SPENCE MCLEAN TAYLOR M.D. NPI 1114966736

NPI Information

NPI: 1114966736
Provider Name: SPENCE MCLEAN TAYLOR, M.D.
Classification: Surgery - 2086S0129X
Entity Type: Individual

Specialization: Vascular Surgery

PECOS Registration: Yes

Address:
200 PATEWOOD DR
SUITE C300
GREENVILLE, SC
ZIP 29615
Phone: (864) 454-8272
Get Directions

Spence Mclean Taylor, M.D. is a vascular surgery surgery in Greenville, SC. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. Spence Mclean Taylor, M.D. NPI is 1114966736. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

200 PATEWOOD DR
SUITE C300
GREENVILLE, SC
ZIP 29615-593
Phone: (864) 454-8272

The NPI 1114966736 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/6/2006 and was last updated on 2/15/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0129X	Surgery	Vascular Surgery	11914	SOUTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	119142	MEDICAID	SOUTH CAROLINA
2	20045365	OTHER	SOUTH CAROLINA	RR MEDICARE
3	576007863071	OTHER	SOUTH CAROLINA	BCBS OF SC ID
4	4350935	OTHER	SOUTH CAROLINA	AETNA ID
5	9475802	OTHER	SOUTH CAROLINA	CIGNA ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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