SPARTANBURG REGIONAL MEDICAL CTR (NPI# 1912163874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912163874 |
| Entity Type | Organization |
| Organization Name | SPARTANBURG REGIONAL MEDICAL CTR |
| Other Organization Name | REGIONAL PSYCHIATRY AT VILLAGE OF PELHAM |
| Practice Address |
2755 S Highway 14 Greer SC 29650-4902 |
| Mailing Address |
Po Box 2168 Spartanburg SC 29304-2168 |
| Practice Telephone | 8645607517 |
| Mailing Telephone | 8645607517 |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2009-05-05 |
| Authorized Official Name | JANICE FOWLER (CREDENTIALING) |
| Authorized Official Telephone | 8645604475 |
| Is Organization Subpart | Y |
| Parent Organization Name | SPARTANBURG REGIONAL HEALTHCARE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
========= | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | RR MEDICARE | CN1627 | 01 |
| SC | GP1118 | 05 |
| Other Name | Type Code |
|---|---|
| Regional Psychiatry At Village of Pelham | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316190952 | Spartanburg Regional Medical Ctr | Orthopaedic Surgery | 535 W Butler Rd Ste C, Greenville, SC 29607-4833 | 2008-10-28 |
| Street Address |
2755 S HIGHWAY 14 |
| City | GREER |
| State | SC |
| Zip Code | 29650-4902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538164546 | Surgery Center At Pelham, LLC | Clinic/Center | 2755 S Highway 14, Greer, SC 29650-4926 | 2005-06-16 |
| 1598111353 | Spartanburg Medical Center | Nurse Practitioner | 2755 S Highway 14, Suite 2200, Greer, SC 29650-4902 | 2016-05-11 |
| 1972963494 | Spartanburg Medical Center | Physical Medicine & Rehabilitation | 2755 S Highway 14, Suite 1450, Greer, SC 29650-4902 | 2016-02-25 |
| 1245608934 | Spartanburg Medical Center | Dermatology | 2755 S Highway 14, Suite 2050, Greer, SC 29650-4902 | 2015-09-11 |
| 1114302767 | Spartanburg Medical Center | Family Medicine | 2755 S Highway 14, Suite 1200f, Greer, SC 29650-4902 | 2015-07-24 |
| 1720470206 | Spartanburg Medical Center | Allergy & Immunology | 2755 S Highway 14, Suite 1200h, Greer, SC 29650-4902 | 2015-02-20 |
| 1174940498 | Spartanburg Medical Center | Internal Medicine | 2755 S Highway 14, Suite 2500, Greer, SC 29650-4941 | 2014-03-25 |
| 1366703845 | James Baker Romine | Physician Assistant | 2755 S Highway 14, Ste 1200l, Greer, SC 29650-4902 | 2012-05-31 |
| 1659692952 | John Albert Lucas Iv | Family Medicine | 2755 S Highway 14, Suite 1200l, Greer, SC 29650-4902 | 2010-06-21 |
| 1902124050 | Jenna Elise Rolfs | Physician Assistant | 2755 S Highway 14, Suite 2200, Greer, SC 29650-4902 | 2010-05-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154946424 | Paul Wong | Family Medicine | 109 Physicians Drive Suite A, Greer, SC 29650 | 2020-06-12 |
| 1992273684 | Christopher Michael Campbell | Pharmacist | 845b S Buncombe Rd, Greer, SC 29650 | 2018-11-12 |
| 1376035618 | Jessica Miller | Dentist | 1494 W Wade Hampton Blvd Ste D, Greer, SC 29650 | 2018-06-02 |
| 1992212872 | Greenville Health Corporation | Pharmacy | 845 S Buncombe Rd Ste D, Greer, SC 29650 | 2018-01-02 |
| 1114432077 | Spartanburg Medical Center | Orthopaedic Surgery | 2755 S Highway 14 Ste 1200m, Greer, SC 29650 | 2017-12-13 |
| 1437679750 | Sanders Healthcare LLC | Home Health | 110 W. Church St., Suite A, Greer, SC 29650 | 2017-06-27 |
| 1306291117 | James Elliott Crouch | Occupational Therapy Assistant | 1305 Boilings Springs Rd., Greer, SC 29650 | 2016-04-29 |
| 1033593389 | Premier Medical Transport Service | Non-emergency Medical Transport (VAN) | 120 Glenaire Dr, Greer, SC 29650 | 2015-07-16 |
| 1104176429 | Suchi Chomal | Pharmacist | 6 Colby Ct, Greer, SC 29650 | 2012-09-13 |
| 1447500822 | John Varner | Pharmacist | 821 S. Batesville Road, Greer, SC 29650 | 2012-09-13 |
| Find all providers in zip 29650 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073781936 | Andrea Bandfield | Psychiatry & Neurology | 38b Parkway Commons Way, Greer, SC 29650-5213 | 2008-02-13 |
| 1093857278 | Vladimir Maletic M.d.,p.a. | Psychiatry & Neurology | 38 Parkway Commons Way, Greer, SC 29650-5213 | 2007-02-13 |
| 1336217801 | Vladimir Maletic | Psychiatry & Neurology | 108 Belfrey Dr, Greer, SC 29650-3647 | 2006-12-01 |
| 1275551541 | Norman Welborn | Psychiatry & Neurology | 400 Pelham Road, Greer, SC 29650 | 2006-07-17 |
| 1912948647 | Sergio A Sanchez | Psychiatry & Neurology | 68 Parkway Commons Way, Greer, SC 29650-5213 | 2006-06-10 |
| 1548882129 | Austin Jacob Kaiser | Psychiatry & Neurology | 109 Physicians Dr Ste B, Greer, SC 29650-2446 | 2020-05-18 |
| 1427670108 | Aaron Dedmon | Psychiatry & Neurology | 109 Physicians Dr, Greer, SC 29650-2446 | 2020-05-15 |
| 1740802438 | Grace James Onuma | Psychiatry & Neurology | 109 Physicians Dr, Greer, SC 29650-2446 | 2020-05-15 |
| 1275155962 | Morgan Garner | Psychiatry & Neurology | 109 Physicians Dr, Greer, SC 29650-2446 | 2020-05-15 |
| 1649892308 | David Luor | Psychiatry & Neurology | 109 Physicians Dr, Greer, SC 29650-2446 | 2020-05-15 |
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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.