CAROLINA PLASTIC SURGERY PA (NPI# 1659323624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659323624 |
| Entity Type | Organization |
| Organization Name | CAROLINA PLASTIC SURGERY PA |
| Practice Address |
100 E Wood St Ste 100 Spartanburg SC 29303-3004 |
| Practice Telephone | 8645831222 |
| Practice Fax Number | 8645825154 |
| Mailing Telephone | 8645831222 |
| Mailing Fax Number | 8645825154 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2012-03-07 |
| Authorized Official Name | MRS. SHANNAN B. MANLY (BUSINESS MANAGER) |
| Authorized Official Telephone | 8645831222 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Street Address |
100 E WOOD ST STE 100 |
| City | SPARTANBURG |
| State | SC |
| Zip Code | 29303-3004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114907128 | Jeffrey M Craft | Internal Medicine | 100 E Wood St, Suite 401, Spartanburg, SC 29303-3004 | 2006-01-18 |
| 1528688447 | Spartanburg Regional Hospital | Surgery | 100 E Wood St, Spartanburg, SC 29303-3004 | 2020-04-21 |
| 1316399728 | Shana Kristine Peeler | Nurse Practitioner | 100 E Wood St, Spartanburg, SC 29303-3004 | 2016-07-09 |
| 1255716775 | Kimberly Valenti | Nurse Practitioner | 100 E Wood St, Suite 401, Spartanburg, SC 29303 | 2015-07-27 |
| 1831509322 | Natasha Tamika Harris | Nurse Practitioner | 100 E Wood St, Suite 202, Spartanburg, SC 29303-3004 | 2014-05-06 |
| 1811322613 | Elizabeth Ashley Gulyas | Pharmacist | 100 E Wood St, Spartanburg, SC 29303-3004 | 2013-09-11 |
| 1497180509 | Donna Burton | Nurse Practitioner | 100 E Wood St, Suite 202, Spartanburg, SC 29303-3004 | 2013-09-08 |
| 1336382563 | Spartanburg Medical Center | Surgery | 100 E Wood St, Suite 202, Spartanburg, SC 29303-3004 | 2009-04-17 |
| 1417190646 | Spartanburg Medical Center | Surgery | 100 E Wood St, Suite 202, Spartanburg, SC 29303-3004 | 2009-04-17 |
| 1316186372 | Martha Ann Raines | Nurse Practitioner | 100 E Wood St, Suite 202, Spartanburg, SC 29303-3004 | 2009-02-16 |
| 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 | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811076623 | Spartanburg Surgery Center, LLC | Clinic/Center | 391 Serpentine Dr Ste 200, Spartanburg, SC 29303 | 2006-11-03 |
| 1164472098 | Westside Eye Center LLC | Clinic/Center | 1413 John B White Sr Blvd, Suite D, Spartanburg, SC 29306-3995 | 2006-05-11 |
| 1619972791 | Ambulatory Surgery Center of Spartanburg, LLC | Clinic/Center | 720 N Pine St, Spartanburg, SC 29303-3127 | 2005-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194344606 | Tidelands Health Asc LLC | Clinic/Center | 2200 Crow Ln Ste 102, Myrtle Beach, SC 29577-1663 | 2020-04-14 |
| 1528602455 | Cornerstone Surgery Centers, LLC | Clinic/Center | 3911 Highway 17 Ste B, Murrells Inlet, SC 29576-5014 | 2019-11-04 |
| 1598227431 | Surgery Center of Conway Inc | Clinic/Center | 1405 Main Street, Conway, SC 29526 | 2019-04-01 |
| 1265999197 | Medical University Hospital Authority | Clinic/Center | 1580 Freedom Blvd Ste 300, Florence, SC 29505-6074 | 2019-02-27 |
| 1194233189 | Chapin Orthopedic Surgery Center | Clinic/Center | 106 Ellett Road, Chapin, SC 29036-8248 | 2018-01-12 |
| 1124547617 | Southeastern Anesthesia Associates, LLC | Clinic/Center | 1 Wellness Blvd Ste 111, Irmo, SC 29063-2873 | 2017-09-15 |
| 1518338052 | Center for Advanced Surgery LLC | Clinic/Center | 3821 Commercial Center Drive, Ladson, SC 29456-4146 | 2015-10-09 |
| 1881094894 | Center for Colon and Digestive Diseases LLC | Clinic/Center | 103 Gregg Ave Nw, Suite 100, Aiken, SC 29801-6357 | 2014-08-27 |
| 1578986550 | Summerville Endoscopy Center, LLC | Clinic/Center | 328 Midland Pkwy, Summerville, SC 29485-8102 | 2014-01-28 |
| 1295176139 | Lowcountry Ambulatory Center, LLC | Clinic/Center | 1844 Wallace School Rd, Charleston, SC 29407-4822 | 2013-07-08 |
| 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.