MR. ANTHONY TY MEDLIN (NPI# 1891160016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891160016 |
| Entity Type | Individual |
| Full Name | MR. ANTHONY TY MEDLIN |
| Credential | PA-C |
| Practice Address |
303 E Wood St Spartanburg SC 29303-3020 |
| Practice Telephone | 8642088800 |
| Practice Fax Number | 8642080318 |
| Mailing Telephone | 8642088800 |
| Mailing Fax Number | 8642080318 |
| Enumeration Date | 2015-12-14 |
| Last Update Date | 2015-12-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
303 E WOOD ST |
| City | SPARTANBURG |
| State | SC |
| Zip Code | 29303-3020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447242813 | Matthew Terzella | Physical Medicine & Rehabilitation | 303 E Wood St, Spartanburg, SC 29303-3020 | 2005-08-22 |
| 1750848230 | Rachel Miles Kennedy | Physician Assistant | 303 E Wood St, Spartanburg, SC 29303-3020 | 2019-02-21 |
| 1275055394 | Ashley Virginia Vanlandingham | Physician Assistant | 303 E Wood St, Spartanburg, SC 29303-3020 | 2017-07-11 |
| 1922541176 | Dennis Irvine Mudd IIi | Physician Assistant | 303 E Wood St, Spartanburg, SC 29303-3020 | 2016-11-21 |
| 1306266390 | Ryan Thomas Hudson | Physical Medicine & Rehabilitation | 303 E Wood St, Spartanburg, SC 29303 | 2014-04-17 |
| 1427317676 | Elizabeth Allison Spring | Physician Assistant | 303 E Wood St, Spartanburg, SC 29303-3020 | 2012-05-09 |
| 1871892927 | Anna Grace Patterson Dimling | Physician Assistant | 303 E Wood St, Spartanburg, SC 29303-3020 | 2011-03-15 |
| 1124203492 | Roxanne M Dingman | Specialist/Technologist | 303 E Wood St, Spartanburg, SC 29303-3020 | 2008-01-07 |
| 1316165871 | Charles Steven Duncan | Physical Therapist | 303 E Wood St, Spartanburg, SC 29303-3020 | 2007-04-23 |
| 1588615819 | Mark D Visk | Orthopaedic Surgery | 303 E Wood St, Spartanburg, SC 29303-3020 | 2006-05-12 |
| 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 | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043789225 | Katherine Anderson Andrews | Physician Assistant | 760 Glenridge Rd, Spartanburg, SC 29301-5308 | 2018-11-18 |
| 1023477536 | Whitney Brooke Terry | Physician Assistant | 391 Serpentine Dr Ste 250, Spartanburg, SC 29303 | 2016-02-12 |
| 1649564063 | Brooke Webster Fuentes | Physician Assistant | 300 E Blackstock Road, Suite E, Spartanburg, SC 29301 | 2011-06-02 |
| 1730415100 | Amanda M Elder | Physician Assistant | 100 E Wood St Ste 401, Spartanburg, SC 29303-3049 | 2009-10-20 |
| 1275688772 | Cecilia S. Cannon | Physician Assistant | 1762 E Main St, Spartanburg, SC 29307-2231 | 2007-01-24 |
| 1255372637 | Carlee Dee Bright | Physician Assistant | 1650 Skylyn Dr Ste 210, Spartanburg, SC 29307-1069 | 2006-06-09 |
| 1750362182 | Christel Ann Schweizer | Physician Assistant | 1776 Skylyn Dr, Spartanburg, SC 29307-1045 | 2005-11-11 |
| 1619508637 | Caitlin Elizabeth Mcgougan | Physician Assistant | 101 E Wood St, Spartanburg, SC 29303-3040 | 2020-01-29 |
| 1255970398 | Alissa Reddy | Physician Assistant | 101 E Wood St Ste 401, Spartanburg, SC 29303-3040 | 2020-01-06 |
| 1881233922 | Jordan Garvey | Physician Assistant | 101 E Wood St Ste 401, Spartanburg, SC 29303-3040 | 2020-01-06 |
| 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.