JULIUS HEDDEN (NPI# 1821042623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821042623 |
| Entity Type | Individual |
| Full Name | JULIUS HEDDEN |
| Credential | MD |
| Practice Address |
1690 Skylyn Drive Suite 210 Spartanburg SC 29307 |
| Mailing Address |
Po Box 743070 Atlanta GA 30374-3070 |
| Practice Telephone | 8642538170 |
| Practice Fax Number | 8645857787 |
| Mailing Telephone | 8645604304 |
| Mailing Fax Number | 8645604413 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2019-03-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 6687 | SC | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | 6687 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | MEDICARE PIN | SCE4726084 | 01 |
| GA | MEDICARE RAILROAD PTAN# | P00386785 | 01 |
| SC | 066877 | 05 |
| Street Address |
1690 SKYLYN DRIVE SUITE 210 |
| City | SPARTANBURG |
| State | SC |
| Zip Code | 29307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093781122 | Spartanburg Neurological Center, Pa | Specialist | 1690 Skylyn Drive, Suite 140, Spartanburg, SC 29307 | 2006-02-28 |
| 1760434120 | Howard Carlisle Bean | Family Medicine | 1690 Skylyn Drive, Suite 210, Spartanburg, SC 29307-1072 | 2006-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023677945 | Healogics Specialty Physicians of South Carolina, LLC | Clinic/Center | 1630 Skylyn Drive, Suite 420, Spartanburg, SC 29307 | 2019-06-13 |
| 1194247528 | Tawnia Lee Prince | Occupational Therapy Assistant | 110 Summit Knoll Drive, Spartanburg, SC 29307 | 2017-07-07 |
| 1730633553 | Laura K Taylor | Chiropractor | 1802 Drayton Road, Suite 309, Spartanburg, SC 29307 | 2016-08-10 |
| 1013372390 | Erin Lavette Farr | Nurse Practitioner | 2780 East Main Street, Ltc Health Solutions, Spartanburg, SC 29307 | 2015-12-30 |
| 1316312010 | Joy Rogers | Speech-Language Pathologist | 175 Burdette St, Spartanburg, SC 29307 | 2015-12-07 |
| 1376923169 | Olivia Conrad | Speech-Language Pathologist | 220 Sloans Grove Rd, Spartanburg, SC 29307 | 2015-06-05 |
| 1457755118 | Optimal Radiology Partners of Virginia, Pllc | Radiology | 75 Skylyn Drive, Spartanburg, SC 29307 | 2014-10-09 |
| 1295033272 | Sean Quinn | Pharmacist | 790 East Main Street, Spartanburg, SC 29307 | 2011-03-01 |
| 1417250887 | James Edward Bradof | Internal Medicine | 212 Cypress Creek Drive, Spartanburg, SC 29307 | 2010-12-07 |
| 1528388030 | Tanya Tocharoen Tang | Internal Medicine | 126 Dillon Dr., Spartanburg, SC 29307 | 2010-06-07 |
| Find all providers in zip 29307 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760903793 | Samuel Ostrum | General Practice | 101 E Wood St, Spartanburg, SC 29303-3040 | 2017-06-29 |
| 1386164671 | Jeffrey Kyle Cooper | General Practice | 101 E Wood St, Spartanburg, SC 29303-3040 | 2017-06-27 |
| 1518317569 | Bradley Aaron Cagle | General Practice | 101 E Wood St, Spartanburg, SC 29303-3040 | 2016-06-20 |
| 1366857930 | Nancy Ballantyne | General Practice | 101 E Wood St, Spartanburg, SC 29303-3040 | 2014-06-23 |
| 1508206285 | Justin Clint Black | General Practice | 101 E Wood St, Spartanburg, SC 29303-3040 | 2013-06-26 |
| 1104892165 | Randall Steve Stewart | General Practice | 2995 Reidville Rd Ste 100, Spartanburg, SC 29301-5600 | 2006-02-28 |
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| Find all providers with the same taxonomy | ||||
| City | SPARTANBURG |
| Zip Code | 29307 |
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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.