SPARTANBURG MEDICAL CENTER (NPI# 1114017688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114017688 |
Entity Type | Organization |
Organization Name | SPARTANBURG MEDICAL CENTER |
Other Organization Name | THAT SPECIAL LOOK |
Practice Address |
380 Serpentine Dr Suite 109 Spartanburg SC 29303-3066 |
Mailing Address |
Po Box 743070 Atlanta GA 30374-3070 |
Practice Telephone | 8645607080 |
Practice Fax Number | 8645607077 |
Mailing Telephone | 8645604304 |
Mailing Fax Number | 8645604413 |
Enumeration Date | 2006-10-13 |
Last Update Date | 2016-09-28 |
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 | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | DME865 | 05 |
Other Name | Type Code |
---|---|
That Special Look | 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 |
380 SERPENTINE DR SUITE 109 |
City | SPARTANBURG |
State | SC |
Zip Code | 29303-3066 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942204334 | Charles Edward Bowers | Specialist | 380 Serpentine Dr, Spartanburg, SC 29303-3066 | 2005-06-13 |
1952666067 | Erin E Lusher | Family Medicine | 380 Serpentine Dr, Suite 200a, Spartanburg, SC 29303-3066 | 2012-07-05 |
1831466747 | Kristen Mabus Wilson | Nurse Practitioner | 380 Serpentine Dr, Suite 200, Spartanburg, SC 29303-3066 | 2011-11-20 |
1083940688 | Melody J. Carnes | Social Worker | 380 Serpentine Dr, Suite 200a, Spartanburg, SC 29303-3066 | 2009-11-02 |
1013161520 | Spartanburg Medical Center | Internal Medicine | 380 Serpentine Dr, Gibbs Cancer Center, Spartanburg, SC 29303-3066 | 2008-11-11 |
1285605295 | Christopher Richard Powers | Internal Medicine | 380 Serpentine Dr, Suite 200a, Spartanburg, SC 29303-3066 | 2006-01-28 |
1942270582 | Spartanburg Regional Health Services District Inc | Pharmacy | 380 Serpentine Dr, Ste 201, Spartanburg, SC 29303-3066 | 2006-01-25 |
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 | 332BC3200X |
Grouping | Suppliers |
Classification | Durable Medical Equipment & Medical Supplies |
Specialization | Customized Equipment |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780135269 | Western Carolina O & P | Durable Medical Equipment & Medical Supplies | 366 S Pine St, Spartanburg, SC 29302-2624 | 2016-10-19 |
1174593628 | Home Medical Systems, Inc. | Durable Medical Equipment & Medical Supplies | 110 Garner Rd, Suite 7, Spartanburg, SC 29303-3155 | 2006-01-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619577665 | Mobilityworks, LLC | Durable Medical Equipment & Medical Supplies | 11816 Frontage Rd., Murrells Inlet, SC 29576 | 2020-10-29 |
1588217830 | Bennett Wholesale Distributors, LLC | Durable Medical Equipment & Medical Supplies | 300 Long Pointe Ln Ste 220-o, Columbia, SC 29229-7543 | 2019-07-16 |
1255840310 | Lovely Doves Dme | Durable Medical Equipment & Medical Supplies | 1509 N Longstreet St, Kingstree, SC 29556-2416 | 2017-09-21 |
1710408836 | Freedom Mobility Center, Inc. | Durable Medical Equipment & Medical Supplies | 224 Oneil Ct Ste 23, Columbia, SC 29223-7649 | 2017-06-28 |
1255882908 | South Carolina Dental Sleep Center, LLC | Durable Medical Equipment & Medical Supplies | 1405 Brushy Creek Rd Ste B, Taylors, SC 29687-4008 | 2016-10-18 |
1619424264 | Dr. Timothy Gross' Dental Excellence LLC | Durable Medical Equipment & Medical Supplies | 15 Bow Cir, Suite 104, Hilton Head Island, SC 29928-3211 | 2016-09-01 |
1871953620 | Pediatric Mobility Innovations, Inc. | Durable Medical Equipment & Medical Supplies | 4458 Augusta Rd, Ste 1b, Lexington, SC 29073-7155 | 2016-03-07 |
1295113892 | United Seating and Mobility LLC | Durable Medical Equipment & Medical Supplies | 16b Brozzini Ct, Greenville, SC 29615-5339 | 2015-05-14 |
1417342791 | Function Abilities, LLC | Durable Medical Equipment & Medical Supplies | 211 Eddings Point Rd, Saint Helena Island, SC 29920-3911 | 2015-04-02 |
1326431404 | Pediatric Mobility Innovations | Durable Medical Equipment & Medical Supplies | 4458 Augusta Road Suite 1b, Lexington, SC 29073 | 2015-03-12 |
Find all providers with the same taxonomy |
City | SPARTANBURG |
Zip Code | 29303 |
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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.