OBGYN SOCIETY OF SPARTANBURG, INC. (NPI# 1750444568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750444568 |
| Entity Type | Organization |
| Organization Name | OBGYN SOCIETY OF SPARTANBURG, INC. |
| Practice Address |
100 E Wood St Suite 202 Spartanburg SC 29303-3004 |
| Practice Telephone | 8645606163 |
| Practice Fax Number | 8645607092 |
| Mailing Telephone | 8645606163 |
| Mailing Fax Number | 8645607092 |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. MICHAEL WATKINS (GENERAL PARTNER) |
| Authorized Official Telephone | 8645606163 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| Street Address |
100 E WOOD ST SUITE 202 |
| 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 | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952735748 | James Sidney Fulmer Sr. | Obstetrics & Gynecology | 167 Ivy Court, Spartanburg, SC 29302 | 2013-08-28 |
| 1518306059 | Misty L Mcdowell | Obstetrics & Gynecology | 853 N Church St Ste 610, Spartanburg, SC 29303-3070 | 2013-06-18 |
| 1437248259 | Christy Grant Kobes | Obstetrics & Gynecology | 211 Indian Wells Dr, Spartanburg, SC 29306-6669 | 2006-10-12 |
| 1710995105 | Mary Black Health System, LLC | Obstetrics & Gynecology | 123 Dillon Dr, Spartanburg, SC 29307-1017 | 2006-08-03 |
| 1043251291 | Kristine Dee Boyd | Obstetrics & Gynecology | 853 N Church St Ste 700, Spartanburg, SC 29303 | 2006-06-09 |
| 1699729459 | Aaron M Toler | Obstetrics & Gynecology | 1686 Skylyn Drive, Suite 101, Spartanburg, SC 29307 | 2006-05-19 |
| 1598722290 | Mary Haddad | Obstetrics & Gynecology | 250 North Grove Medical Park Dr, Spartanburg, SC 29303-4222 | 2006-04-27 |
| 1285696690 | Peter Arnold Sereque | Obstetrics & Gynecology | 250 N Grove Medical Park Dr, Spartanburg, SC 29303-4222 | 2006-04-03 |
| 1861475402 | Emory Levon Eastin | Obstetrics & Gynecology | 1686 Skylyn Dr, Suite 101, Spartanburg, SC 29307-1058 | 2005-11-29 |
| 1245700301 | Spartanburg Medical Center | Obstetrics & Gynecology | 1686 Skylyn Dr Ste 201, Spartanburg, SC 29307-1079 | 2018-12-03 |
| 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.