AMANDA REDDEN HATHAWAY (NPI# 1225322431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225322431 |
| Entity Type | Individual |
| Full Name | AMANDA REDDEN HATHAWAY |
| Credential | M.D. |
| Practice Address |
101 E Wood St Spartanburg SC 29303-3040 |
| Mailing Address |
Po Box 743070 Atlanta GA 30374-3070 |
| Practice Telephone | 8645607050 |
| Practice Fax Number | 8645600800 |
| Mailing Telephone | 8645604304 |
| Mailing Fax Number | 8645604413 |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2019-10-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | LL33643 | SC | Allopathic & Osteopathic Physicians |
| N | 207RH0000X |
Internal Medicine Specialization: Hematology |
33643 | SC | Allopathic & Osteopathic Physicians |
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
33643 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 336434 | 05 | |
| SC | MEDICARE PIN | SCA6834746 | 01 |
| SC | MEDICARE PIN | SCA6833365 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487209862 | Amanda Hathaway | Nurse's Aide | 14 Raiders Ln, Raymond, NH 03077-1568 | 2019-08-02 |
| 1326319880 | Amanda E Hathaway | Pediatrics | 1595 Lake Front Cir, The Woodlands, TX 77380-3604 | 2012-01-14 |
| Street Address |
101 E WOOD ST |
| City | SPARTANBURG |
| State | SC |
| Zip Code | 29303-3040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407858467 | Steven William Corso | Internal Medicine | 101 E Wood St, Spartanburg, SC 29303-3040 | 2005-06-02 |
| 1932713203 | Warren Everett Evans | Surgery | 101 E Wood St, Spartanburg, SC 29303-3040 | 2020-09-03 |
| 1023628096 | Zoe Kyle | Nurse Practitioner | 101 E Wood St, Spartanburg, SC 29303-3040 | 2020-08-05 |
| 1952928897 | Marcus Kyle Mauney | Registered Nurse | 101 E Wood St, Spartanburg, SC 29303-3040 | 2020-06-26 |
| 1679198618 | Raymond Briggs Westby | Surgery | 101 E Wood St, Spartanburg, SC 29303-3040 | 2020-06-16 |
| 1477178754 | Brewer Mccann Carter | Surgery | 101 E Wood St, Spartanburg, SC 29303-3040 | 2020-06-11 |
| 1982229704 | Kathryn Dewalt Rubel | Nurse Anesthetist, Certified Registered | 101 E Wood St, Spartanburg, SC 29303-3040 | 2020-06-09 |
| 1255956074 | Benjamin Todd Reeves | Internal Medicine | 101 E Wood St, Spartanburg, SC 29303-3040 | 2020-06-09 |
| 1952926685 | Mason Runge | Internal Medicine | 101 E Wood St, Spartanburg, SC 29303-3040 | 2020-06-09 |
| 1013531045 | Ryan Scott Rhodes | Internal Medicine | 101 E Wood St, Spartanburg, SC 29303-3040 | 2020-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013532126 | Adam Joseph Fulcher | Family Medicine | Center for Family Medicine, 853 N. Church Street, Suite 510, Spartanburg, SC 29303 | 2020-06-15 |
| 1275011652 | Tri-state Medical Supplies, North Grove | Durable Medical Equipment & Medical Supplies | 1330 Boiling Springs Rd Ste 2900, Spartanburg, SC 29303 | 2018-07-30 |
| 1992227151 | Roxanne Pope | Speech-Language Pathologist | 290 N Grove Medical Park Dr., Spartanburg, SC 29303 | 2017-07-10 |
| 1861934879 | Cortney Redmond Mckinney I | Counselor | 250 Dewey Sve., Spartanburg, SC 29303 | 2016-11-08 |
| 1578011474 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 269 North Grove Medical Drive, Spartanburg, SC 29303 | 2016-09-20 |
| 1023477536 | Whitney Brooke Terry | Physician Assistant | 391 Serpentine Dr Ste 250, Spartanburg, SC 29303 | 2016-02-12 |
| 1306244348 | Medcare Urgent Care Spartanburg, LLC | Clinic/Center | 301 E Wood Street, Spartanburg, SC 29303 | 2014-12-08 |
| 1508201393 | Tom Ju | Anesthesiology | 1330 Boiling Springs Rd Ste 2700, Spartanburg, SC 29303 | 2013-05-07 |
| 1295072312 | Marie O'dell | Registered Nurse | 7 698 Howard Street, Spartanburg School District, Spartanburg, SC 29303 | 2013-01-09 |
| 1518203330 | Sherard Hamilton Ansley | Speech-Language Pathologist | 698 Howard St., Spartanburg School District 7, Spartanburg, SC 29303 | 2012-12-26 |
| Find all providers in zip 29303 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043273949 | Palmetto Hematology Oncology PC | Internal Medicine | 380 Serpentine Drive, Suite 200, Spartanburg, SC 29303-3041 | 2006-04-11 |
| 1326048687 | Leonard Schutz | Internal Medicine | 1455 E Main St, Suite 103, Spartanburg, SC 29307-2243 | 2005-07-28 |
| 1285639310 | Kim Hont Aramburo Yee | Internal Medicine | 120 Dillon Dr, Spartanburg, SC 29307-1018 | 2005-06-16 |
| 1407858467 | Steven William Corso | Internal Medicine | 101 E Wood St, Spartanburg, SC 29303-3040 | 2005-06-02 |
| 1003810383 | Colin Patrick Curran | Internal Medicine | 1330 Boiling Springs Rd Ste 2100, Spartanburg, SC 29303-4210 | 2005-06-02 |
| 1013161520 | Spartanburg Medical Center | Internal Medicine | 380 Serpentine Dr, Gibbs Cancer Center, Spartanburg, SC 29303-3066 | 2008-11-11 |
| 1568616076 | Spartanburg Regional Med Ctr | Internal Medicine | 1702 Skylyn Dr, Unit C, Spartanburg, SC 29307-1040 | 2008-11-11 |
| 1750589529 | Abderrahim Khomani | Internal Medicine | 101 E Wood St, Spartanburg, SC 29303-3040 | 2007-07-03 |
| 1427112994 | Horizon Hematology Oncology PC | Internal Medicine | 1455 E Main St, Suite 103, Spartanburg, SC 29307-2243 | 2006-12-20 |
| 1093723926 | Palmetto Hematology Oncology PC | Internal Medicine | 1330 Boiling Springs Road, Suite 1700, Spartanburg, SC 29303-4201 | 2006-08-04 |
| Find all providers in SPARTANBURG | ||||
| City | SPARTANBURG |
| Zip Code | 29303 |
Please comment or provide details below to improve the information on AMANDA REDDEN HATHAWAY.
| 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.