SPARTANBURG REGIONAL MED CTR (NPI# 1710922703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710922703 |
| Entity Type | Organization |
| Organization Name | SPARTANBURG REGIONAL MED CTR |
| Other Organization Name | PEDIATRIC NUTRITION AND SPECIAL NEEDS |
| Practice Address |
3941 Hwy 9 Ste B Boiling Springs SC 29316 |
| Mailing Address |
Po Box 2168 Spartanburg SC 29304-2168 |
| Practice Telephone | 8645852765 |
| Practice Fax Number | 8645609450 |
| Mailing Telephone | 8645604304 |
| Mailing Fax Number | 8645604413 |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. SUSAN BRUCE (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 8645604057 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP1118 | 05 |
| Other Name | Type Code |
|---|---|
| PEDIATRIC NUTRITION AND SPECIAL NEEDS | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710918230 | Spartanburg Regional Med Ctr | Psychiatry & Neurology | 853 N Church Street, Suite 640, Spartanburg, SC 29303-3040 | 2006-07-05 |
| 1023392883 | Spartanburg Regional Med Ctr | Pediatrics | 853 N Church St, Suite 401, Spartanburg, SC 29303-3098 | 2011-09-28 |
| 1700176054 | Spartanburg Regional Med Ctr | Plastic Surgery | 29 Rocky Slope Rd, Greenville, SC 29607-3909 | 2011-04-07 |
| 1588998629 | Spartanburg Regional Med Ctr | Internal Medicine | 322 Memorial Dr, Greer, SC 29650-1521 | 2009-09-22 |
| 1417281650 | Spartanburg Regional Med Ctr | Internal Medicine | 325 Medical Pkwy, Suite 200, Greer, SC 29650-2457 | 2009-09-21 |
| 1922243674 | Spartanburg Regional Med Ctr | Obstetrics & Gynecology | 373 Halton Rd, Greenville, SC 29607-3405 | 2008-12-10 |
| 1497900641 | Spartanburg Regional Med Ctr | Internal Medicine | 101 E Wood St, Spartanburg, SC 29303-3040 | 2008-12-01 |
| 1568616076 | Spartanburg Regional Med Ctr | Internal Medicine | 1702 Skylyn Dr, Unit C, Spartanburg, SC 29307-1040 | 2008-11-11 |
| 1730376948 | Spartanburg Regional Med Ctr | Obstetrics & Gynecology | 1686 Skylyn Dr, Suite 102, Spartanburg, SC 29307-1058 | 2007-10-02 |
| 1427172261 | Spartanburg Regional Med Ctr | Surgery | 100 E Wood St, Suite 301b, Spartanburg, SC 29303-3004 | 2007-03-19 |
| Street Address |
3941 HWY 9 STE B |
| City | BOILING SPRINGS |
| State | SC |
| Zip Code | 29316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891254579 | Boiling Springs First Baptist Church Counseling Service | Marriage & Family Therapist | 3600 Boiling Springs Rd, Boiling Springs, SC 29316 | 2019-03-13 |
| 1942675566 | Anitra Williams Mims | Social Worker | 186 John Dodd Rd, Boiling Springs, SC 29316 | 2015-12-08 |
| 1407222532 | Felisha Booker | Nurse Practitioner | 1214 Turning Leaf Cir, Boiling Springs, SC 29316 | 2015-08-12 |
| 1699157669 | Zarmina Hussain | Dentist | 1860 Old Furnace Rd, Boiling Springs, SC 29316 | 2015-06-25 |
| 1700272424 | Family Builders Counseling Services | Community/Behavioral Health | 1965 Old Furnace Rd, Boiling Springs, SC 29316 | 2015-04-09 |
| 1538504311 | District 2 Schools Spartanburg County | Registered Nurse | 4606 Parris Brigde Rd, Boiling Springs, SC 29316 | 2013-05-07 |
| 1639441769 | Daniel Earl Kimbrell | Physical Therapy Assistant | 395 Castleton Cir, Boiling Springs, SC 29316 | 2012-02-06 |
| 1427283084 | Bernard Walvin Kaseman | Chiropractor | 1523 Boiling Springs Rd, Boiling Springs, SC 29316 | 2009-05-26 |
| 1730320482 | Elliott Michael Keller | Optometrist | 8674 Asheville Highway, Boiling Springs, SC 29316 | 2009-03-10 |
| 1003063447 | Marion Virginia Brannon | Chiropractor | 2137 Boiling Springs Rd., Boiling Springs, SC 29316 | 2008-08-27 |
| Find all providers in zip 29316 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750981833 | Kaitlyn Marie Skelston | Pediatrics | 2828 Bayboro St, Loris, SC 29569-2710 | 2020-10-28 |
| 1518571421 | Carolinas Physicians Network Inc | Pediatrics | 1154 Carolina Pl, Fort Mill, SC 29708-7063 | 2020-09-08 |
| 1952911075 | Medical University Hospital Authority | Pediatrics | 838 W Meeting St Ste E, Lancaster, SC 29720-6261 | 2020-08-04 |
| 1134738644 | Medical University Hospital Authority | Pediatrics | 1 Medical Park Dr Ste A, Chester, SC 29706-9769 | 2020-07-30 |
| 1023632809 | Caitlin Marie Stoll | Pediatrics | 2244 Ashley Crossing Dr Unit 536, Charleston, SC 29414-6168 | 2020-06-08 |
| 1972128742 | Emily Anne Cloessner | Pediatrics | Prisma Health Childrens Hospital Outpatient Center, 14 Medical Park, Ste 400, Columbia, SC 29203 | 2020-06-08 |
| 1134743420 | Elizabeth Alden Mccants | Pediatrics | 125 Doughty St Ste 520d, Charleston, SC 29403-5736 | 2020-06-02 |
| 1043833890 | Lauren F. Cook | Pediatrics | Prisma Health Children's Hospital Outpatient Center, 14 Medical Park, Ste 400, Columbia, SC 29203 | 2020-05-27 |
| 1619598158 | Zeel Hiren Patel | Pediatrics | Childrens Hospital Outpatient Center, 14 Medical Park, Ste 400, Columbia, SC 29203 | 2020-05-06 |
| 1265066658 | Sahar Alavi | Pediatrics | 1439 Cambridge Lakes Dr, Mount Pleasant, SC 29464-7301 | 2020-02-25 |
| Find all providers with the same taxonomy | ||||
| City | BOILING SPRINGS |
| Zip Code | 29316 |
Please comment or provide details below to improve the information on SPARTANBURG REGIONAL MED CTR.
| 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.