KRISTEN ANNE SPOOR (NPI# 1225304033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225304033 |
Entity Type | Individual |
Full Name | KRISTEN ANNE SPOOR |
Credential | M.D. |
Practice Address |
890 W Faris Rd Ste 310 Greenville SC 29605 |
Mailing Address |
1 Independence Pt Ste 212 Greenville SC 29615-4536 |
Practice Telephone | 8644558300 |
Practice Fax Number | 8644558310 |
Enumeration Date | 2012-03-26 |
Last Update Date | 2018-10-12 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
61256 | SC | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | 4301100702 | MI | Student, Health Care |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Address | Telephone Number | Fax Number |
---|---|---|
701 Grove Rd, Greenville, SC 29605 | 8644557000 |
Street Address |
890 W FARIS RD STE 310 |
City | GREENVILLE |
State | SC |
Zip Code | 29605 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033428933 | Nina Katherine Trent Jackson | Physician Assistant | 890 W Faris Rd Ste 310, Greenville, SC 29605-4281 | 2010-09-27 |
1558971820 | Meghan Elizabeth Mcdonough | Physician Assistant | 890 W Faris Rd Ste 310, Greenville, SC 29605-4281 | 2020-08-03 |
1841818812 | Bradley Lamar Sentell | Nurse Practitioner | 890 W Faris Rd Ste 310, Greenville, SC 29605-4281 | 2020-07-07 |
1134744220 | Kaitlyn Holbrook Watford | Physician Assistant | 890 W Faris Rd Ste 310, Greenville, SC 29605-4281 | 2020-06-15 |
1902440753 | Chassidy Balentine | Nurse Practitioner | 890 W Faris Rd Ste 310, Greenville, SC 29605-4281 | 2019-11-05 |
1205311693 | Alejandra Medina Jimenez | Physician Assistant | 890 W Faris Rd Ste 310, Greenville, SC 29605-4281 | 2018-10-01 |
1700148590 | Colin B Webb | Surgery | 890 W Faris Rd Ste 310, Greenville, SC 29605-4281 | 2012-06-08 |
1275893216 | David Calhoun Jacobs Jr. | Surgery | 890 W Faris Rd Ste 310, Greenville, SC 29605 | 2012-05-24 |
1154609626 | Ibnalwalid A Saad | Surgery | 890 W Faris Rd Ste 310, Greenville, SC 29605-4281 | 2011-08-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205306099 | Prisma Health University Medical Group | Family Medicine | 110 Osage Drive, Greenville, SC 29605 | 2018-12-05 |
1306325626 | Lauren Foster Fiscus | Occupational Therapist | 1900 Augusta Street, Suite 2500, Greenville, SC 29605 | 2018-08-08 |
1063914372 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 1720 Augusta St, Greenville, SC 29605 | 2018-03-02 |
1144748385 | Johanna Ruth Henry | Speech-Language Pathologist | 1900 Augusta St., Suite 2500, Greenville, SC 29605 | 2017-09-08 |
1477083483 | Alexis Dean Pedigo | Speech-Language Pathologist | 1900 Augusta St, Suite 2500, Greenville, SC 29605 | 2017-06-13 |
1134658420 | Trace Christopher Deighan | Obstetrics & Gynecology | 890 West Faris Road, Suite 470, Greenville, SC 29605 | 2017-06-08 |
1023569837 | Blessed With Goodness, LLC | In Home Supportive Care | 716 E. Fairfield Road, Unit 120 (mailbox # 14), Greenville, SC 29605 | 2016-10-17 |
1972050953 | Suha Umina | Pharmacist | 975 W. Faris Road, Greenville, SC 29605 | 2016-09-07 |
1124470976 | Meredith Laine Cavagrotti | Specialist/Technologist | 700 Grove Rd, Greenville, SC 29605 | 2016-07-05 |
1205286895 | Med-trans Corporation | Ambulance | 552 Perimeter Rd, Greenville, SC 29605 | 2016-06-15 |
Find all providers in zip 29605 |
Taxonomy Code | 2086S0102X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Surgical Critical Care |
A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225355316 | Joshua Perkins Simpson | Surgery | 890 W Faris Rd, Suite 310, Greenville, SC 29605-4281 | 2010-04-28 |
1982860474 | John David Cull | Surgery | 890 W Faris Rd, Suite 310, Greenville, SC 29605-4253 | 2008-08-04 |
1699714972 | Benjamin Meyer Manning | Surgery | 890 W Faris Rd, Suite 310, Greenville, SC 29605-4253 | 2006-06-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710980628 | Todd A. Shuman | Surgery | 316 Calhoun St, Charleston, SC 29401-1113 | 2005-05-24 |
1093970469 | Cynthia Leigh Talley | Surgery | 171 Ashley Ave, Charleston, SC 29425-0293 | 2008-07-24 |
1124288725 | Aaron N Moore | Surgery | 9 Richland Medical Park Dr, Suite 450, Columbia, SC 29203-6894 | 2008-06-17 |
1760541080 | Mppg, Inc. | Surgery | 14 Okatie Center Blvd S, Suite 101, Okatie, SC 29909-7506 | 2006-12-06 |
1649237033 | Richard Mcmurtry Bell | Surgery | 2 Medical Park Rd, Suite 300, Columbia, SC 29203-6808 | 2006-04-28 |
City | GREENVILLE |
Zip Code | 29605 |
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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.