ELISA ANN KATEMBA (NPI# 1689644015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689644015 |
Entity Type | Individual |
Full Name | ELISA ANN KATEMBA |
Credential | MD |
Practice Address |
2660 Reidville Rd Unit 1 Spartanburg SC 29301-3512 |
Mailing Address |
Po Box 743070 Atlanta GA 30374-3070 |
Practice Telephone | 8645609696 |
Practice Fax Number | 8645609636 |
Mailing Telephone | 8645604304 |
Mailing Fax Number | 8645604413 |
Enumeration Date | 2006-01-26 |
Last Update Date | 2020-09-24 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 174400000X | Specialist | 20262 | SC | Other Service Providers |
Y | 207Q00000X | Family Medicine | 20262 | SC | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | 202621 | 05 | |
SC | MEDICARE UPIN | G902256067 | 01 |
Street Address |
2660 REIDVILLE RD UNIT 1 |
City | SPARTANBURG |
State | SC |
Zip Code | 29301-3512 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689191306 | Tracy Britto | Nurse Practitioner | 2660 Reidville Rd Unit 1, Spartanburg, SC 29301-3512 | 2017-08-23 |
1912355272 | Natalie Mckinney | Nurse Practitioner | 2660 Reidville Rd Unit 1, Spartanburg, SC 29301-3512 | 2016-05-27 |
1477930808 | Laura A Stephens | Registered Nurse | 2660 Reidville Rd Unit 1, Spartanburg, SC 29301-3512 | 2015-05-06 |
1730583618 | Crystal Dawson | Nurse Practitioner | 2660 Reidville Rd Unit 1, Spartanburg, SC 29301-3512 | 2014-10-21 |
1386088458 | Cortney A Davis | Nurse Practitioner | 2660 Reidville Rd Unit 1, Spartanburg, SC 29301-3512 | 2013-04-19 |
1710224217 | Denise Michelle Mathis | Nurse Practitioner | 2660 Reidville Rd Unit 1, Spartanburg, SC 29301-3512 | 2013-01-03 |
1790049112 | Susan Coggins | Nurse Practitioner | 2660 Reidville Rd Unit 1, Spartanburg, SC 29301-3512 | 2012-06-29 |
1467722959 | Ruth Knoepp Rainer | Nurse Practitioner | 2660 Reidville Rd Unit 1, Spartanburg, SC 29301-3512 | 2011-12-30 |
1316231285 | Scott Aaron Cygan | Preventive Medicine | 2660 Reidville Rd Unit 1, Spartanburg, SC 29301-3512 | 2011-06-07 |
1629216833 | Linda Hayes | Nurse Practitioner | 2660 Reidville Rd Unit 1, Spartanburg, SC 29301-3512 | 2009-01-26 |
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 | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033716253 | Proactive Md Tindall Spartanburg Health Center | Family Medicine | 2273 Hayne St., Spartanburg, SC 29301 | 2020-10-01 |
1013532126 | Adam Joseph Fulcher | Family Medicine | Center for Family Medicine, 853 N. Church Street, Suite 510, Spartanburg, SC 29303 | 2020-06-15 |
1538713813 | Proactive Md Sc,p.a. | Family Medicine | 101 W Saint John St Ste 107, Spartanburg, SC 29306-5157 | 2019-07-25 |
1073171336 | Proactive Md Sc,p.a. | Family Medicine | 801 Union St, Spartanburg, SC 29302-2734 | 2019-06-03 |
1841757192 | Paladina Health, LLC | Family Medicine | Paladina Health Smith Drug, 9098 Fairforest Road, Spartanburg, SC 29301 | 2019-02-22 |
1487111738 | Paladina Health, LLC | Family Medicine | Paladina Health Spartanburg Palmetto Bank, 101 West Saint John Street Suite 107, Spartanburg, SC 29306 | 2019-02-22 |
1649735127 | Spartanburg Medical Center | Family Medicine | 11 Doctors Park Dr Ste 200, Spartanburg, SC 29307-1008 | 2019-02-08 |
1114403342 | Piedmont Care, Inc. | Family Medicine | 101 N Pine St Ste 200, Spartanburg, SC 29302-1604 | 2018-07-11 |
1356871933 | Kristy Kaye Atkinson | Family Medicine | 853 N Church St # 150, Spartanburg, SC 29303-3098 | 2017-06-15 |
1003352261 | Academic Primary Care Associates | Family Medicine | 410 Magnolia St, Spartanburg, SC 29303-3640 | 2017-01-12 |
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.