MARY BLACK PHYSICIANS GROUP LLC (NPI# 1619339660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619339660 |
| Entity Type | Organization |
| Organization Name | MARY BLACK PHYSICIANS GROUP LLC |
| Other Organization Name | WESTSIDE MINOR CAR |
| Practice Address |
2995 Reidville Rd Spartanburg SC 29301-5628 |
| Mailing Address |
Po Box 689022 Franklin TN 37068-9022 |
| Practice Telephone | 8645873000 |
| Mailing Telephone | 6157788540 |
| Mailing Fax Number | 6156286877 |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2016-03-28 |
| Authorized Official Name | MICHAEL A SWAW (DIRECTOR) |
| Authorized Official Telephone | 6157788076 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| Westside Minor Car | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164667283 | Mary Black Physicians Group LLC | Durable Medical Equipment & Medical Supplies | 5229 Hwy 221, Roebuck, SC 29376-3305 | 2008-12-03 |
| 1427276203 | Mary Black Physicians Group LLC | Durable Medical Equipment & Medical Supplies | 170 Camelot Dr, Spartanburg, SC 29301-2650 | 2007-04-24 |
| 1235357260 | Mary Black Physicians Group LLC | Durable Medical Equipment & Medical Supplies | 145 Dillon Dr # B, Spartanburg, SC 29307-1017 | 2007-04-23 |
| 1093171332 | Mary Black Physicians Group LLC | Durable Medical Equipment & Medical Supplies | 722 Hyatt St, Suite D, Gaffney, SC 29341-2643 | 2015-12-31 |
| 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 |
| 1669672358 | Mary Black Physicians Group LLC | Durable Medical Equipment & Medical Supplies | 5470 N Main St, Cowpens, SC 29330-9705 | 2007-07-20 |
| 1336344852 | Mary Black Physicians Group LLC | Clinic/Center | 5229 Highway 221, Roebuck, SC 29376-3305 | 2007-06-15 |
| 1457555120 | Mary Black Physicians Group LLC | Clinic/Center | 108 W Rutherford St, Landrum, SC 29356-1526 | 2007-06-14 |
| 1518187228 | Mary Black Physicians Group LLC | Durable Medical Equipment & Medical Supplies | 500 Squires Pt, Suite B, Duncan, SC 29334-8867 | 2007-04-26 |
| Street Address |
2995 REIDVILLE RD |
| 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 |
| 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 |
| 1518112143 | Spartanburg Medical Center | Obstetrics & Gynecology | 2995 Reidville Rd, Suite 290, Spartanburg, SC 29301-5628 | 2008-11-24 |
| 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 | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992339220 | Donald Jason Jolley | Durable Medical Equipment & Medical Supplies | 1413 Wo Ezell Blvd, Spartanburg, SC 29301-1560 | 2020-02-25 |
| 1275011652 | Tri-state Medical Supplies, North Grove | Durable Medical Equipment & Medical Supplies | 1330 Boiling Springs Rd Ste 2900, Spartanburg, SC 29303 | 2018-07-30 |
| 1881118511 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1000 N Pine St Ste 32, Spartanburg, SC 29303-3182 | 2017-08-03 |
| 1619490646 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1510 Wo Ezell Blvd, Spartanburg, SC 29301-2616 | 2017-07-21 |
| 1376095620 | Anesthesia Services Associates | Durable Medical Equipment & Medical Supplies | 225 E Blackstock Rd, Spartanburg, SC 29301-2633 | 2016-11-02 |
| 1215375944 | Southeastern Paper Group | Durable Medical Equipment & Medical Supplies | 50 Old Blackstock Rd, Spartanburg, SC 29301-5571 | 2013-06-04 |
| 1699086546 | Peacock Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 8147 Warren H Abernathy Hwy, Spartanburg, SC 29301-2451 | 2010-06-25 |
| 1912221664 | Peaock Medical Equipment & Home Health Care LLC | Durable Medical Equipment & Medical Supplies | 550 S Church St Ste 11, Spartanburg, SC 29306-3306 | 2010-03-24 |
| 1750549341 | Miracle Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 275 S Church St, Suite 103, Spartanburg, SC 29306-3417 | 2008-05-30 |
| 1922283308 | David E Byers | Durable Medical Equipment & Medical Supplies | 1413 W O Ezell Blvd, Spartanburg, SC 29301-1560 | 2008-01-04 |
| Find all providers in SPARTANBURG | ||||
| City | SPARTANBURG |
| Zip Code | 29301 |
Please comment or provide details below to improve the information on MARY BLACK PHYSICIANS GROUP LLC.
| 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.