SPARTANBURG MEDICAL CENTER (NPI# 1972963494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972963494 |
Entity Type | Organization |
Organization Name | SPARTANBURG MEDICAL CENTER |
Other Organization Name | MEDICAL GROUP OF THE CAROLINAS-PAIN MANAGEMENT SERVICES-PELHAM |
Practice Address |
2755 S Highway 14 Suite 1450 Greer SC 29650-4902 |
Mailing Address |
Po Box 743070 Atlanta GA 30374-3070 |
Practice Telephone | 8648499359 |
Mailing Telephone | 8645604304 |
Mailing Fax Number | 8645604413 |
Enumeration Date | 2016-02-25 |
Last Update Date | 2016-09-21 |
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 | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
SC | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | GP7220 | 05 |
Other Name | Type Code |
---|---|
Medical Group of the Carolinas-Pain Management Services-Pelham | 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 |
2755 S HIGHWAY 14 SUITE 1450 |
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 |
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 |
1063738656 | Medequip, Inc | Durable Medical Equipment & Medical Supplies | 2755 S Highway 14, Ste 1200l, Greer, SC 29650-4902 | 2010-04-08 |
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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 | 2081P2900X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Physical Medicine & Rehabilitation |
Specialization | Pain Medicine |
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861983249 | Southern Pain Specialists | Physical Medicine & Rehabilitation | 115 Blarney Dr Ste 111, Columbia, SC 29223 | 2018-05-22 |
1598295230 | Arcis Healthcare, LLC | Physical Medicine & Rehabilitation | 1300 Hospital Dr Ste 130, Mount Pleasant, SC 29464-3204 | 2017-06-15 |
1770740664 | Carolina Spine and Sport Rehabiliatation Specialist,p.a. | Physical Medicine & Rehabilitation | 763 Travelers Blvd Ste D, Summerville, SC 29485-8796 | 2008-05-19 |
1114092897 | Craig Dyer Harris | Physical Medicine & Rehabilitation | 130 East Third North Street, Summerville, SC 29483 | 2006-11-21 |
1023180031 | Craig D Harris Md Pa | Physical Medicine & Rehabilitation | 310 N Gum St, Summerville, SC 29483-6874 | 2006-11-14 |
1255401782 | Jeffrey C. Wilkins | Physical Medicine & Rehabilitation | 631 Bellamy Ave, Unit A, Murrells Inlet, SC 29576-6459 | 2006-11-09 |
1700992922 | Waccamaw Pain Partners Pa | Physical Medicine & Rehabilitation | 4033 Hwy 17 Bypass, Suite 108, Murrells Inlet, SC 27576 | 2006-08-21 |
1669433298 | John Robert Alexander Jr. | Physical Medicine & Rehabilitation | 526 Johnnie Dodds Blvd Ste 301, Mt Pleasant, SC 29464 | 2006-03-31 |
1447242813 | Matthew Terzella | Physical Medicine & Rehabilitation | 303 E Wood St, Spartanburg, SC 29303-3020 | 2005-08-22 |
1780684829 | George Alan Bitting | Physical Medicine & Rehabilitation | 718 Lafayette Ave, Camden, SC 29020-3522 | 2005-07-29 |
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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.