KATHERINE ELIZABETH ENOS


Address: 1200 E Main St Ste 12, Spartanburg, SC 29307
Phone: 8645609260

KATHERINE ELIZABETH ENOS (NPI# 1528451002) 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) 1528451002
Entity Type Individual
Full Name KATHERINE ELIZABETH ENOS
Credential D.O.
Practice Address 1200 E Main St Ste 12
Spartanburg
SC 29307
Mailing Address Po Box 743070
Atlanta
GA 30374-3070
Practice Telephone 8645609260
Practice Fax Number 8645609265
Mailing Telephone 8645604304
Mailing Fax Number 8645604413
Enumeration Date 2015-03-09
Last Update Date 2020-01-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 37666 SC Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Provider Identifier

State Issuer Identifier Type Code
SC MEDICARE PIN SCD287J577 01
SC MEDICARE PIN SCD2876067 01
SC 376667 05
SC MEDICARE PIN SCD2875019 01
SC MEDICARE PIN SCD2876021 01

Office Location

Street Address 1200 E MAIN ST STE 12
City SPARTANBURG
State SC
Zip Code 29307

Providers in the same location

NPI Name Taxonomy Address Enumeration
1265430078 Michael Joseph Bell Family Medicine 1200 E Main St Ste 12, Spartanburg, SC 29307-1738 2005-07-14
1598318966 Sally Catherine Donnelly Nurse Practitioner 1200 E Main St Ste 12, Spartanburg, SC 29307-1738 2019-07-24
1902361611 James Patrick Thomas Kelley Nurse Practitioner 1200 E Main St Ste 12, Spartanburg, SC 29307-1738 2019-02-06
1871960104 Melissa Lynn Hawver Physician Assistant 1200 E Main St Ste 12, Spartanburg, SC 29307-1738 2015-08-21
1194705970 Gary D. Rauch Family Medicine 1200 E Main St Ste 12, Spartanburg, SC 29307-1738 2006-01-18

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 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033716253 Proactive Md Tindall Spartanburg Health Center Family Medicine 2273 Hayne St., Spartanburg, SC 29301 2020-10-01
1013532126 Adam Joseph Fulcher Family Medicine Center for Family Medicine, 853 N. Church Street, Suite 510, Spartanburg, SC 29303 2020-06-15
1538713813 Proactive Md Sc,p.a. Family Medicine 101 W Saint John St Ste 107, Spartanburg, SC 29306-5157 2019-07-25
1073171336 Proactive Md Sc,p.a. Family Medicine 801 Union St, Spartanburg, SC 29302-2734 2019-06-03
1841757192 Paladina Health, LLC Family Medicine Paladina Health Smith Drug, 9098 Fairforest Road, Spartanburg, SC 29301 2019-02-22
1487111738 Paladina Health, LLC Family Medicine Paladina Health Spartanburg Palmetto Bank, 101 West Saint John Street Suite 107, Spartanburg, SC 29306 2019-02-22
1649735127 Spartanburg Medical Center Family Medicine 11 Doctors Park Dr Ste 200, Spartanburg, SC 29307-1008 2019-02-08
1114403342 Piedmont Care, Inc. Family Medicine 101 N Pine St Ste 200, Spartanburg, SC 29302-1604 2018-07-11
1356871933 Kristy Kaye Atkinson Family Medicine 853 N Church St # 150, Spartanburg, SC 29303-3098 2017-06-15
1003352261 Academic Primary Care Associates Family Medicine 410 Magnolia St, Spartanburg, SC 29303-3640 2017-01-12
Find all providers in SPARTANBURG

Competitor

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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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