SPARTANBURG MEDICAL CENTER (NPI# 1174940498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174940498 |
| Entity Type | Organization |
| Organization Name | SPARTANBURG MEDICAL CENTER |
| Other Organization Name | MEDICAL GROUP OF THE CAROLINAS - RHEUMATOLOGY - PELHAM |
| Practice Address |
2755 S Highway 14 Suite 2500 Greer SC 29650-4941 |
| Mailing Address |
Po Box 743070 Atlanta GA 30374-3070 |
| Practice Telephone | 8645606844 |
| Practice Fax Number | 8645607015 |
| Mailing Telephone | 8645604304 |
| Mailing Fax Number | 8645604413 |
| Enumeration Date | 2014-03-25 |
| 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 | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP1265 | 05 |
| Other Name | Type Code |
|---|---|
| Medical Group of the Carolinas - Rheumatology - Pelham | 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 |
2755 S HIGHWAY 14 SUITE 2500 |
| City | GREER |
| State | SC |
| Zip Code | 29650-4941 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538164546 | Surgery Center At Pelham, LLC | Clinic/Center | 2755 S Highway 14, Greer, SC 29650-4926 | 2005-06-16 |
| 1598111353 | Spartanburg Medical Center | Nurse Practitioner | 2755 S Highway 14, Suite 2200, Greer, SC 29650-4902 | 2016-05-11 |
| 1972963494 | Spartanburg Medical Center | Physical Medicine & Rehabilitation | 2755 S Highway 14, Suite 1450, Greer, SC 29650-4902 | 2016-02-25 |
| 1245608934 | Spartanburg Medical Center | Dermatology | 2755 S Highway 14, Suite 2050, Greer, SC 29650-4902 | 2015-09-11 |
| 1114302767 | Spartanburg Medical Center | Family Medicine | 2755 S Highway 14, Suite 1200f, Greer, SC 29650-4902 | 2015-07-24 |
| 1720470206 | Spartanburg Medical Center | Allergy & Immunology | 2755 S Highway 14, Suite 1200h, Greer, SC 29650-4902 | 2015-02-20 |
| 1366703845 | James Baker Romine | Physician Assistant | 2755 S Highway 14, Ste 1200l, Greer, SC 29650-4902 | 2012-05-31 |
| 1659692952 | John Albert Lucas Iv | Family Medicine | 2755 S Highway 14, Suite 1200l, Greer, SC 29650-4902 | 2010-06-21 |
| 1902124050 | Jenna Elise Rolfs | Physician Assistant | 2755 S Highway 14, Suite 2200, Greer, SC 29650-4902 | 2010-05-13 |
| 1063738656 | Medequip, Inc | Durable Medical Equipment & Medical Supplies | 2755 S Highway 14, Ste 1200l, Greer, SC 29650-4902 | 2010-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154946424 | Paul Wong | Family Medicine | 109 Physicians Drive Suite A, Greer, SC 29650 | 2020-06-12 |
| 1992273684 | Christopher Michael Campbell | Pharmacist | 845b S Buncombe Rd, Greer, SC 29650 | 2018-11-12 |
| 1376035618 | Jessica Miller | Dentist | 1494 W Wade Hampton Blvd Ste D, Greer, SC 29650 | 2018-06-02 |
| 1992212872 | Greenville Health Corporation | Pharmacy | 845 S Buncombe Rd Ste D, Greer, SC 29650 | 2018-01-02 |
| 1114432077 | Spartanburg Medical Center | Orthopaedic Surgery | 2755 S Highway 14 Ste 1200m, Greer, SC 29650 | 2017-12-13 |
| 1437679750 | Sanders Healthcare LLC | Home Health | 110 W. Church St., Suite A, Greer, SC 29650 | 2017-06-27 |
| 1306291117 | James Elliott Crouch | Occupational Therapy Assistant | 1305 Boilings Springs Rd., Greer, SC 29650 | 2016-04-29 |
| 1033593389 | Premier Medical Transport Service | Non-emergency Medical Transport (VAN) | 120 Glenaire Dr, Greer, SC 29650 | 2015-07-16 |
| 1104176429 | Suchi Chomal | Pharmacist | 6 Colby Ct, Greer, SC 29650 | 2012-09-13 |
| 1447500822 | John Varner | Pharmacist | 821 S. Batesville Road, Greer, SC 29650 | 2012-09-13 |
| Find all providers in zip 29650 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568786630 | Irum Mona Idrees | Internal Medicine | 135 Commonwealth Dr Ste 170, Greenville, SC 29615-6940 | 2010-03-18 |
| 1205065976 | Lexington County Health Services District Inc. | Internal Medicine | 146 East Hospital Dr, Ste 550, West Columbia, SC 29169-4843 | 2009-07-02 |
| 1114104999 | Suhail Kumar | Internal Medicine | 3 Saint Francis Dr Ste 400, Greenville, SC 29601 | 2008-01-24 |
| 1952449290 | Sofia Aksentijevich | Internal Medicine | 14 E Farmfield Avenue, Charleston, SC 29407-7757 | 2007-02-01 |
| 1124198080 | The Arthritis and Osteoporosis Center Pa | Internal Medicine | 1768 Village Park Dr, Orangeburg, SC 29118 | 2006-11-08 |
| 1710056007 | Robert Thomas Keenan | Internal Medicine | 800 E Cheves St Ste 280, Florence, SC 29506-2652 | 2006-11-08 |
| 1881782266 | Erica Anderson | Internal Medicine | 14 Farmfield Ave Ste E, Charleston, SC 29407-7757 | 2006-10-10 |
| 1699725986 | Muthamma J Machimada | Internal Medicine | 135 Commonwealth Dr. Ste. 170, Greenville, SC 29615-6940 | 2006-05-10 |
| 1992753636 | John Louis Brittis | Internal Medicine | 23 Plantation Park Drive, Suite 101, Bluffton, SC 29910 | 2006-05-05 |
| 1700849627 | Walter Morse Bonner Jr. | Internal Medicine | 890 Johnnie Dodds Blvd, Suite 2a, Mt Pleasant, SC 29464-6129 | 2006-04-11 |
| Find all providers with the same taxonomy | ||||
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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.