SPARTANBURG MEDICAL CENTER (NPI# 1528443736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528443736 |
| Entity Type | Organization |
| Organization Name | SPARTANBURG MEDICAL CENTER |
| Other Organization Name | MEDICAL GROUP OF THE CAROLINAS - FAMILY MEDICINE UNION - WESTSIDE |
| Practice Address |
322 W South St Union SC 29379-2839 |
| Mailing Address |
Po Box 743070 Atlanta GA 30374-3070 |
| Practice Telephone | 8644298029 |
| Practice Fax Number | 8644293515 |
| Mailing Telephone | 8645604304 |
| Mailing Fax Number | 8645604413 |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2015-12-10 |
| Authorized Official Name | MR. KENNETH MEINKE (CFO) |
| 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 | 207Q00000X | Family Medicine | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP6915 | 05 |
| Other Name | Type Code |
|---|---|
| Medical Group of the Carolinas - Family Medicine Union - Westside | 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 |
322 W SOUTH ST |
| City | UNION |
| State | SC |
| Zip Code | 29379-2839 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891780052 | Tonya Renee Washington | Family Medicine | 322 W South St, Union, SC 29379 | 2005-09-14 |
| 1184126955 | Union Medical Center | Clinic/Center | 322 W South St, Union, SC 29379-2839 | 2018-03-07 |
| 1902308984 | Union Medical Center | Family Medicine | 322 W South St, Union, SC 29379 | 2018-03-06 |
| 1619412079 | Susan Cherry-casey | Nurse Practitioner | 322 W South St, Union, SC 29379 | 2016-12-21 |
| 1649656323 | Dayhana Pena Santiago | Family Medicine | 322 W South St, Union, SC 29379 | 2015-08-05 |
| 1467837906 | Union Medical Center | Physician Assistant | 322 W South St, Union, SC 29379-2839 | 2015-07-27 |
| 1487039921 | Union Medical Center | Emergency Medicine | 322 W South St, Union, SC 29379-2839 | 2015-07-27 |
| 1396129201 | Union Medical Center | General Acute Care Hospital | 322 W South St, Union, SC 29379-2839 | 2015-07-10 |
| 1023422649 | Tiffany T Nobles | Nurse Practitioner | 322 W South St, Union, SC 29379 | 2014-06-12 |
| 1467874255 | Lisa Sanders | Nurse Practitioner | 322 W South St, Union, SC 29379 | 2014-01-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780049072 | Dorothy Craig | Social Worker | 201 Herndon, Union, SC 29379 | 2015-12-31 |
| 1588049662 | Spartanburg Medical Center | Internal Medicine | 408 North Duncan By Pass, Suite L, Union, SC 29379 | 2015-07-30 |
| 1891045118 | Crystal Berry Earls | Pharmacist | 109 Beechtree Place, Union, SC 29379 | 2012-09-13 |
| 1871732271 | Union Hospital District Dba Cha Family Medicine | Family Medicine | 801 West Main St, Union, SC 29379 | 2009-02-10 |
| 1336388735 | Union Hospital District | Internal Medicine | 408 N Duncan By Pass, Suite L, Union, SC 29379 | 2009-02-10 |
| 1215185178 | Oakmont of Union Sc LLC | Assisted Living Facility | 709 Rice Street, Union, SC 29379 | 2008-09-04 |
| 1700072444 | Union Hospital District | Obstetrics & Gynecology | 720 South Duncan Bypass, Suite C, Union, SC 29379 | 2007-09-17 |
| 1154449130 | Whitney Connolly Leary | Speech-Language Pathologist | 720 A South Duncan Bypass, Union, SC 29379 | 2007-03-27 |
| 1467577353 | Kathryn Cook Scales | Counselor | 323 W South Street, Union, SC 29379 | 2007-03-20 |
| 1104957901 | Owen K Woolever | Physical Therapist | 720 A S Duncan Bypass, Union, SC 29379 | 2007-03-07 |
| Find all providers in zip 29379 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104325984 | Vama Medical Health Center | Family Medicine | 113 Plum Tree Ln, Union, NJ 07083-5553 | 2018-02-07 |
| 1740718220 | Afnan Talat | Family Medicine | 2317 Center Island, Route 22, Union, NJ 07083 | 2017-05-30 |
| 1538459698 | Tiffany Elizabeth Marie Toliver | Family Medicine | 1000 Galloping Hill Rd Ste 108, Union, NJ 07083 | 2011-04-11 |
| 1871732271 | Union Hospital District Dba Cha Family Medicine | Family Medicine | 801 West Main St, Union, SC 29379 | 2009-02-10 |
| 1851546352 | Alina Borkowska | Family Medicine | 1050 Galloping Hill Rd Ste 204, Union, NJ 07083-7980 | 2008-11-25 |
| 1114194156 | Mohammad Fattal | Family Medicine | 2575 Saint Charles Cir, Union, KY 41091-8696 | 2008-05-09 |
| 1427242882 | James Monroe Wellness Center | Family Medicine | 200 Health Center Dr, Union, WV 24983 | 2007-08-29 |
| 1134326010 | Kafilat Adewunmi | Family Medicine | 2333 Morris Ave Ste A117, Union, NJ 07083 | 2007-07-02 |
| 1033261383 | Gelderman Medical Care, Inc. | Family Medicine | 219 South Dunlap Street, Union, WV 24983-0500 | 2007-01-17 |
| 1316005101 | Union Family Medicine | Family Medicine | 2300 Vauxhall Road, Suite C, Union, NJ 07083 | 2006-12-05 |
| Find all providers in UNION | ||||
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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.