SPARTANBURG MEDICAL CENTER (NPI# 1194979609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194979609 |
| Entity Type | Organization |
| Organization Name | SPARTANBURG MEDICAL CENTER |
| Other Organization Name | MEDICAL GROUP OF THE CAROLINAS - HEMATOLOGY ONCOLOGY - PELHAM |
| Practice Address |
2759 S Highway 14 Suite A Greer SC 29650-4926 |
| Mailing Address |
Po Box 743070 Atlanta GA 30374-3070 |
| Practice Telephone | 8648499701 |
| Practice Fax Number | 8648499710 |
| Mailing Telephone | 8645604304 |
| Mailing Fax Number | 8645604413 |
| Enumeration Date | 2008-11-11 |
| 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 - 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 |
2759 S HIGHWAY 14 SUITE A |
| City | GREER |
| State | SC |
| Zip Code | 29650-4926 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477524072 | Anita Patt | Surgery | 2759 S Highway 14, Greer, SC 29650 | 2006-01-31 |
| 1902430267 | Spartanburg Regional Health Services District, Inc. | Pharmacy | 2759 S Highway 14, Greer, SC 29650-4926 | 2020-02-26 |
| 1255963088 | Spartanburg Medical Center | Durable Medical Equipment & Medical Supplies | 2759 S Highway 14, Greer, SC 29650-4926 | 2020-02-10 |
| 1285981092 | Katherine Kavanagh Pitts | Pharmacist | 2759 S Highway 14, Greer, SC 29650-4926 | 2012-08-10 |
| 1013272004 | Spartanburg Medical Center | Obstetrics & Gynecology | 2759 S Highway 14, Greer, SC 29650-4926 | 2012-07-06 |
| 1225134075 | Melanie B. Thomas | Internal Medicine | 2759 S Highway 14, Suite A, Greer, SC 29650-4926 | 2006-09-16 |
| 1225055171 | Kacie Beth Carter | Nurse Practitioner | 2759 S Highway 14, Suite A, Greer, SC 29650-4926 | 2006-07-16 |
| 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 | 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 |
|---|---|---|---|---|
| 1225134075 | Melanie B. Thomas | Internal Medicine | 2759 S Highway 14, Suite A, Greer, SC 29650-4926 | 2006-09-16 |
| 1356355325 | Palmetto Hematology Oncology PC | Internal Medicine | 2755 South Highway 14, Suite 2200, Greer, SC 29650-4902 | 2006-07-27 |
| 1902822166 | Concetta Aurelia Gardziola | Internal Medicine | 325 Medical Pkwy, Suite 200 C, Greer, SC 29650-2457 | 2006-07-14 |
| 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 | ||||
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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.