SPARTANBURG REGIONAL MED CTR (NPI# 1942241781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942241781 |
| Entity Type | Organization |
| Organization Name | SPARTANBURG REGIONAL MED CTR |
| Other Organization Name | EASTSIDE MEDICAL ASSOCIATES |
| Practice Address |
120 Heywood Ave Suite 200 Spartanburg SC 29302-1210 |
| Mailing Address |
Po Box 2168 Spartanburg SC 29304 |
| Practice Telephone | 8645603800 |
| Practice Fax Number | 8645604413 |
| Mailing Telephone | 8645604304 |
| Mailing Fax Number | 8645604413 |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | GINA MICHELLE HILLERS (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 8645604057 |
| 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 | GP1118 | 05 |
| Other Name | Type Code |
|---|---|
| Eastside Medical Associates | 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 |
| 1922243674 | Spartanburg Regional Med Ctr | Obstetrics & Gynecology | 373 Halton Rd, Greenville, SC 29607-3405 | 2008-12-10 |
| 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 |
| Street Address |
120 HEYWOOD AVE SUITE 200 |
| City | SPARTANBURG |
| State | SC |
| Zip Code | 29302-1210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184694168 | Scott A Coley | Family Medicine | 120 Heywood Ave, Suite 200, Spartanburg, SC 29302-1210 | 2006-01-24 |
| 1164865473 | Janessa M. Perez-motlis | Family Medicine | 120 Heywood Ave, Spartanburg, SC 29302-1210 | 2013-04-17 |
| 1316293947 | Jamie Lynn Kilcoyne | Nurse Practitioner | 120 Heywood Ave, Spartanburg, SC 29302-1210 | 2012-08-01 |
| 1306000948 | Vincent C Slater | Family Medicine | 120 Heywood Ave, Spartanburg, SC 29302 | 2008-07-14 |
| 1356476584 | Spartanburg Regional Healthcare District | Durable Medical Equipment & Medical Supplies | 120 Heywood Ave, Suite 400, Spartanburg, SC 29302-1210 | 2007-02-21 |
| 1003900143 | Spartanburg Medical Center | Internal Medicine | 120 Heywood Ave, Suite 200, Spartanburg, SC 29302-1210 | 2006-10-03 |
| 1558381541 | Spartanburg Medical Center | Home Health | 120 Heywood Ave, Suite 300, Spartanburg, SC 29302-1210 | 2006-07-20 |
| 1851332696 | Spartanburg Regional Med Ctr | Family Medicine | 120 Heywood Ave, Spartanburg, SC 29302-1210 | 2006-06-10 |
| 1194779017 | Philip A Mahoney Jr. | Family Medicine | 120 Heywood Ave, Spartanburg, SC 29302-1210 | 2006-05-22 |
| 1356393680 | George Liston Bass | Internal Medicine | 120 Heywood Ave, Ste 200, Spartanburg, SC 29302-1210 | 2006-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083226476 | Healthstat Inc Grace Management | Preventive Medicine | 951 South Pin Street, Suite 200, Spartanburg, SC 29302 | 2020-08-18 |
| 1467978304 | Katherine Tomes | Speech-Language Pathologist | 355 Cedar Springs Road, Spartanburg, SC 29302 | 2017-08-22 |
| 1396291167 | Brent Timothy Smith | Specialist | 151 Ribault Street Suite 200, Spartanburg, SC 29302 | 2016-08-31 |
| 1376995159 | Natalie Nicole Kellett | Nurse Practitioner | 120 Heywood Avenue Suite 200, Spartanburg, SC 29302 | 2016-07-06 |
| 1902273808 | Tamieka Latrell Alston-gibson | Nurse Practitioner | 101 North Pine Street, Suite 210, Spartanburg, SC 29302 | 2015-08-26 |
| 1700209905 | Robert W Wyatt | Pharmacist | 203 Cedar Springs Rd, Spartanburg, SC 29302 | 2014-01-24 |
| 1952735748 | James Sidney Fulmer Sr. | Obstetrics & Gynecology | 167 Ivy Court, Spartanburg, SC 29302 | 2013-08-28 |
| 1053651828 | Jennifer Geddes Hall | Counselor | 101 N Pine St Ste 210, Spartanburg, SC 29302 | 2013-02-15 |
| 1487875514 | Park Place Spartanburg | Assisted Living Facility | 2720 Country Clud Road, Spartanburg, SC 29302 | 2007-05-02 |
| 1740304401 | Leon Derek Herring | Dentist | 270 Cedar Spring Rd, Spartanburg, SC 29302 | 2007-03-19 |
| Find all providers in zip 29302 | ||||
| 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 |
|---|---|---|---|---|
| 1033716253 | Proactive Md Tindall Spartanburg Health Center | Family Medicine | 2273 Hayne St., Spartanburg, SC 29301 | 2020-10-01 |
| 1013532126 | Adam Joseph Fulcher | Family Medicine | Center for Family Medicine, 853 N. Church Street, Suite 510, Spartanburg, SC 29303 | 2020-06-15 |
| 1538713813 | Proactive Md Sc,p.a. | Family Medicine | 101 W Saint John St Ste 107, Spartanburg, SC 29306-5157 | 2019-07-25 |
| 1073171336 | Proactive Md Sc,p.a. | Family Medicine | 801 Union St, Spartanburg, SC 29302-2734 | 2019-06-03 |
| 1841757192 | Paladina Health, LLC | Family Medicine | Paladina Health Smith Drug, 9098 Fairforest Road, Spartanburg, SC 29301 | 2019-02-22 |
| 1487111738 | Paladina Health, LLC | Family Medicine | Paladina Health Spartanburg Palmetto Bank, 101 West Saint John Street Suite 107, Spartanburg, SC 29306 | 2019-02-22 |
| 1649735127 | Spartanburg Medical Center | Family Medicine | 11 Doctors Park Dr Ste 200, Spartanburg, SC 29307-1008 | 2019-02-08 |
| 1114403342 | Piedmont Care, Inc. | Family Medicine | 101 N Pine St Ste 200, Spartanburg, SC 29302-1604 | 2018-07-11 |
| 1356871933 | Kristy Kaye Atkinson | Family Medicine | 853 N Church St # 150, Spartanburg, SC 29303-3098 | 2017-06-15 |
| 1003352261 | Academic Primary Care Associates | Family Medicine | 410 Magnolia St, Spartanburg, SC 29303-3640 | 2017-01-12 |
| Find all providers in SPARTANBURG | ||||
| City | SPARTANBURG |
| Zip Code | 29302 |
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.