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SPARTANBURG REGIONAL MED CTR NPI 1417909037


NPI Information

NPI: 1417909037
Provider Name: SPARTANBURG REGIONAL MED CTR

Doing Business As: SURGICAL ASSOCIATES OF SPARTANBURG

Classification: Surgery - 208600000X
Entity Type: Organization
Address:
100 E WOOD ST
SUITE 301
SPARTANBURG, SC
ZIP 29303
Phone: (864) 560-7070
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SPARTANBURG REGIONAL MED CTR is a surgery in Spartanburg, SC. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. SPARTANBURG REGIONAL MED CTR NPI is 1417909037. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Surgical Associates Of Spartanburg.

The provider's business location address is:

100 E WOOD ST
SUITE 301
SPARTANBURG, SC
ZIP 29303-004
Phone: (864) 560-7070
Fax: (864) 560-4413

The provider's authorized official is Gina Michelle Hillers .
The authorized official title is Credentialing Specialist and has the following contact phone number (864) 560-4057.

The enumeration date for this NPI number is 5/16/2006 and was last updated on 4/20/2008.


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
1208600000XSurgerySOUTH CAROLINAYes

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
15903624MEDICAIDNORTH CAROLINA
2=========-099OTHERSOUTH CAROLINABLUE CROSS BLUE SHIELD
37628MEDICARE PINSOUTH CAROLINA
4CN1627OTHERSOUTH CAROLINARAILROAD MEDICARE GROUP #
5=========-093OTHERSOUTH CAROLINATRICARE
6GP1118MEDICAIDSOUTH 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: 5/5/2024

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