SPARTANBURG MEDICAL CENTER (NPI# 1639273386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639273386 |
| Entity Type | Organization |
| Organization Name | SPARTANBURG MEDICAL CENTER |
| Other Organization Name | MEDICAL GROUP OF THE CAROLINAS - OCCUPATIONAL HEALTH - PELHAM |
| Practice Address |
150 D St Greer SC 29651 |
| Mailing Address |
Po Box 743070 Atlanta GA 30374-3070 |
| Practice Telephone | 8648791948 |
| Practice Fax Number | 8648778043 |
| Mailing Telephone | 8645604304 |
| Mailing Fax Number | 8645604413 |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2020-09-14 |
| 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 |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 261QX0100X |
Clinic/Center Specialization: Occupational Medicine |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP1118 | 05 | |
| SC | MEDICARE PIN | 6067 | 01 |
| Other Name | Type Code |
|---|---|
| Medical Group of the Carolinas - Occupational Health - Pelham | 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 |
150 D ST |
| City | GREER |
| State | SC |
| Zip Code | 29651 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659864098 | Wendi Nicole Bouknight Stroud | Nurse Practitioner | 150 D St, Greer, SC 29651 | 2018-06-11 |
| 1376080556 | Caitlin Elliott Wilson | Nurse Practitioner | 150 D St, Greer, SC 29651-6930 | 2017-01-25 |
| 1639481443 | Sajidkhan S Pathan | Preventive Medicine | 150 D St, Greer, SC 29651-6930 | 2010-07-09 |
| 1932308806 | Spartanburg Medical Center | Physical Medicine & Rehabilitation | 150 D St, Greer, SC 29651-6930 | 2007-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619499035 | Jerry Webb Hudspeth II | Pharmacist | 221 Marnie Ln, Greer, SC 29651 | 2017-07-07 |
| 1073863395 | Sarah Delello Black | Pharmacist | 590 East Howell Rd, Greer, SC 29651 | 2012-09-13 |
| 1538418645 | Ernest Earl Clayton | Pharmacist | 1325 West Wade Hampton Blvd, Greer, SC 29651 | 2012-09-05 |
| 1235451352 | Mountainview Dentistry | Dentist | 119 Village Drive, Greer, SC 29651 | 2010-02-16 |
| 1548457849 | Assisted Living Concepts Inc | Assisted Living Facility | 10 Companion Court, Greer, SC 29651 | 2007-10-01 |
| 1689866642 | Anthony L Mathis Dpm LLC | Podiatrist | 127 Mills Ave., Greer, SC 29651 | 2007-08-14 |
| 1275740193 | Pamela B Dhillon | Dentist | 3115 A Brushy Creek Road, Greer, SC 29651 | 2007-05-17 |
| 1689715153 | Clara Richards | Occupational Therapy Assistant | 285 Genoble Rd, Greer, SC 29651 | 2007-02-09 |
| 1063566263 | Greer Group Practice, LLC | Orthopaedic Surgery | 501-b Memorial Extension Drive, Greer, SC 29651 | 2007-01-23 |
| 1730253824 | Tammy Rollins Mason | Social Worker | 104 Memorial Drive, Greer, SC 29651 | 2006-11-20 |
| Find all providers in zip 29651 | ||||
| Taxonomy Code | 261QX0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Occupational Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144577743 | Healthworks Med Group of South Carolina P C | Clinic/Center | 415 Brockman Mcclimon Rd, Greer, SC 29651-6608 | 2012-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760808083 | Self Medical Group | Clinic/Center | 450 Old Brickyard Rd, Greenwood, SC 29649-8681 | 2014-03-11 |
| 1336576610 | Healthworks Med Group of South Carolina P C | Clinic/Center | 3704 Louis Rich Rd, Newberry, SC 29108-1413 | 2013-10-02 |
| 1063846913 | Healthworks Med Group of South Carolina, P C | Clinic/Center | 10 Bib Way, Anderson, SC 29626-6047 | 2013-08-28 |
| 1356374128 | Lexington County Health Services District, Inc. | Clinic/Center | 3799 12th Street Ext Ste 110, Cayce, SC 29033-3750 | 2006-07-07 |
| 1700839610 | Vital Energy Occ Therapy & Wellness Ctr LLC | Clinic/Center | 1812 Augusta Hwy, Ste L, Lexington, SC 29072 | 2006-05-19 |
| 1558969808 | Lexington Health Inc | Clinic/Center | 3799 12th Street Ext Ste 110, Cayce, SC 29033-3750 | 2020-10-09 |
| 1104389592 | Occuaptional Health Centers of The Southwest, P.a. | Clinic/Center | 4600 Goer Dr Ste 205, North Charleston, SC 29406-6536 | 2019-04-11 |
| 1285197699 | Cerner Health Connections, Inc | Clinic/Center | 4374 Lancaster Hwy, Richburg, SC 29729-9060 | 2019-04-11 |
| 1013324128 | Midlands Exams and Drug Screening, Inc | Clinic/Center | 3020 Sunset Blvd, Suite 102, West Columbia, SC 29169-3493 | 2014-07-21 |
| 1740579382 | Aoh Occupational Health, LLC | Clinic/Center | 3625 W Montague Ave, N Charleston, SC 29418-5942 | 2011-04-05 |
| Find all providers with the same taxonomy | ||||
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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.