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SPARTANBURG REGIONAL MEDICAL CTR NPI 1316190952


NPI Information

NPI: 1316190952
Provider Name: SPARTANBURG REGIONAL MEDICAL CTR

Doing Business As: VILLAGE ORTHOPAEDIC SURGERY-MAULDIN

Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization
Address:
535 W BUTLER RD STE C
GREENVILLE, SC
ZIP 29607
Phone: (864) 277-9867
Get Directions

SPARTANBURG REGIONAL MEDICAL CTR is an orthopaedic surgery in Greenville, SC. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. SPARTANBURG REGIONAL MEDICAL CTR NPI is 1316190952. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Village Orthopaedic Surgery-mauldin.

The provider's business location address is:

535 W BUTLER RD STE C
GREENVILLE, SC
ZIP 29607-833
Phone: (864) 277-9867
Fax: (864) 849-9394

The provider's authorized official is Mark Aycock .
The authorized official title is Executive Vice President and has the following contact phone number (864) 560-6000.

The enumeration date for this NPI number is 10/28/2008 and was last updated on 7/29/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207X00000XOrthopaedic SurgeryYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1CN1627OTHERSOUTH CAROLINAMEDICARE RR
27628MEDICARE PINSOUTH CAROLINA
3GP1118MEDICAIDSOUTH CAROLINA

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

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