SPARTANBURG MEDICAL CENTER (NPI# 1891733994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891733994 |
| Entity Type | Organization |
| Organization Name | SPARTANBURG MEDICAL CENTER |
| Other Organization Name | MEDICAL GROUP OF THE CAROLINAS - FAMILY MEDICINE - DUNCAN |
| Practice Address |
1575 E Main Street Duncan SC 29334-9218 |
| Mailing Address |
Po Box 743070 Atlanta GA 30374-3070 |
| Practice Telephone | 8645603500 |
| Practice Fax Number | 8645603522 |
| Mailing Telephone | 8645604304 |
| Mailing Fax Number | 8645604413 |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2014-12-09 |
| 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 |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | RAILROAD MEDICARE GROUP# | CN1627 | 01 |
| SC | GP5639 | 05 | |
| SC | GP1118 | 05 |
| Other Name | Type Code |
|---|---|
| Medical Group of the Carolinas - Family Medicine - Duncan | Doing Business As Name - Organization |
| 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 |
1575 E MAIN STREET |
| City | DUNCAN |
| State | SC |
| Zip Code | 29334-9218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487032272 | Polly Wright Rector | Specialist | 120 S Spencer St, Duncan, SC 29334 | 2015-05-12 |
| 1417343286 | Rubina Batool Baksh | Pediatrics | 500 Squires Pt Ste A, Duncan, SC 29334 | 2015-04-08 |
| 1922274463 | Joseph Brandon Chadwell | Dentist | 705 Squires Pt, Duncan, SC 29334 | 2008-05-05 |
| 1306068127 | Worth Family Chiropractic | Chiropractor | 1531 E Main St #2, Duncan, SC 29334 | 2007-05-02 |
| 1912031717 | Laura Ann Gray | Speech-Language Pathologist | 407 Caperton Way, Duncan, SC 29334 | 2007-03-15 |
| 1457429078 | Spartanburg County School District No. 5 | Registered Nurse | 100 N. Danzler Rd, Duncan, SC 29334 | 2006-12-01 |
| 1003913328 | World Class Healthcare Pa | Chiropractor | 700 Squire's Pt, Ste. B, Duncan, SC 29334 | 2006-09-20 |
| 1245348242 | Craig Bernard Pruitt | Optometrist | Vision Plus 1955 E Main St, 1955 East Main St. Suite C., Duncan, SC 29334 | 2006-08-29 |
| 1861415085 | Mary Black Health System LLC | Family Medicine | 500 Squires Pointe, Duncan, SC 29334 | 2006-07-26 |
| 1982622585 | Derek T Dunlap | Dentist | 700 Squire's Pointe Drive, Suite A, Duncan, SC 29334 | 2006-07-18 |
| Find all providers in zip 29334 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104009299 | Solutions Practice Management | Family Medicine | 2210 Duncan Regional Loop Rd, Duncan, OK 73533-1564 | 2007-12-11 |
| 1982773685 | Sallie Jane Waters | Family Medicine | 1313 Jackie Rd., Duncan, OK 73533 | 2006-11-07 |
| 1861415085 | Mary Black Health System LLC | Family Medicine | 500 Squires Pointe, Duncan, SC 29334 | 2006-07-26 |
| 1902837826 | Paul W Kliewer | Family Medicine | 227 Main St., Duncan, AZ 85534 | 2006-07-06 |
| 1962433748 | Charles Wayne Dickerson | Family Medicine | 1601 Brookwood Ave, Duncan, OK 73533-1360 | 2006-07-06 |
| 1306872080 | Edward J Mea | Family Medicine | 500 Squires Pt, Duncan, SC 29334 | 2006-06-24 |
| 1881639466 | Douglas Wayne Whitehead | Family Medicine | 245 Parkway E, Duncan, SC 29334-9489 | 2006-06-18 |
| 1407823982 | Judith Marie Gilbreth | Family Medicine | 1330 N Harville Rd, Duncan, OK 73533-1514 | 2006-03-03 |
| 1568432102 | Richard Lucarelli | Family Medicine | 1575 E Main St, Duncan, SC 29334-9218 | 2006-01-25 |
| 1942289939 | Cynthia Ann Norman | Family Medicine | 1315 Jackie Rd, Duncan, OK 73533-1566 | 2006-01-10 |
| Find all providers in DUNCAN | ||||
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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.