SPARTANBURG MEDICAL CENTER (NPI# 1043528201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043528201 |
| Entity Type | Organization |
| Organization Name | SPARTANBURG MEDICAL CENTER |
| Other Organization Name | MEDICAL GROUP OF THE CAROLINAS - FAMILY MEDICINE - LANDRUM - TRYON EST |
| Practice Address |
617 Laurel Lake Dr Columbus NC 28722-7401 |
| Mailing Address |
Po Box 743070 Atlanta GA 30374-3070 |
| Practice Telephone | 8644573838 |
| Practice Fax Number | 8645609532 |
| Mailing Telephone | 8645604304 |
| Mailing Fax Number | 8645604413 |
| Enumeration Date | 2010-09-21 |
| Last Update Date | 2014-12-09 |
| 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 | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5916511 | 05 |
| Other Name | Type Code |
|---|---|
| Medical Group of the Carolinas - Family Medicine - Landrum - Tryon Est | 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 |
617 LAUREL LAKE DR |
| City | COLUMBUS |
| State | NC |
| Zip Code | 28722-7401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952343386 | Acts Retirement-life Communities Inc | Nursing Facility/Intermediate Care Facility | 617 Laurel Lake Dr, Columbus, NC 28722-7401 | 2006-06-11 |
| 1497259014 | Maureen Jablinske | Physical Therapy Assistant | 617 Laurel Lake Dr, Columbus, NC 28722-7401 | 2018-03-19 |
| 1235546938 | Michelle Marino | Nurse Practitioner | 617 Laurel Lake Dr, Columbus, NC 28722-7401 | 2014-07-15 |
| 1447686035 | Lester Roscoe Minish Jr. | Physical Therapy Assistant | 617 Laurel Lake Dr, Columbus, NC 28722-7401 | 2013-09-16 |
| 1215194295 | Michelle Mcclendon | Occupational Therapist | 617 Laurel Lake Dr, Genesis Rehab, Columbus, NC 28722-7401 | 2008-05-19 |
| 1023134707 | Ashlie Raines | Speech-Language Pathologist | 617 Laurel Lake Dr, Columbus, NC 28722-7401 | 2007-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508329145 | Polk County Rescue Squad | Ambulance | 133 Walker St, Columbus, NC 28722 | 2019-04-10 |
| 1912406612 | Healthstat Onsite Clinic Coats Hatch | Preventive Medicine | 960 East Nc 108 Highway, Columbus, NC 28722 | 2018-02-08 |
| 1013437532 | Mission Medical Associates, Inc. | Family Medicine | 589 Peniel Rd, Columbus, NC 28722 | 2017-06-26 |
| 1306272521 | Healthstat On-site Clinic/milliken Hatch | Preventive Medicine | 960 E Nc 108 Hwy, Columbus, NC 28722 | 2013-09-19 |
| 1295177988 | Rebecca Ann Fox | Pharmacist | 725 Laurel Ridge Rd, Columbus, NC 28722 | 2013-07-23 |
| 1063789808 | James Rick Mccallister | Counselor | 801 W. Mills St., Polk Wellness Center, Columbus, OH 28722 | 2011-11-22 |
| 1942502661 | David Ira Hendricks | Pharmacist | 333 West Mills Street, Columbus, NC 28722 | 2010-12-01 |
| 1346476298 | Cami Lockhart Dotson | Orthotic Fitter | 133 Shuford Road, Columbus, NC 28722 | 2009-06-05 |
| 1528237740 | David C Cotty Dmd & Associates Pa | Dentist | 816 West Mills Street, Suite E, Columbus, NC 28722 | 2008-02-21 |
| 1770619439 | Advent Internal Medicine | Internal Medicine | 11 Sunshine Ln, Columbus, NC 28722 | 2007-02-26 |
| Find all providers in zip 28722 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386252757 | Eventus Wholehealth Midwest Inc | Family Medicine | 2100 Midway St # 3722, Columbus, IN 47201-3722 | 2020-07-21 |
| 1699320705 | Kelly Cephas-hill | Family Medicine | 2339 Linden Ave, Columbus, OH 43211-1631 | 2019-08-06 |
| 1043877962 | 1 On 1 Staffing and Wellness Clinic | Family Medicine | 1315 Delauney Ave Ste 201-a, Columbus, GA 31901-2367 | 2019-05-27 |
| 1952893950 | Midland Medical Group, LLC | Family Medicine | 1000 Georgesville Rd, Columbus, OH 43228 | 2018-06-05 |
| 1134635105 | 138 Med | Family Medicine | 30 Lakeridge Ct, Columbus, GA 31904-1800 | 2017-12-28 |
| 1689193922 | Timothy John Moore | Family Medicine | 180 Reinhard Ave, Columbus, OH 43206-2635 | 2017-09-19 |
| 1013437532 | Mission Medical Associates, Inc. | Family Medicine | 589 Peniel Rd, Columbus, NC 28722 | 2017-06-26 |
| 1942735287 | Dean Fordham | Family Medicine | 6886 Shadybrook Trl, Columbus, GA 31904-3802 | 2017-04-24 |
| 1487188587 | Steven Hanrahan | Family Medicine | 2000 10th Ave Ste 380, Columbus, GA 31901-3709 | 2017-04-14 |
| 1962935866 | Alexandra Blood | Family Medicine | 5868 N Hamilton Rd Ste 200, Columbus, OH 43230-1328 | 2017-04-07 |
| Find all providers in COLUMBUS | ||||
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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.