steven Douglas Egge Sr. | Pediatrics | 3020 Reidville Rd Ste B, Spartanburg, SC 29301-5641 | 2006-03-22 |
| 1891765533 | Shelley Mahaffey | Pediatrics | 8311 Warren H Abernathy Hwy, Spartanburg, SC 29301-1249 | 2006-01-25 |
| Find all providers in SPARTANBURG | ||||
| City | SPARTANBURG |
| Zip Code | 29303 |
Please comment or provide details below to improve the information on SPARTANBURG REGIONAL MED CTR.
| 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.