SPARTANBURG MEDICAL CENTER (NPI# 1912938432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912938432 |
| Entity Type | Organization |
| Organization Name | SPARTANBURG MEDICAL CENTER |
| Other Organization Name | MEDICAL GROUP OF THE CAROLINAS - INPATIENT MEDICINE - SPARTANBURG |
| Practice Address |
101 East Wood Street Suite 401 Spartanburg SC 29303-3040 |
| Mailing Address |
Po Box 743070 Atlanta GA 30384-3070 |
| Practice Telephone | 8645604304 |
| Practice Fax Number | 8645604413 |
| Mailing Telephone | 8655604304 |
| Mailing Fax Number | 8645604413 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2014-12-09 |
| 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 |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5907654 | 05 | |
| RAILROAD MEDICARE GROUP# | CN1627 | 01 | |
| SC | GP1118 | 05 |
| Other Name | Type Code |
|---|---|
| Medical Group of the Carolinas - Inpatient Medicine - Spartanburg | 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 |
101 EAST WOOD STREET SUITE 401 |
| City | SPARTANBURG |
| State | SC |
| Zip Code | 29303-3040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205892494 | Drew C. Monitto | Radiology | 101 East Wood Street, Dept of Radiation Oncology, Spartanburg, SC 29303-3040 | 2006-04-25 |
| 1225675218 | Kacie Lauren Blackwell Berry | Registered Nurse | 101 East Wood Street, Spartanburg, SC 29303 | 2019-12-09 |
| 1689173460 | Spartanburg Medical Center | Family Medicine | 101 East Wood Street, Spartanburg, SC 29303 | 2018-02-07 |
| 1679788277 | Matthew Chaney | Radiology | 101 East Wood Street, Spartanburg, SC 29303 | 2007-05-14 |
| 1033324611 | Kelan J. Brown | Radiology | 101 East Wood Street, Spartanburg, SC 29303 | 2007-05-14 |
| 1093806465 | Julian C Josey Jr. | Radiology | 101 East Wood Street, Dept of Radiation, Spartanburg, SC 29303-3040 | 2006-09-28 |
| 1114018470 | Spartanburg Radiation Oncology Associates, Pa | Radiology | 101 East Wood Street, Radiation Oncology, Spartanburg, SC 29303-3040 | 2006-09-28 |
| 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 | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902338742 | Purav Patel | Internal Medicine | 101 E Wood St Ste 101, Spartanburg, SC 29303-3040 | 2017-03-31 |
| 1740670181 | Ernest Arnold | Internal Medicine | 225 Swansea Rd, Spartanburg, SC 29307-3826 | 2015-01-23 |
| 1942594155 | Michael S Humeniuk | Internal Medicine | 380 Serpentine Dr Ste 200, Spartanburg, SC 29303-3066 | 2011-06-06 |
| 1417250887 | James Edward Bradof | Internal Medicine | 212 Cypress Creek Drive, Spartanburg, SC 29307 | 2010-12-07 |
| 1528388030 | Tanya Tocharoen Tang | Internal Medicine | 126 Dillon Dr., Spartanburg, SC 29307 | 2010-06-07 |
| 1427214618 | John H. Brooks, M.d. - Allergy & Asthma | Internal Medicine | 2375 E. Main St., Suite A-204, Spartanburg, SC 29307 | 2008-08-06 |
| 1902851710 | Stanley D Miller | Internal Medicine | 1690 Skylyn Dr Ste 300b, Spartanburg, SC 29307-1022 | 2006-05-23 |
| 1578516399 | Thomas L Robinson | Internal Medicine | 118 Dillon Dr, Spartanburg, SC 29307-1018 | 2006-05-19 |
| 1548219819 | James Jasper Harber IIi | Internal Medicine | 1530 Drayton Road, Spartanburg, SC 29307-1058 | 2006-05-06 |
| 1801851290 | Helen M. Stockinger | Internal Medicine | 101 E Wood St Ste 401, Spartanburg, SC 29303-3040 | 2006-04-19 |
| 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.