DR. KEVIN PATRICK TRACY (NPI# 1215993159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215993159 |
| Entity Type | Individual |
| Full Name | DR. KEVIN PATRICK TRACY |
| Credential | MD |
| Practice Address |
1770 Skylyn Dr Spartanburg SC 29307-1045 |
| Mailing Address |
Po Box 277827 Atlanta GA 30384-7827 |
| Practice Telephone | 8645827892 |
| Practice Fax Number | 8645821582 |
| Mailing Telephone | 8642538080 |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2008-11-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
14815 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 148156 | 05 | |
| SC | MEDICARE RAILROAD | P00386917 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780187625 | Kevin Tracy | Behavior Technician | 1301 E Orangewood Ave, Anaheim, CA 92805-6807 | 2018-03-16 |
| 1114253572 | Kevin Scott Tracy | Registered Nurse | 167 North Main Street, Tuba City, AZ 86045-0600 | 2009-10-20 |
| 1215919550 | Kevin Abraham Tracy | Pediatrics | 2521 Stockton Blvd, Glassrock Bldg. Suite 4100, Sacramento, CA 95817-2207 | 2005-11-14 |
| Street Address |
1770 SKYLYN DR |
| City | SPARTANBURG |
| State | SC |
| Zip Code | 29307-1045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295711190 | John V Dawidowicz | Chiropractor | 1770 Skylyn Dr, Spartanburg, SC 29307-1045 | 2005-12-22 |
| 1649659137 | Skylyn Wellness Center, Inc | Chiropractor | 1770 Skylyn Dr, Spartanburg, SC 29307-1045 | 2015-05-29 |
| 1588809198 | Mary Black Physicians Group, LLC | Internal Medicine | 1770 Skylyn Dr, Spartanburg, SC 29307-1045 | 2008-12-10 |
| 1043405657 | Mary Black Health System LLC | Durable Medical Equipment & Medical Supplies | 1770 Skylyn Dr, Spartanburg, SC 29307-1045 | 2007-09-07 |
| 1942428719 | Mary Black Physicians Group LLC | Durable Medical Equipment & Medical Supplies | 1770 Skylyn Dr, Spartanburg, SC 29307-1045 | 2007-04-24 |
| 1124124185 | Skylyn Wellness Center, Inc. | Family Medicine | 1770 Skylyn Dr, Spartanburg, SC 29307-1045 | 2006-09-16 |
| 1134137581 | Mary Black Health System, LLC | Durable Medical Equipment & Medical Supplies | 1770 Skylyn Dr, Spartanburg, SC 29307-1045 | 2006-08-03 |
| 1780652438 | Irma R Williams | Anesthesiology | 1770 Skylyn Dr, Spartanburg, SC 29307-1045 | 2006-03-09 |
| 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 | 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 |
|---|---|---|---|---|
| 1417938226 | David Arnold Holt | Internal Medicine | 100 East Wood St, Ste 302, Spartanburg, SC 29303-3040 | 2005-11-09 |
| 1154317378 | Karen Dorothy Louise Smith | Internal Medicine | 1330 Boiling Springs Rd Ste 1700, Spartanburg, SC 29303-4208 | 2005-09-22 |
| 1518597202 | Articularis Healthcare Group Inc. | Internal Medicine | 1330 Boiling Springs Rd Ste 2100, Spartanburg, SC 29303-4210 | 2020-01-22 |
| 1831617299 | Horizon Medical Associates | Internal Medicine | 1330 Boiling Springs Rd Ste 2100, Spartanburg, SC 29303-4210 | 2017-09-06 |
| 1588809198 | Mary Black Physicians Group, LLC | Internal Medicine | 1770 Skylyn Dr, Spartanburg, SC 29307-1045 | 2008-12-10 |
| 1912129354 | Jennifer L. Becker | Internal Medicine | 853 N Church St, Suite 720a, Spartanburg, SC 29303-3098 | 2007-05-03 |
| 1952449894 | Nkechinyere Emejuaiwe | Internal Medicine | 853 N Church St, Suite 720a, Spartanburg, SC 29303-3098 | 2007-02-02 |
| 1497721393 | James Halla | Internal Medicine | 1330 Boiling Springs Rd, Suite 2500, Spartanburg, SC 29303-2244 | 2006-02-28 |
| 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 | ||||
| City | SPARTANBURG |
| Zip Code | 29307 |
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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.