SPARTANBURG REGIONAL MED CTR (NPI# 1922243674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922243674 |
| Entity Type | Organization |
| Organization Name | SPARTANBURG REGIONAL MED CTR |
| Other Organization Name | UPSTATE MATERNAL FETAL MEDICINE |
| Practice Address |
373 Halton Rd Greenville SC 29607-3405 |
| Mailing Address |
Po Box 26536 Greenville SC 29616-1536 |
| Practice Telephone | 8643313230 |
| Practice Fax Number | 8643313236 |
| Mailing Telephone | 8643313230 |
| Mailing Fax Number | 8643313236 |
| Enumeration Date | 2008-12-10 |
| Last Update Date | 2011-11-17 |
| Authorized Official Name | MARK AYCOCK (EXECUTIVE VICE PRESIDENT) |
| 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 | 207VM0101X |
Obstetrics & Gynecology Specialization: Maternal & Fetal Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP5051 | 05 |
| Other Name | Type Code |
|---|---|
| Upstate Maternal Fetal Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710918230 | Spartanburg Regional Med Ctr | Psychiatry & Neurology | 853 N Church Street, Suite 640, Spartanburg, SC 29303-3040 | 2006-07-05 |
| 1710922703 | Spartanburg Regional Med Ctr | Pediatrics | 3941 Hwy 9, Ste B, Boiling Springs, SC 29316 | 2006-06-17 |
| 1023392883 | Spartanburg Regional Med Ctr | Pediatrics | 853 N Church St, Suite 401, Spartanburg, SC 29303-3098 | 2011-09-28 |
| 1700176054 | Spartanburg Regional Med Ctr | Plastic Surgery | 29 Rocky Slope Rd, Greenville, SC 29607-3909 | 2011-04-07 |
| 1588998629 | Spartanburg Regional Med Ctr | Internal Medicine | 322 Memorial Dr, Greer, SC 29650-1521 | 2009-09-22 |
| 1417281650 | Spartanburg Regional Med Ctr | Internal Medicine | 325 Medical Pkwy, Suite 200, Greer, SC 29650-2457 | 2009-09-21 |
| 1497900641 | Spartanburg Regional Med Ctr | Internal Medicine | 101 E Wood St, Spartanburg, SC 29303-3040 | 2008-12-01 |
| 1568616076 | Spartanburg Regional Med Ctr | Internal Medicine | 1702 Skylyn Dr, Unit C, Spartanburg, SC 29307-1040 | 2008-11-11 |
| 1730376948 | Spartanburg Regional Med Ctr | Obstetrics & Gynecology | 1686 Skylyn Dr, Suite 102, Spartanburg, SC 29307-1058 | 2007-10-02 |
| 1427172261 | Spartanburg Regional Med Ctr | Surgery | 100 E Wood St, Suite 301b, Spartanburg, SC 29303-3004 | 2007-03-19 |
| Street Address |
373 HALTON RD |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29607-3405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609041292 | Erin Johnston Dickert | Obstetrics & Gynecology | 373 Halton Rd, Greenville, SC 29607-3405 | 2008-04-24 |
| 1992076376 | St Francis Physician Services Inc | Obstetrics & Gynecology | 373 Halton Rd, Greenville, SC 29607-3405 | 2012-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245846138 | Personalized Home Care Services | Technician | 1200 Woodruff Rd A3 Ste 150, Greenville, SC 29607 | 2020-09-16 |
| 1396361960 | Complete Homecare of America, Inc. | In Home Supportive Care | 128 Millport Circle, Suite 200, Greenville, SC 29607 | 2020-06-19 |
| 1275175093 | Carrie Laxton Ballenger | Nurse Practitioner | 2094 Woodruff Road, Greenville, SC 29607 | 2019-10-14 |
| 1861047037 | Susannah Long | Marriage & Family Therapist | 109 Laurens Road, Building 4 Ste D, Greenville, SC 29607 | 2019-08-05 |
| 1043872369 | Cheryl Craig Rosemond | Case Manager/Care Coordinator | 5 Century Drive, Suite 130, Greenville, SC 29607 | 2019-07-08 |
| 1457916561 | After Hours Chiropractic LLC | Chiropractor | 1200 Woodruff Rd Blg A-3, Simpsonville, SC 29607 | 2019-05-03 |
| 1952865289 | Orthodontic Specialists of Carolina, PC | Dentist | 611 Haywood Road, Greenville, SC 29607 | 2019-01-31 |
| 1124502307 | Martha Irby | Home Health Aide | 2320 E North St Rr 107, Greenville, SC 29607 | 2018-09-24 |
| 1780164541 | Suval Psychiatric Services, Pa | Clinic/Center | 33 Market Point Dr Ste 2023, Greenville, SC 29607 | 2018-08-20 |
| 1083113963 | Caroline Graham | Nurse Practitioner | 850 S Pleasantburg Dr, Greenville, SC 29607 | 2018-02-06 |
| Find all providers in zip 29607 | ||||
| Taxonomy Code | 207VM0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Maternal & Fetal Medicine |
| An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477872166 | Anne Dawn Maria Graham | Obstetrics & Gynecology | 150 Foot Hills Rd, Greenville, SC 29617-7002 | 2010-05-20 |
| 1669572434 | Upstate Maternal-fetal Medicine, Pa | Obstetrics & Gynecology | 373 Halton Road, Greenville, SC 29607 | 2006-09-22 |
| 1013956713 | John V Dacus | Obstetrics & Gynecology | 890 W Faris Rd Ste 470, Greenville, SC 29605-4281 | 2006-06-06 |
| 1225390107 | Andrew Scott Lane | Obstetrics & Gynecology | 890 W Faris Rd Ste 470, Greenville, SC 29605-4281 | 2012-06-15 |
| 1992076376 | St Francis Physician Services Inc | Obstetrics & Gynecology | 373 Halton Rd, Greenville, SC 29607-3405 | 2012-01-18 |
| 1003074808 | Megan Malone Schellinger | Obstetrics & Gynecology | 890 W Faris Rd, Ste 470, Greenville, SC 29605-4253 | 2008-05-28 |
| 1316168040 | Kacey Young Eichelberger | Obstetrics & Gynecology | 890 W Faris Rd, Ste 470, Greenville, SC 29605-4253 | 2007-05-01 |
| 1568550937 | Amy Hairston Crockett | Obstetrics & Gynecology | 890 W Faris Rd, Ste 470, Greenville, SC 29605-4281 | 2006-10-11 |
| 1851491633 | Phillip Carnegie Greig | Obstetrics & Gynecology | 373 Halton Road, Greenville, SC 29607 | 2006-09-22 |
| 1780630533 | Shelley Janeece Chapman | Obstetrics & Gynecology | 890 W Faris Rd, Suite 470, Greenville, SC 29605-4247 | 2006-05-25 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 29607 |
Please comment or provide details below to improve the information on SPARTANBURG REGIONAL MED CTR.
| 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.