SPARTANBURG MEDICAL CENTER


Address: 2995 Reidville Rd Ste 100, Spartanburg, SC 29301-5600
Phone: 8645873000

SPARTANBURG MEDICAL CENTER (NPI# 1760951867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760951867
Entity Type Organization
Organization Name SPARTANBURG MEDICAL CENTER
Other Organization Name MEDICAL GROUP OF THE CAROLINAS- IMMEDIATE CARE CENTER- REIDVILLE ROAD
Practice Address 2995 Reidville Rd Ste 100
Spartanburg
SC 29301-5600
Mailing Address Po Box 743070
Atlanta
GA 30374-3070
Practice Telephone 8645873000
Practice Fax Number 8645873019
Mailing Telephone 8645604304
Mailing Fax Number 8645604413
Enumeration Date 2018-11-19
Last Update Date 2019-03-13
Authorized Official Name KENNETH J MEINKE (CHIEF FINANCIAL OFFICER)
Authorized Official Telephone 8645606103
Is Organization Subpart Y
Parent Organization Name SPARTANBURG REGIONAL HEALTH SERVICES DISTRICT, INC.

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
SC GP8771 05
SC MEDICARE PIN 6084 01

Other Provider/Organization Names

Other Name Type Code
Medical Group of the Carolinas- Immediate Care Center- Reidville Road Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 2995 REIDVILLE RD STE 100
City SPARTANBURG
State SC
Zip Code 29301-5600

Providers in the same location

NPI Name Taxonomy Address Enumeration
1043204266 Elizabeth J Youngs Nurse Practitioner 2995 Reidville Rd Ste 100, Spartanburg, SC 29301-5600 2005-09-02
1952414690 Mary Jeanne Williams Nurse Practitioner 2995 Reidville Rd Ste 100, Spartanburg, SC 29301-5600 2006-08-16
1982612925 Mary Black Health System LLC Internal Medicine 2995 Reidville Rd Ste 100, Spartanburg, SC 29301-5600 2006-08-04
1265457691 Deepak Malhan Emergency Medicine 2995 Reidville Rd Ste 100, Spartanburg, SC 29301-5600 2006-07-13
1104892165 Randall Steve Stewart General Practice 2995 Reidville Rd Ste 100, Spartanburg, SC 29301-5600 2006-02-28
1679556567 Sherley Brito Nurse Practitioner 2995 Reidville Rd Ste 100, Spartanburg, SC 29301-5600 2005-11-23

Providers in the same zip code

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 Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City SPARTANBURG
Zip Code 29301

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Dataset Information

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.

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