SPARTANBURG MEDICAL CENTER


Address: 1686 Skylyn Dr Ste 201, Spartanburg, SC 29307-1079
Phone: 8645606000

SPARTANBURG MEDICAL CENTER (NPI# 1245700301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245700301
Entity Type Organization
Organization Name SPARTANBURG MEDICAL CENTER
Practice Address 1686 Skylyn Dr Ste 201
Spartanburg
SC 29307-1079
Mailing Address Po Box 743070
Atlanta
GA 30374-3070
Practice Telephone 8645606000
Mailing Telephone 8645604304
Mailing Fax Number 8645604413
Enumeration Date 2018-12-03
Last Update Date 2018-12-03
Authorized Official Name KENNETH J MEINKE (CHIEF FINANCIAL OFFICER)
Authorized Official Telephone 8645606103
Is Organization Subpart Y
Parent Organization Name SPARTANBURG REGIONAL HEALTH SERVICES DISTRICT, INC.

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207V00000X Obstetrics & Gynecology Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Medical Group of the Carolinas - Carolina OB/GYN, Suite 201 Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 1686 SKYLYN DR STE 201
City SPARTANBURG
State SC
Zip Code 29307-1079

Providers in the same location

NPI Name Taxonomy Address Enumeration
1811030760 Mary Black Health System LLC Family Medicine 1686 Skylyn Dr Ste 201, Spartanburg, SC 29307-1058 2007-02-14
1205071784 Mary Black Physicians Group, LLC Pediatrics 1686 Skylyn Dr Ste 201, Spartanburg, SC 29307-1079 2008-12-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1023677945 Healogics Specialty Physicians of South Carolina, LLC Clinic/Center 1630 Skylyn Drive, Suite 420, Spartanburg, SC 29307 2019-06-13
1194247528 Tawnia Lee Prince Occupational Therapy Assistant 110 Summit Knoll Drive, Spartanburg, SC 29307 2017-07-07
1730633553 Laura K Taylor Chiropractor 1802 Drayton Road, Suite 309, Spartanburg, SC 29307 2016-08-10
1013372390 Erin Lavette Farr Nurse Practitioner 2780 East Main Street, Ltc Health Solutions, Spartanburg, SC 29307 2015-12-30
1316312010 Joy Rogers Speech-Language Pathologist 175 Burdette St, Spartanburg, SC 29307 2015-12-07
1376923169 Olivia Conrad Speech-Language Pathologist 220 Sloans Grove Rd, Spartanburg, SC 29307 2015-06-05
1457755118 Optimal Radiology Partners of Virginia, Pllc Radiology 75 Skylyn Drive, Spartanburg, SC 29307 2014-10-09
1295033272 Sean Quinn Pharmacist 790 East Main Street, Spartanburg, SC 29307 2011-03-01
1417250887 James Edward Bradof Internal Medicine 212 Cypress Creek Drive, Spartanburg, SC 29307 2010-12-07
1528388030 Tanya Tocharoen Tang Internal Medicine 126 Dillon Dr., Spartanburg, SC 29307 2010-06-07
Find all providers in zip 29307

Taxonomy Information

Taxonomy Code 207V00000X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology

Taxonomy Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1952735748 James Sidney Fulmer Sr. Obstetrics & Gynecology 167 Ivy Court, Spartanburg, SC 29302 2013-08-28
1518306059 Misty L Mcdowell Obstetrics & Gynecology 853 N Church St Ste 610, Spartanburg, SC 29303-3070 2013-06-18
1437248259 Christy Grant Kobes Obstetrics & Gynecology 211 Indian Wells Dr, Spartanburg, SC 29306-6669 2006-10-12
1710995105 Mary Black Health System, LLC Obstetrics & Gynecology 123 Dillon Dr, Spartanburg, SC 29307-1017 2006-08-03
1043251291 Kristine Dee Boyd Obstetrics & Gynecology 853 N Church St Ste 700, Spartanburg, SC 29303 2006-06-09
1699729459 Aaron M Toler Obstetrics & Gynecology 1686 Skylyn Drive, Suite 101, Spartanburg, SC 29307 2006-05-19
1598722290 Mary Haddad Obstetrics & Gynecology 250 North Grove Medical Park Dr, Spartanburg, SC 29303-4222 2006-04-27
1285696690 Peter Arnold Sereque Obstetrics & Gynecology 250 N Grove Medical Park Dr, Spartanburg, SC 29303-4222 2006-04-03
1861475402 Emory Levon Eastin Obstetrics & Gynecology 1686 Skylyn Dr, Suite 101, Spartanburg, SC 29307-1058 2005-11-29
1902243389 Jessica Marie Hemsoth Obstetrics & Gynecology 853 N Church St Ste 700, Spartanburg, SC 29303-3003 2013-05-26
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City SPARTANBURG
Zip Code 29307

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Dataset Information

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.

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