SPARTANBURG MEDICAL CENTER (NPI# 1518112143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518112143 |
| Entity Type | Organization |
| Organization Name | SPARTANBURG MEDICAL CENTER |
| Other Organization Name | MEDICAL GROUP OF THE CAROLINAS - CAROLINA OB/GYN - WESTSIDE |
| Practice Address |
2995 Reidville Rd Suite 290 Spartanburg SC 29301-5628 |
| Mailing Address |
Po Box 743070 Atlanta GA 30374-3070 |
| Practice Telephone | 8645744483 |
| Practice Fax Number | 8645741162 |
| Mailing Telephone | 8645604304 |
| Mailing Fax Number | 8645604413 |
| Enumeration Date | 2008-11-24 |
| 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 | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP5791 | 05 | |
| SC | RR MEDICARE | CN1627 | 01 |
| SC | GP1118 | 05 |
| Other Name | Type Code |
|---|---|
| Medical Group of the Carolinas - Carolina Ob/Gyn - Westside | 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 |
2995 REIDVILLE RD SUITE 290 |
| City | SPARTANBURG |
| State | SC |
| Zip Code | 29301-5628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881659712 | Royal Albert Hobbs | Plastic Surgery | 2995 Reidville Rd, Suite 150, Spartanburg, SC 29301-5668 | 2006-04-20 |
| 1619339660 | Mary Black Physicians Group LLC | Durable Medical Equipment & Medical Supplies | 2995 Reidville Rd, Spartanburg, SC 29301-5628 | 2016-03-28 |
| 1861817819 | Lettie Jane Haynes | Nurse Practitioner | 2995 Reidville Rd, Spartanburg, SC 29301-5628 | 2014-02-27 |
| 1619310844 | Precision Plastic Surgery Pa | Plastic Surgery | 2995 Reidville Rd, Suite 150, Spartanburg, SC 29301-5668 | 2013-04-08 |
| 1578806618 | Jessica L Heintzelman | Family Medicine | 2995 Reidville Rd, Suite 210, Spartanburg, SC 29301-5628 | 2013-03-27 |
| 1326283896 | Mary Black Physicians Group, LLC | Internal Medicine | 2995 Reidville Rd, Suite 210, Spartanburg, SC 29301-5628 | 2008-12-11 |
| 1104061688 | Mary Black Physicians Group, LLC | Emergency Medicine | 2995 Reidville Rd, Spartanburg, SC 29301-5628 | 2008-12-11 |
| 1306081880 | Mary Black Physicians Group, LLC | Family Medicine | 2995 Reidville Rd, Suite 260, Spartanburg, SC 29301-5628 | 2008-12-11 |
| 1053556191 | Mary Black Physicians Group LLC | Durable Medical Equipment & Medical Supplies | 2995 Reidville Rd, Spartanburg, SC 29301-5628 | 2008-12-03 |
| 1053511766 | Mary Black Physicians Group LLC | Durable Medical Equipment & Medical Supplies | 2995 Reidville Rd, Ste 290, Spartanburg, SC 29301-5628 | 2007-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033716253 | Proactive Md Tindall Spartanburg Health Center | Family Medicine | 2273 Hayne St., Spartanburg, SC 29301 | 2020-10-01 |
| 1841757192 | Paladina Health, LLC | Family Medicine | Paladina Health Smith Drug, 9098 Fairforest Road, Spartanburg, SC 29301 | 2019-02-22 |
| 1073021143 | Yamira Valentin-fuentes | Chiropractor | 210 Westgate Mall Dr, Suite 6, Spartanburg, SC 29301 | 2018-01-11 |
| 1124426382 | Shellie Smith | Social Worker | 101 Washington Place, Spartanburg, SC 29301 | 2014-12-19 |
| 1356751770 | Lindsey Marie Dillon | Counselor | 250 Dewey Ave., Spartanburg, SC 29301 | 2014-05-07 |
| 1568892461 | Lauren Campbell Heiser | Physical Therapist | 2660 Reidville Rd # 6&7, Spartanburg, SC 29301 | 2013-11-14 |
| 1871843227 | Amy L Roberts | Occupational Therapist | 355 Oak Grove Rd., Spartanburg, SC 29301 | 2012-09-13 |
| 1023384419 | Elizabeth B. Gurley | Pharmacist | 211 West Blackstock Rd, Spartanburg, SC 29301 | 2012-03-29 |
| 1649564063 | Brooke Webster Fuentes | Physician Assistant | 300 E Blackstock Road, Suite E, Spartanburg, SC 29301 | 2011-06-02 |
| 1487943023 | Margaret Elizabeth Wilson | Counselor | 100 Ezell St., Spartanburg, SC 29301 | 2011-04-05 |
| Find all providers in zip 29301 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952735748 | James Sidney Fulmer Sr. | Obstetrics & Gynecology | 167 Ivy Court, Spartanburg, SC 29302 | 2013-08-28 |
| 1518306059 | Misty L Mcdowell | Obstetrics & Gynecology | 853 N Church St Ste 610, Spartanburg, SC 29303-3070 | 2013-06-18 |
| 1437248259 | Christy Grant Kobes | Obstetrics & Gynecology | 211 Indian Wells Dr, Spartanburg, SC 29306-6669 | 2006-10-12 |
| 1710995105 | Mary Black Health System, LLC | Obstetrics & Gynecology | 123 Dillon Dr, Spartanburg, SC 29307-1017 | 2006-08-03 |
| 1043251291 | Kristine Dee Boyd | Obstetrics & Gynecology | 853 N Church St Ste 700, Spartanburg, SC 29303 | 2006-06-09 |
| 1699729459 | Aaron M Toler | Obstetrics & Gynecology | 1686 Skylyn Drive, Suite 101, Spartanburg, SC 29307 | 2006-05-19 |
| 1598722290 | Mary Haddad | Obstetrics & Gynecology | 250 North Grove Medical Park Dr, Spartanburg, SC 29303-4222 | 2006-04-27 |
| 1285696690 | Peter Arnold Sereque | Obstetrics & Gynecology | 250 N Grove Medical Park Dr, Spartanburg, SC 29303-4222 | 2006-04-03 |
| 1861475402 | Emory Levon Eastin | Obstetrics & Gynecology | 1686 Skylyn Dr, Suite 101, Spartanburg, SC 29307-1058 | 2005-11-29 |
| 1245700301 | Spartanburg Medical Center | Obstetrics & Gynecology | 1686 Skylyn Dr Ste 201, Spartanburg, SC 29307-1079 | 2018-12-03 |
| Find all providers in SPARTANBURG | ||||
| City | SPARTANBURG |
| Zip Code | 29301 |
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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.