PIEDMONT IMAGING, INC (NPI# 1699733121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699733121 |
| Entity Type | Organization |
| Organization Name | PIEDMONT IMAGING, INC |
| Practice Address |
684 N Pine St Spartanburg SC 29303-3745 |
| Mailing Address |
Po Box 933548 Atlanta GA 31193-3548 |
| Practice Telephone | 7703000101 |
| Practice Fax Number | 7703000429 |
| Mailing Telephone | 7703000101 |
| Mailing Fax Number | 7703000429 |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2008-06-16 |
| Authorized Official Name | MR. DANIEL J SCHAEFER (COO) |
| Authorized Official Telephone | 7703000101 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | RAILROAD MEDICARE | 470001253 | 01 |
| SC | SL0038 | 05 |
| Street Address |
684 N PINE ST |
| City | SPARTANBURG |
| State | SC |
| Zip Code | 29303-3745 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811940745 | Raul Ceballos Jr. | Radiology | 684 N Pine St, Spartanburg, SC 29303-3745 | 2006-05-19 |
| 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 | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457755118 | Optimal Radiology Partners of Virginia, Pllc | Radiology | 75 Skylyn Drive, Spartanburg, SC 29307 | 2014-10-09 |
| 1891734521 | James A Urso | Radiology | 101 E Wood St Ste 104, Spartanburg, SC 29303-3040 | 2006-06-06 |
| 1033177217 | Piedmont Imaging Inc | Radiology | 225 East Blackstock Rd, Spartanburg, SC 29301-2633 | 2006-05-03 |
| 1316506959 | Benjamin Montgomery Wilson | Radiology | 101 E Wood St, Spartanburg, SC 29303-3040 | 2019-06-07 |
| 1396230462 | Omar Mccarty | Radiology | 101 E Wood St, Spartanburg, SC 29303-3040 | 2018-06-29 |
| 1164842142 | Bryce Hansen | Radiology | 101 E Wood St, Spartanburg, SC 29303-3040 | 2014-04-17 |
| 1265873160 | Jason Kent Locke | Radiology | 101 E Wood St, Spartanburg, SC 29303-3040 | 2013-07-09 |
| 1083978944 | Christopher Matthew Swift | Radiology | 101 E Wood St, Spartanburg, SC 29303-3040 | 2012-06-26 |
| 1710240908 | Karen Steifle Patrick | Radiology | 101 E Wood St, Spartanburg, SC 29303-3040 | 2012-06-21 |
| 1659634301 | Christopher Ryan Mcadams | Radiology | 101 E Wood St, Spartanburg, SC 29303-3040 | 2012-06-18 |
| Find all providers in SPARTANBURG | ||||
| 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.