SPARTANBURG MEDICAL CENTER (NPI# 1942772546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942772546 |
| Entity Type | Organization |
| Organization Name | SPARTANBURG MEDICAL CENTER |
| Practice Address |
1700 Skylyn Dr Spartanburg SC 29307-1041 |
| Mailing Address |
Po Box 277723 Atlanta GA 30384-7723 |
| Practice Telephone | 8645606000 |
| Mailing Telephone | 8645606000 |
| Enumeration Date | 2018-12-20 |
| Last Update Date | 2018-12-20 |
| Authorized Official Name | KENNETH J MEINKE (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 8645606103 |
| Is Organization Subpart | Y |
| Parent Organization Name | SPARTANBURG MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273Y00000X | Rehabilitation Unit | Hospital Units |
| Other Name | Type Code |
|---|---|
| Spartanburg Medical Center-Center for Rehabilitative Medicine | 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 |
1700 SKYLYN DR |
| City | SPARTANBURG |
| State | SC |
| Zip Code | 29307-1041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952395949 | Robert Neal Poteat | Specialist | 1700 Skylyn Dr, Spartanburg, SC 29307-1041 | 2005-09-06 |
| 1033681630 | Spartanburg Medical Center | Psychiatric Unit | 1700 Skylyn Dr, Spartanburg, SC 29307-1041 | 2018-12-20 |
| 1659888246 | David Milton Rainville | Nurse Anesthetist, Certified Registered | 1700 Skylyn Dr, Spartanburg, SC 29307-1041 | 2018-01-04 |
| 1548779457 | John Nicholas Mann | Nurse Practitioner | 1700 Skylyn Dr, Spartanburg, SC 29307-1041 | 2017-09-22 |
| 1033633052 | Erin Shealy | Dietitian, Registered | 1700 Skylyn Dr, Spartanburg, SC 29307-1041 | 2017-08-01 |
| 1477098556 | Bethany Mckinney Wilson | Nurse Practitioner | 1700 Skylyn Dr, Spartanburg, SC 29307-1041 | 2016-12-28 |
| 1457753378 | Ramona R Hrysikos | Registered Nurse | 1700 Skylyn Dr, Spartanburg, SC 29307-1041 | 2014-09-23 |
| 1104166511 | Angela Mills Steward | Registered Nurse | 1700 Skylyn Dr, Spartanburg, SC 29307-1041 | 2013-02-21 |
| 1528303005 | Bonnie Boswell Boone | Lactation Consultant, Non-RN | 1700 Skylyn Dr, Spartanburg, SC 29307-1041 | 2012-12-10 |
| 1144579962 | William Hildebrandt | Pharmacist | 1700 Skylyn Dr, Spartanburg, SC 29307-1041 | 2012-09-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023677945 | Healogics Specialty Physicians of South Carolina, LLC | Clinic/Center | 1630 Skylyn Drive, Suite 420, Spartanburg, SC 29307 | 2019-06-13 |
| 1194247528 | Tawnia Lee Prince | Occupational Therapy Assistant | 110 Summit Knoll Drive, Spartanburg, SC 29307 | 2017-07-07 |
| 1730633553 | Laura K Taylor | Chiropractor | 1802 Drayton Road, Suite 309, Spartanburg, SC 29307 | 2016-08-10 |
| 1013372390 | Erin Lavette Farr | Nurse Practitioner | 2780 East Main Street, Ltc Health Solutions, Spartanburg, SC 29307 | 2015-12-30 |
| 1316312010 | Joy Rogers | Speech-Language Pathologist | 175 Burdette St, Spartanburg, SC 29307 | 2015-12-07 |
| 1376923169 | Olivia Conrad | Speech-Language Pathologist | 220 Sloans Grove Rd, Spartanburg, SC 29307 | 2015-06-05 |
| 1457755118 | Optimal Radiology Partners of Virginia, Pllc | Radiology | 75 Skylyn Drive, Spartanburg, SC 29307 | 2014-10-09 |
| 1295033272 | Sean Quinn | Pharmacist | 790 East Main Street, Spartanburg, SC 29307 | 2011-03-01 |
| 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 |
| Find all providers in zip 29307 | ||||
| Taxonomy Code | 273Y00000X |
| Grouping | Hospital Units |
| Classification | Rehabilitation Unit |
| In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient’s condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient’s medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services. |
| Notes: Source: Code of Federal Regulations #42, Section 412.29. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245283589 | Mary Black Health System LLC | Rehabilitation Unit | 1700 Skylyn Dr, Spartanburg, SC 29307-1041 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558739649 | Prisma Health | Rehabilitation Unit | 104 Saluda Point Drive, Lexington, SC 29072 | 2015-09-08 |
| 1134597214 | Prisma Health-midlands | Rehabilitation Unit | 3221 Sunset Blvd Suite B, Columbia, SC 29169-0000 | 2015-09-08 |
| 1043688120 | Palmetto Health | Rehabilitation Unit | 3600 Forest Drive-suite 101, Columbia, SC 29204-0000 | 2015-09-08 |
| 1902274095 | Prisma Health-midlands | Rehabilitation Unit | 111 Sparkleberry Crossing Rd Suite 5, Columbia, SC 29229 | 2015-09-08 |
| 1861834673 | B&b Occupational Therapy | Rehabilitation Unit | 9998 Hallsford Dr, Ladson, SC 29456-3849 | 2013-07-22 |
| 1518212232 | Medfit | Rehabilitation Unit | 10071 Broad River Rd Ste B, Irmo, SC 29063-2381 | 2012-07-18 |
| 1508411463 | East Cooper Community Hospital, Inc. | Rehabilitation Unit | 2000 Hospital Dr, Mt Pleasant, SC 29464-3764 | 2019-08-07 |
| 1699248195 | Medical University Hospital Authority | Rehabilitation Unit | 121 E Cedar St, Florence, SC 29506-2576 | 2019-01-07 |
| 1144793654 | Medical University Hospital Authority | Rehabilitation Unit | 800 W Meeting St, Lancaster, SC 29720-2202 | 2019-01-07 |
| 1184135758 | Grand Strand Regional Medical Center, LLC | Rehabilitation Unit | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 | 2017-10-23 |
| Find all providers with the same taxonomy | ||||
| City | SPARTANBURG |
| Zip Code | 29307 |
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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.