SPARTANBURG MEDICAL CENTER (NPI# 1154575579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154575579 |
Entity Type | Organization |
Organization Name | SPARTANBURG MEDICAL CENTER |
Other Organization Name | MEDICAL GROUP OF THE CAROLINAS - HEMATOLOGY ONCOLOGY - UNION |
Practice Address |
407 W South St Union SC 29379-2771 |
Mailing Address |
Po Box 743070 Atlanta GA 30374-3070 |
Practice Telephone | 8644274993 |
Practice Fax Number | 8644275208 |
Mailing Telephone | 8645604304 |
Mailing Fax Number | 8645604413 |
Enumeration Date | 2008-11-12 |
Last Update Date | 2016-09-23 |
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 | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | GP4991 | 05 |
Other Name | Type Code |
---|---|
Medical Group of the Carolinas - Hematology Oncology - Union | 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 |
407 W SOUTH ST |
City | UNION |
State | SC |
Zip Code | 29379-2771 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700984366 | Kimberley Lis Barracco | Pediatrics | 407 W South St, Union, SC 29379 | 2006-09-20 |
1326605635 | Sally Gallman Robinson | Nurse Practitioner | 407 W South St, Union, SC 29379-2771 | 2019-05-22 |
1144722919 | Union Medical Center | Clinic/Center | 407 W South St, Union, SC 29379-2771 | 2018-03-07 |
1811499890 | Union Medical Center | Pediatrics | 407 W South St, Union, SC 29379 | 2018-03-06 |
1356727457 | Spartanburg Medical Center | Nurse Practitioner | 407 W South St, Union, SC 29379-2771 | 2015-07-31 |
1659645612 | Mollie L Huskey | Nurse Practitioner | 407 W South St, Union, SC 29379-2771 | 2012-03-07 |
1013103852 | Union Hospital District | Surgery | 407 W South St, Union, SC 29379-2771 | 2007-09-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780049072 | Dorothy Craig | Social Worker | 201 Herndon, Union, SC 29379 | 2015-12-31 |
1588049662 | Spartanburg Medical Center | Internal Medicine | 408 North Duncan By Pass, Suite L, Union, SC 29379 | 2015-07-30 |
1891045118 | Crystal Berry Earls | Pharmacist | 109 Beechtree Place, Union, SC 29379 | 2012-09-13 |
1871732271 | Union Hospital District Dba Cha Family Medicine | Family Medicine | 801 West Main St, Union, SC 29379 | 2009-02-10 |
1336388735 | Union Hospital District | Internal Medicine | 408 N Duncan By Pass, Suite L, Union, SC 29379 | 2009-02-10 |
1215185178 | Oakmont of Union Sc LLC | Assisted Living Facility | 709 Rice Street, Union, SC 29379 | 2008-09-04 |
1700072444 | Union Hospital District | Obstetrics & Gynecology | 720 South Duncan Bypass, Suite C, Union, SC 29379 | 2007-09-17 |
1154449130 | Whitney Connolly Leary | Speech-Language Pathologist | 720 A South Duncan Bypass, Union, SC 29379 | 2007-03-27 |
1467577353 | Kathryn Cook Scales | Counselor | 323 W South Street, Union, SC 29379 | 2007-03-20 |
1104957901 | Owen K Woolever | Physical Therapist | 720 A S Duncan Bypass, Union, SC 29379 | 2007-03-07 |
Find all providers in zip 29379 |
Taxonomy Code | 207RH0003X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Hematology & Oncology |
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962504936 | Stefan Balan | Internal Medicine | 146 Hickory Rd, Union, NJ 07083-6407 | 2006-09-01 |
1902810971 | Palmetto Hematology Oncology PC | Internal Medicine | 407 West South Street, Union, SC 29379-2747 | 2006-07-28 |
1801207659 | Tasneem Jafri Rashid,md,pc | Internal Medicine | 2780 Morris Ave, Suite 1-c, Union, NJ 07083-4852 | 2014-05-14 |
1205947926 | Tasneem J Rashid | Internal Medicine | 2780 Morris Ave, Suite 1-c, Union, NJ 07083-4852 | 2006-08-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508361809 | Santee Oncology, LLC | Internal Medicine | 1105 N Lafayette Dr Ste A, Sumter, SC 29150-2984 | 2018-03-28 |
1689080129 | Gregory Michael Haidemenos | Internal Medicine | 169 Ashley Ave # Msc322, Charleston, SC 29425-8908 | 2014-07-04 |
1558507848 | Shelly Christiansen Shand | Internal Medicine | 2085 Henry Tecklenburg Dr Fl 2, Charleston, SC 29414 | 2008-12-17 |
1598922650 | Xuezhong Yang | Internal Medicine | 317 Saint Francis Dr Ste 340, Greenville, SC 29601-3914 | 2008-05-16 |
1891817656 | Carolina Cancer Specialists | Internal Medicine | 225 S Herlong Ave, Suite 201, Rock Hill, SC 29732-2730 | 2007-04-04 |
1730200031 | Niyati Anand Nathwani | Internal Medicine | 902 W Meeting St, Lancaster, SC 29720-6219 | 2007-04-03 |
1770601734 | Ziad Georges Skaff | Internal Medicine | 8950 University Blvd Ste 100, North Charleston, SC 29406-9115 | 2007-03-27 |
1407947757 | Asutosh S Gor | Internal Medicine | 1583 Healthcare Drive, Rock Hill, SC 29732 | 2006-09-28 |
1821192949 | Sitki M Ergul | Internal Medicine | 111 Miracle Drive, Aiken, SC 29801 | 2006-09-11 |
1295742294 | Palmetto Hematology Oncology PC | Internal Medicine | 406 Tiffany Park, Suites A & B, Gaffney, SC 29341-1262 | 2006-08-02 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on SPARTANBURG MEDICAL CENTER.
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.