SPARTANBURG NEUROLOGICAL CENTER, PA (NPI# 1093781122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093781122 |
Entity Type | Organization |
Organization Name | SPARTANBURG NEUROLOGICAL CENTER, PA |
Other Organization Name | NEUROLOGY CENTERS OF THE CAROLINAS |
Practice Address |
1690 Skylyn Drive Suite 140 Spartanburg SC 29307 |
Practice Telephone | 8645422510 |
Practice Fax Number | 8645831311 |
Mailing Telephone | 8645422510 |
Mailing Fax Number | 8645831311 |
Enumeration Date | 2006-02-28 |
Last Update Date | 2015-09-01 |
Authorized Official Name | MR. TREY EARLEY (PRACTICE ADMINISTRATOR) |
Authorized Official Telephone | 8645420088 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | GP0791 | 05 |
Other Name | Type Code |
---|---|
Neurology Centers of the Carolinas | Former Legal Business Name - Organization |
Street Address |
1690 SKYLYN DRIVE SUITE 140 |
City | SPARTANBURG |
State | SC |
Zip Code | 29307 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821042623 | Julius Hedden | Family Medicine | 1690 Skylyn Drive, Suite 210, Spartanburg, SC 29307 | 2006-05-19 |
1760434120 | Howard Carlisle Bean | Family Medicine | 1690 Skylyn Drive, Suite 210, Spartanburg, SC 29307-1072 | 2006-05-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023677945 | Healogics Specialty Physicians of South Carolina, LLC | Clinic/Center | 1630 Skylyn Drive, Suite 420, Spartanburg, SC 29307 | 2019-06-13 |
1194247528 | Tawnia Lee Prince | Occupational Therapy Assistant | 110 Summit Knoll Drive, Spartanburg, SC 29307 | 2017-07-07 |
1730633553 | Laura K Taylor | Chiropractor | 1802 Drayton Road, Suite 309, Spartanburg, SC 29307 | 2016-08-10 |
1013372390 | Erin Lavette Farr | Nurse Practitioner | 2780 East Main Street, Ltc Health Solutions, Spartanburg, SC 29307 | 2015-12-30 |
1316312010 | Joy Rogers | Speech-Language Pathologist | 175 Burdette St, Spartanburg, SC 29307 | 2015-12-07 |
1376923169 | Olivia Conrad | Speech-Language Pathologist | 220 Sloans Grove Rd, Spartanburg, SC 29307 | 2015-06-05 |
1457755118 | Optimal Radiology Partners of Virginia, Pllc | Radiology | 75 Skylyn Drive, Spartanburg, SC 29307 | 2014-10-09 |
1295033272 | Sean Quinn | Pharmacist | 790 East Main Street, Spartanburg, SC 29307 | 2011-03-01 |
1417250887 | James Edward Bradof | Internal Medicine | 212 Cypress Creek Drive, Spartanburg, SC 29307 | 2010-12-07 |
1528388030 | Tanya Tocharoen Tang | Internal Medicine | 126 Dillon Dr., Spartanburg, SC 29307 | 2010-06-07 |
Find all providers in zip 29307 |
Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396291167 | Brent Timothy Smith | Specialist | 151 Ribault Street Suite 200, Spartanburg, SC 29302 | 2016-08-31 |
1891942801 | Scale Down | Specialist | 1455 E Main St Ste 107, Spartanburg, SC 29307-2243 | 2008-08-20 |
1124283437 | Allergic Disease and Asthma Center | Specialist | 3020 Reidville Rd, Spartanburg, SC 29301-5641 | 2008-07-25 |
1558541094 | Arthritis Care & Therapy Center | Specialist | 391 Serpentine Dr Ste 240, Spartanburg, SC 29303-3079 | 2007-11-13 |
1629258827 | Saad Upstate Neurology, P.a. | Specialist | 100 Willow Ln, Suite A, Spartanburg, SC 29307-1365 | 2007-11-06 |
1730388109 | Ashley Fowler | Specialist | 250 North Grove Medical Park, Spartanburg, SC 29303-3098 | 2007-07-16 |
1376508499 | Bang N Giep | Specialist | 853 N Church St Ste 600, Spartanburg, SC 29303-3070 | 2006-04-20 |
1164487377 | Magdy A. Habib | Specialist | 1702 Skylyn Dr, Spartanburg, SC 29307-1040 | 2006-04-19 |
1104886001 | William W Kerfoot | Specialist | 391 Serpentine Dr., Suite 500, Spartanburg, SC 29303-3083 | 2006-03-24 |
1902871890 | Thomas Albert Collings Jr. | Specialist | 324a N Pine St, Spartanburg, SC 29302-1631 | 2006-02-22 |
Find all providers in SPARTANBURG |
City | SPARTANBURG |
Zip Code | 29307 |
Please comment or provide details below to improve the information on SPARTANBURG NEUROLOGICAL CENTER, PA.
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.