SPARTANBURG MEDICAL CENTER (NPI# 1639273022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639273022 |
| Entity Type | Organization |
| Organization Name | SPARTANBURG MEDICAL CENTER |
| Other Organization Name | MEDICAL GROUP OF THE CAROLINAS - INFECTIOUS DISEASE |
| Practice Address |
853 N Church St Suite 410a Spartanburg SC 29303-3098 |
| Mailing Address |
Po Box 743070 Atlanta GA 30374-3070 |
| Practice Telephone | 8645606928 |
| Practice Fax Number | 8645607329 |
| Mailing Telephone | 8645604057 |
| Mailing Fax Number | 8645604413 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2014-12-09 |
| Authorized Official Name | KENNETH MEINKE (CHIEF FINANCIAL OFFICER) |
| 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 | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP1118 | 05 | |
| SC | RAILROAD MEDICARE GROUP# | CN1627 | 01 |
| NC | 5906123 | 05 | |
| NC | NC MEDICAID | 5906123 | 01 |
| Other Name | Type Code |
|---|---|
| Medical Group of the Carolinas - Infectious Disease | 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 |
853 N CHURCH ST SUITE 410A |
| City | SPARTANBURG |
| State | SC |
| Zip Code | 29303-3098 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255334306 | Paul Anthony Lepage | Surgery | 853 N Church St, Suite 500, Spartanburg, SC 29303-3098 | 2005-05-23 |
| 1801449673 | Meghan Mace | Family Medicine | 853 N Church St, Spartanburg, SC 29303-3098 | 2019-07-22 |
| 1588216493 | Madeline Topitzes | Family Medicine | 853 N Church St, Suite 510, Spartanburg, SC 29303-3098 | 2019-07-10 |
| 1013402312 | James Spearman | Family Medicine | 853 N Church St, Spartanburg, SC 29303-3098 | 2018-06-28 |
| 1346780814 | Della Greer | Nurse Practitioner | 853 N Church St, Suite 700, Spartanburg, SC 29303-3098 | 2017-03-03 |
| 1588101448 | Kristy Johnson | Nurse Practitioner | 853 N Church St, Suite 620, Spartanburg, SC 29303-3098 | 2017-01-30 |
| 1912442591 | Erin Mcdermott | Registered Nurse | 853 N Church St, Suite 720c, Spartanburg, SC 29303-3098 | 2017-01-05 |
| 1669917241 | Annie Littlejohn | Registered Nurse | 853 N Church St, Suite 720c, Spartanburg, SC 29303-3098 | 2017-01-05 |
| 1801331483 | Cynthia Norris | Registered Nurse | 853 N Church St, Suite 720c, Spartanburg, SC 29303-3098 | 2017-01-05 |
| 1346795085 | Amanda Shugart James | Dietitian, Registered | 853 N Church St, Suite 410a, Spartanburg, SC 29303-3098 | 2016-08-23 |
| 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 | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083183172 | Spartanburg Medical Center | Internal Medicine | 1690 Skylyn Dr Ste 300b, Spartanburg, SC 29307-1022 | 2018-11-19 |
| 1821415647 | Casey Jack Cronan | Internal Medicine | 101 E Wood St, Spartanburg, SC 29303-3040 | 2014-03-19 |
| 1881658441 | Michelle Cathleen Carney | Internal Medicine | 100 E Wood St, Suite 302b, Spartanburg, SC 29303-3004 | 2006-04-12 |
| 1811971237 | Theodore Grieshop | Internal Medicine | 853 N Church St, Ste 720b, Spartanburg, SC 29303-3040 | 2005-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336627371 | Truesdale Medical Center LLC | Internal Medicine | 6296 Rivers Ave., Suite 310, N. Charleston, SC 29406 | 2018-08-01 |
| 1265898191 | Coastal Carolina Infectious Disease, LLC | Internal Medicine | 1110 London St Ste 102, Myrtle Beach, SC 29577 | 2016-01-07 |
| 1518377829 | Stella Ifeoma Okoye | Internal Medicine | 6439 Garners Ferry Rd Rm 5c129, Columbia, SC 29209-1638 | 2014-05-08 |
| 1912293085 | Gary L Lattimer | Internal Medicine | 17 Durban Pl, Hilton Head Island, SC 29926-2217 | 2011-06-27 |
| 1336435205 | William D Largen | Internal Medicine | 1520 Old Trolley Rd, Ste 101, Summerville, SC 29485-5292 | 2011-06-20 |
| 1700105376 | James Crawford Allen | Internal Medicine | 3237 Middle Dam Ct, Johns Island, SC 29455-6044 | 2010-05-21 |
| 1124356498 | Eric Brener | Internal Medicine | 724 Holly St, Columbia, SC 29205-1852 | 2009-11-25 |
| 1841499217 | Nitesh Upadhyay | Internal Medicine | 200 S Herlong Ave Ste E, Rock Hill, SC 29732-1182 | 2007-07-16 |
| 1912095738 | Jehad S Abdalla | Internal Medicine | 1511 Carolina Ave, Orangeburg, SC 29115-4940 | 2006-10-10 |
| 1538192190 | Anmed Health | Internal Medicine | 703 N Fant St, Anderson, SC 29621-5705 | 2006-07-08 |
| Find all providers with the same taxonomy | ||||
| City | SPARTANBURG |
| Zip Code | 29303 |
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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.