SPARTANBURG MEDICAL CENTER (NPI# 1710081112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710081112 |
| Entity Type | Organization |
| Organization Name | SPARTANBURG MEDICAL CENTER |
| Practice Address |
2660 Reidville Rd Unit 1 Spartanburg SC 29301 |
| Mailing Address |
Po Box 743070 Atlanta GA 30374-3070 |
| Practice Telephone | 8645609696 |
| Practice Fax Number | 8645629636 |
| Mailing Telephone | 8645604057 |
| Mailing Fax Number | 8645604413 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2018-06-12 |
| 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 |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians | ||
| Y | 261QX0100X |
Clinic/Center Specialization: Occupational Medicine |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP1118 | 05 | |
| SC | MEDICARE PIN | 6067 | 01 |
| 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 |
2660 REIDVILLE RD UNIT 1 |
| City | SPARTANBURG |
| State | SC |
| Zip Code | 29301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689644015 | Elisa Ann Katemba | Specialist | 2660 Reidville Rd Unit 1, Spartanburg, SC 29301-3512 | 2006-01-26 |
| 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 |
| 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 | 261QX0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Occupational Medicine |
| Definition to come... |
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|---|---|---|---|---|
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| 1336576610 | Healthworks Med Group of South Carolina P C | Clinic/Center | 3704 Louis Rich Rd, Newberry, SC 29108-1413 | 2013-10-02 |
| 1063846913 | Healthworks Med Group of South Carolina, P C | Clinic/Center | 10 Bib Way, Anderson, SC 29626-6047 | 2013-08-28 |
| 1356374128 | Lexington County Health Services District, Inc. | Clinic/Center | 3799 12th Street Ext Ste 110, Cayce, SC 29033-3750 | 2006-07-07 |
| 1700839610 | Vital Energy Occ Therapy & Wellness Ctr LLC | Clinic/Center | 1812 Augusta Hwy, Ste L, Lexington, SC 29072 | 2006-05-19 |
| 1558969808 | Lexington Health Inc | Clinic/Center | 3799 12th Street Ext Ste 110, Cayce, SC 29033-3750 | 2020-10-09 |
| 1104389592 | Occuaptional Health Centers of The Southwest, P.a. | Clinic/Center | 4600 Goer Dr Ste 205, North Charleston, SC 29406-6536 | 2019-04-11 |
| 1285197699 | Cerner Health Connections, Inc | Clinic/Center | 4374 Lancaster Hwy, Richburg, SC 29729-9060 | 2019-04-11 |
| 1013324128 | Midlands Exams and Drug Screening, Inc | Clinic/Center | 3020 Sunset Blvd, Suite 102, West Columbia, SC 29169-3493 | 2014-07-21 |
| 1144577743 | Healthworks Med Group of South Carolina P C | Clinic/Center | 415 Brockman Mcclimon Rd, Greer, SC 29651-6608 | 2012-08-14 |
| Find all providers with the same taxonomy | ||||
| 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.