DR. SHAWN A BIRCHENOUGH (NPI# 1518172972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518172972 |
| Entity Type | Individual |
| Full Name | DR. SHAWN A BIRCHENOUGH |
| Credential | MD |
| Practice Address |
391 Serpentine Dr Suite 250 Spartanburg SC 29303-3096 |
| Mailing Address |
Po Box 2168 Spartanburg SC 29304-2168 |
| Practice Telephone | 8645606717 |
| Practice Fax Number | 8645607105 |
| Mailing Telephone | 8645604304 |
| Mailing Fax Number | 8645604413 |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2019-04-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208200000X | Plastic Surgery | 31645 | SC | Allopathic & Osteopathic Physicians |
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
31645 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5918104 | 05 | |
| SC | 316456 | 05 |
| Street Address |
391 SERPENTINE DR SUITE 250 |
| City | SPARTANBURG |
| State | SC |
| Zip Code | 29303-3096 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528061561 | Richard Lee Conn | Surgery | 391 Serpentine Dr, Ste 250, Spartanburg, SC 29303-3080 | 2005-05-23 |
| 1245765841 | Christina L Blake | Registered Nurse | 391 Serpentine Dr, Suite 400, Spartanburg, SC 29303-3096 | 2017-04-21 |
| 1083099857 | Kristin Elena Klimbal | Nurse Practitioner | 391 Serpentine Dr, Suite 400, Spartanburg, SC 29303-3096 | 2015-07-22 |
| 1972997179 | Destiny Moore Moss | Nurse Practitioner | 391 Serpentine Dr, Suite 500, Spartanburg, SC 29303-3096 | 2015-03-25 |
| 1053724450 | Spartanburg Medical Center | Dermatology | 391 Serpentine Dr, Suite 300, Spartanburg, SC 29303-3080 | 2014-06-04 |
| 1831534486 | John Charles Barnett | Counselor | 391 Serpentine Dr, Suite 400, Spartanburg, SC 29303-3096 | 2013-05-08 |
| 1982948410 | Craig Stephen Williams | Psychologist | 391 Serpentine Dr, Suite 400, Spartanburg, SC 29303-3096 | 2012-11-21 |
| 1912279837 | Nicole Marcantonio Pierce | Social Worker | 391 Serpentine Dr, Spartanburg, SC 29303-3096 | 2012-02-08 |
| 1821226960 | Erin Anderson | Urology | 391 Serpentine Dr, Suite 500, Spartanburg, SC 29303-3096 | 2009-06-28 |
| 1629220132 | The Carolina Hand Center | Durable Medical Equipment & Medical Supplies | 391 Serpentine Dr, Suite 440, Spartanburg, SC 29303-3096 | 2008-10-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013532126 | Adam Joseph Fulcher | Family Medicine | Center for Family Medicine, 853 N. Church Street, Suite 510, Spartanburg, SC 29303 | 2020-06-15 |
| 1275011652 | Tri-state Medical Supplies, North Grove | Durable Medical Equipment & Medical Supplies | 1330 Boiling Springs Rd Ste 2900, Spartanburg, SC 29303 | 2018-07-30 |
| 1992227151 | Roxanne Pope | Speech-Language Pathologist | 290 N Grove Medical Park Dr., Spartanburg, SC 29303 | 2017-07-10 |
| 1861934879 | Cortney Redmond Mckinney I | Counselor | 250 Dewey Sve., Spartanburg, SC 29303 | 2016-11-08 |
| 1578011474 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 269 North Grove Medical Drive, Spartanburg, SC 29303 | 2016-09-20 |
| 1023477536 | Whitney Brooke Terry | Physician Assistant | 391 Serpentine Dr Ste 250, Spartanburg, SC 29303 | 2016-02-12 |
| 1306244348 | Medcare Urgent Care Spartanburg, LLC | Clinic/Center | 301 E Wood Street, Spartanburg, SC 29303 | 2014-12-08 |
| 1508201393 | Tom Ju | Anesthesiology | 1330 Boiling Springs Rd Ste 2700, Spartanburg, SC 29303 | 2013-05-07 |
| 1295072312 | Marie O'dell | Registered Nurse | 7 698 Howard Street, Spartanburg School District, Spartanburg, SC 29303 | 2013-01-09 |
| 1518203330 | Sherard Hamilton Ansley | Speech-Language Pathologist | 698 Howard St., Spartanburg School District 7, Spartanburg, SC 29303 | 2012-12-26 |
| Find all providers in zip 29303 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457386815 | Spartanburg Medical Center | Surgery | 391 Serpentine Dr, Suite 250, Spartanburg, SC 29303-3040 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831796150 | Lexington Health Inc | Surgery | 2728 Sunset Blvd Ste 105, West Columbia, SC 29169-4839 | 2020-10-09 |
| 1407472251 | Paulina Bao Tran Le | Surgery | Prisma Health Medical Group Plastic Surgery, 2 Medical Park, Ste 302, Columbia, SC 29203 | 2020-06-17 |
| 1366788580 | John Jacob Keyser | Surgery | 4094 Spring Is, Okatie, SC 29909-4053 | 2012-12-15 |
| 1780971135 | Paul Diegidio | Surgery | 1721 Ebenezer Rd Ste 115, Rock Hill, SC 29732-1119 | 2011-07-06 |
| 1184757288 | Ted R Vaughn | Surgery | 305a W Alexander Ave, Greenwood, SC 29646-4009 | 2007-03-14 |
| 1568535847 | Griffin Plastic Surgery PC | Surgery | 513 S Dargan St, Florence, SC 29506-2549 | 2006-11-16 |
| 1881786820 | Kimberley B Goh | Surgery | 4610 Oleander Drive, 101, Myrtle Beach, SC 29577 | 2006-09-28 |
| 1780797449 | Marcelo L. Hochman | Surgery | 2097 Henry Techlenburg Dr, Suite 212 West, Charleston, SC 29416-5739 | 2006-08-16 |
| 1750304333 | Patrick O'neill | Surgery | 245 Seven Farms Dr, Suite 210, Daniel Island, SC 29492-8500 | 2006-07-25 |
| 1659325371 | Steven K White | Surgery | 1275 21st Ave N, Myrtle Beach, SC 29577-7429 | 2006-05-19 |
| Find all providers with the same taxonomy | ||||
| City | SPARTANBURG |
| Zip Code | 29303 |
Please comment or provide details below to improve the information on DR. SHAWN A BIRCHENOUGH.
| 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.