FAMILY PHYSICIANS OF SPARTENBURG, PC (NPI# 1003163882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003163882 |
Entity Type | Organization |
Organization Name | FAMILY PHYSICIANS OF SPARTENBURG, PC |
Practice Address |
3021 Reidville Rd Spartanburg SC 29301-5643 |
Mailing Address |
2980 N Beverly Glen Cir Suite 100 Los Angeles CA 90077-1726 |
Practice Telephone | 8645769201 |
Mailing Telephone | 3104749809 |
Mailing Fax Number | 8884318819 |
Enumeration Date | 2012-08-10 |
Last Update Date | 2015-10-05 |
Authorized Official Name | DR. LEE B. TAYLOR JR. (MEDICAL DIRECTOR) |
Authorized Official Telephone | 8645769201 |
Authorized Official Credential | MD |
Is Organization Subpart | Y |
Parent Organization Name | FAMILY PHYSICIANS OF SPARTENBURG, PC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332900000X | Non-Pharmacy Dispensing Site | Suppliers |
Street Address |
3021 REIDVILLE RD |
City | SPARTANBURG |
State | SC |
Zip Code | 29301-5643 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154375954 | Stephen A Yost | Family Medicine | 3021 Reidville Rd, Spartanburg, SC 29301-5643 | 2006-05-19 |
1568005023 | Nicole Leanne Owens | Physician Assistant | 3021 Reidville Rd, Spartanburg, SC 29301-5643 | 2019-10-28 |
1437675469 | Audrey Anne Wildeman | Physician Assistant | 3021 Reidville Rd, Spartanburg, SC 29301-5643 | 2017-08-22 |
1275080723 | Mary Beth Hood | Nurse Practitioner | 3021 Reidville Rd, Spartanburg, SC 29301-5027 | 2016-09-01 |
1275905465 | Lisa Jett Mathis | Nurse Practitioner | 3021 Reidville Rd, Spartanburg, SC 29301-5643 | 2015-10-27 |
1598003436 | Jilian Mcalum Thomas | Physician Assistant | 3021 Reidville Rd, Spartanburg, SC 29301 | 2013-01-28 |
1124382478 | Family Physicians of Spartanburg Pharmacy | Pharmacy | 3021 Reidville Rd, Spartanburg, SC 29301-5643 | 2012-07-02 |
1184912883 | Jason Clark | Pharmacist | 3021 Reidville Rd, Spartanburg, SC 29301-5643 | 2011-07-14 |
1326111998 | Kevin D. Boyter | Nurse Practitioner | 3021 Reidville Rd, Spartanburg, SC 29301-5643 | 2006-11-15 |
1003863929 | Lee B Taylor Jr. | Family Medicine | 3021 Reidville Rd, Spartanburg, SC 29301-5643 | 2006-05-27 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033716253 | Proactive Md Tindall Spartanburg Health Center | Family Medicine | 2273 Hayne St., Spartanburg, SC 29301 | 2020-10-01 |
1841757192 | Paladina Health, LLC | Family Medicine | Paladina Health Smith Drug, 9098 Fairforest Road, Spartanburg, SC 29301 | 2019-02-22 |
1073021143 | Yamira Valentin-fuentes | Chiropractor | 210 Westgate Mall Dr, Suite 6, Spartanburg, SC 29301 | 2018-01-11 |
1124426382 | Shellie Smith | Social Worker | 101 Washington Place, Spartanburg, SC 29301 | 2014-12-19 |
1356751770 | Lindsey Marie Dillon | Counselor | 250 Dewey Ave., Spartanburg, SC 29301 | 2014-05-07 |
1568892461 | Lauren Campbell Heiser | Physical Therapist | 2660 Reidville Rd # 6&7, Spartanburg, SC 29301 | 2013-11-14 |
1871843227 | Amy L Roberts | Occupational Therapist | 355 Oak Grove Rd., Spartanburg, SC 29301 | 2012-09-13 |
1023384419 | Elizabeth B. Gurley | Pharmacist | 211 West Blackstock Rd, Spartanburg, SC 29301 | 2012-03-29 |
1649564063 | Brooke Webster Fuentes | Physician Assistant | 300 E Blackstock Road, Suite E, Spartanburg, SC 29301 | 2011-06-02 |
1487943023 | Margaret Elizabeth Wilson | Counselor | 100 Ezell St., Spartanburg, SC 29301 | 2011-04-05 |
Find all providers in zip 29301 |
Taxonomy Code | 332900000X |
Grouping | Suppliers |
Classification | Non-Pharmacy Dispensing Site |
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497243588 | Charleston Ent Associates, LLC | Non-Pharmacy Dispensing Site | 2205 2nd Avenue, Summerville, SC 29486 | 2018-04-25 |
1962906313 | Charleston Oncology, Pa | Non-Pharmacy Dispensing Site | 3510 Highway 17 Byp N Ste 300, Mount Pleasant, SC 29466-8230 | 2018-03-21 |
1811383094 | Charleston Ent Associates, LLC | Non-Pharmacy Dispensing Site | 9185 University Blvd, North Charleston, SC 29406-9120 | 2015-04-14 |
1487051439 | Charleston Ent Associates LLC | Non-Pharmacy Dispensing Site | 298 Midland Pkwy, Summerville, SC 29485-8101 | 2014-11-19 |
1417367640 | Carolinas Physicians Network, Inc. | Non-Pharmacy Dispensing Site | 1091a 521 Red Ventures Drive, Fort Mill, SC 29707 | 2014-04-28 |
1346581162 | Wellness First, LLC | Non-Pharmacy Dispensing Site | 2133 N Hillside Dr, Charleston, SC 29407-8102 | 2013-03-04 |
1730440769 | Cigna Onsite Health LLC | Non-Pharmacy Dispensing Site | 2094 Marlboro Rd, Bennettsville, SC 29512 | 2012-06-06 |
1679849806 | Florence Podiatry Associates, LLC | Non-Pharmacy Dispensing Site | 492 W Cheves St, Florence, SC 29501-4447 | 2012-04-02 |
1629693668 | Anesthesia Associates of Charleston, P.a. | Non-Pharmacy Dispensing Site | 1341 Old Georgetown Rd, Mt Pleasant, SC 29464-7307 | 2020-06-16 |
1942841911 | Compounding Center At The Tides | Non-Pharmacy Dispensing Site | 180 Wingo Way Ste 106, Mount Pleasant, SC 29464-1810 | 2019-10-01 |
Find all providers with the same taxonomy |
City | SPARTANBURG |
Zip Code | 29301 |
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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.