SPARTANBURG MEDICAL CENTER (NPI# 1699729939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699729939 |
| Entity Type | Organization |
| Organization Name | SPARTANBURG MEDICAL CENTER |
| Practice Address |
101 E Wood St Emergency Center Spartanburg SC 29303-3040 |
| Mailing Address |
Po Box 743070 Atlanta GA 30384-3070 |
| Practice Telephone | 8645607025 |
| Practice Fax Number | 8645607388 |
| Mailing Telephone | 8645604304 |
| Mailing Fax Number | 8645604413 |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2018-01-23 |
| 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 | 261QE0002X |
Clinic/Center Specialization: Emergency Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | TRICARE SUFFIX | 097 | 01 |
| SC | BCBS SUFFIX | 100 | 01 |
| SC | SELECT HEALTH OF SC | 20057400 | 01 |
| NC | 5903906 | 05 | |
| SC | GP4440 | 05 |
| 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 |
101 E WOOD ST EMERGENCY CENTER |
| City | SPARTANBURG |
| State | SC |
| Zip Code | 29303-3040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407858467 | Steven William Corso | Internal Medicine | 101 E Wood St, Spartanburg, SC 29303-3040 | 2005-06-02 |
| 1932713203 | Warren Everett Evans | Surgery | 101 E Wood St, Spartanburg, SC 29303-3040 | 2020-09-03 |
| 1023628096 | Zoe Kyle | Nurse Practitioner | 101 E Wood St, Spartanburg, SC 29303-3040 | 2020-08-05 |
| 1952928897 | Marcus Kyle Mauney | Registered Nurse | 101 E Wood St, Spartanburg, SC 29303-3040 | 2020-06-26 |
| 1679198618 | Raymond Briggs Westby | Surgery | 101 E Wood St, Spartanburg, SC 29303-3040 | 2020-06-16 |
| 1477178754 | Brewer Mccann Carter | Surgery | 101 E Wood St, Spartanburg, SC 29303-3040 | 2020-06-11 |
| 1982229704 | Kathryn Dewalt Rubel | Nurse Anesthetist, Certified Registered | 101 E Wood St, Spartanburg, SC 29303-3040 | 2020-06-09 |
| 1255956074 | Benjamin Todd Reeves | Internal Medicine | 101 E Wood St, Spartanburg, SC 29303-3040 | 2020-06-09 |
| 1952926685 | Mason Runge | Internal Medicine | 101 E Wood St, Spartanburg, SC 29303-3040 | 2020-06-09 |
| 1013531045 | Ryan Scott Rhodes | Internal Medicine | 101 E Wood St, Spartanburg, SC 29303-3040 | 2020-06-05 |
| 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 | 261QE0002X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Emergency Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063813111 | Trident Medical Center, LLC | Clinic/Center | 5249 Emmett I. Davis Jr. Avenue, North Charleston, SC 29405 | 2014-09-09 |
| 1063586618 | George A. Wilkinson, Md Pa | Clinic/Center | 4033 Hwy 17 Bypass, Murrells Inlet, SC 29576-5032 | 2006-11-17 |
| 1073686994 | Kershawhealth | Clinic/Center | 1315 Roberts St, Camden, SC 29020-3737 | 2006-11-16 |
| 1336222884 | Palmetto Emergency Physicians, LLC | Clinic/Center | 730 Stoney Landing Rd, Moncks Corner, SC 29461-2948 | 2006-10-20 |
| 1700828084 | York Emergency Physicians | Clinic/Center | 222 S Herlong Ave, Rock Hill, SC 29732-1158 | 2006-06-12 |
| City | SPARTANBURG |
| Zip Code | 29303 |
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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.