SPARTANBURG REGIONAL (NPI# 1790001659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790001659 |
| Entity Type | Organization |
| Organization Name | SPARTANBURG REGIONAL |
| Practice Address |
853 N Church St Ste 510 Spartanburg SC 29303-3077 |
| Practice Telephone | 8645607001 |
| Enumeration Date | 2010-04-15 |
| Last Update Date | 2010-04-15 |
| Authorized Official Name | OTIS BAUGHMAN (MD) |
| Authorized Official Telephone | 8645607001 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | SC | Hospitals |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SPARTANBURG REGIONAL HEALTHCARE SYSTEM FOUNDATION, THE | 101 East Wood St, Spartanburg, SC 29303-3040 |
| System for Award Management (SAM) Entities | SPARTANBURG REGIONAL MEDICAL CENTER | 101 E Wood St, Spartanburg, SC 29303-3040 |
| Street Address |
853 N CHURCH ST STE 510 |
| City | SPARTANBURG |
| State | SC |
| Zip Code | 29303-3077 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962510412 | Kristen A Kupeyan | Family Medicine | 853 N Church St Ste 510, Spartanburg, SC 29303-3077 | 2006-08-25 |
| 1063037992 | Gloria Storm Mcwhorter | Family Medicine | 853 N Church St Ste 510, Spartanburg, SC 29303-3077 | 2020-06-16 |
| 1841815958 | Greg Richardson Fuller | Family Medicine | 853 N Church St Ste 510, Spartanburg, SC 29303-3077 | 2020-06-15 |
| 1033734413 | Travis Cobb | Family Medicine | 853 N Church St Ste 510, Spartanburg, SC 29303-3077 | 2020-06-11 |
| 1427673730 | Kristina Freund | Family Medicine | 853 N Church St Ste 510, Spartanburg, SC 29303-3077 | 2020-06-11 |
| 1568087112 | Jessica Q Mercado-ortiz | Family Medicine | 853 N Church St Ste 510, Spartanburg, SC 29303-3077 | 2020-06-10 |
| 1023632858 | Baolam Ho | Family Medicine | 853 N Church St Ste 510, Spartanburg, SC 29303-3077 | 2020-06-08 |
| 1841814670 | Maliha Taufiq | Family Medicine | 853 N Church St Ste 510, Spartanburg, SC 29303-3077 | 2020-06-08 |
| 1679197891 | Nicolas Seth Dawson | Family Medicine | 853 N Church St Ste 510, Spartanburg, SC 29303-3077 | 2020-06-03 |
| 1427672633 | Chinomnso Ekeke | Family Medicine | 853 N Church St Ste 510, Spartanburg, SC 29303-3077 | 2020-06-03 |
| 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 | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699790485 | Spartanburg Hospital for Restorative Care | General Acute Care Hospital | 389 Serpentine Dr, Spartanburg, SC 29303-3026 | 2006-07-13 |
| 1902352008 | Prisma Health-upstate | General Acute Care Hospital | 120 Dillon Dr, Spartanburg, SC 29307-1018 | 2016-08-29 |
| 1629432869 | Prisma Health-upstate | General Acute Care Hospital | 1413 John B White Sr Blvd, Suite D, Spartanburg, SC 29306-3995 | 2016-04-13 |
| 1518376342 | Spartanburg Regional Healthcare Systems | General Acute Care Hospital | 101 E. Wood Street, Spartanburg, SC 29303-3098 | 2014-08-06 |
| 1275953218 | Greenville Health System | General Acute Care Hospital | 120 Dillon Dr, Spartanburg, SC 29307-1018 | 2014-04-17 |
| 1285891960 | Lung and Chest Medical Associates | General Acute Care Hospital | 2030 North Church Place, Spartanburg, SC 29303 | 2008-05-20 |
| 1669425963 | Mary Black Health System LLC | General Acute Care Hospital | 1700 Skylyn Dr, Spartanburg, SC 29307-1041 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760963243 | Prisma Health-upstate | General Acute Care Hospital | 112 John St Ste 104, Easley, SC 29640-1405 | 2018-08-23 |
| 1578044053 | Prisma Health-upstate | General Acute Care Hospital | 11402 Anderson Rd Ste B, Greenville, SC 29611-7560 | 2018-08-23 |
| 1790264497 | Prisma Health-upstate | General Acute Care Hospital | 11404 Anderson Rd, Greenville, SC 29611 | 2018-08-13 |
| 1275066821 | Travis B Grindstaff | General Acute Care Hospital | 411 Polifka Dr, Shaw Afb, SC 29152 | 2017-04-10 |
| 1710428321 | Palmetto Health Usc Medical Group | General Acute Care Hospital | Taylor Marion Sts, Columbia, SC 29220-0001 | 2017-03-15 |
| 1003351859 | Palmetto Health | General Acute Care Hospital | 808 Kawana Rd, Columbia, SC 29205-2033 | 2017-01-04 |
| 1548716665 | Upstate Affiliate Organization | General Acute Care Hospital | 200 Andrews St, Suite 100, Greenville, SC 29601-3969 | 2016-08-29 |
| 1932554466 | Palmetto Health Richland | General Acute Care Hospital | 5 Medical Park Rd., Columbia, SC 29203-6863 | 2016-05-03 |
| 1952756124 | University of Florida | General Acute Care Hospital | 1537 Theresa Dr, Apt A, Charleston, SC 29412-3242 | 2016-04-25 |
| 1831550060 | Lexington Medical Center | General Acute Care Hospital | 146 N Hospital Dr Ste 310, West Columbia, SC 29169-4800 | 2016-03-16 |
| Find all providers with the same taxonomy | ||||
| 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.