UPSTATE SURGERY PA NPI 1437136108

NPI Information

  • NPI: 1437136108
  • Provider Name: UPSTATE SURGERY PA
  • Classification: Surgery - 208600000X
  • Entity Type: Organization
  • Address: 16 ACCOUNTANTS CIR
    SENECA, SC
    ZIP 29678
  • Phone: (864) 886-9250

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NPI Details

UPSTATE SURGERY PA is a surgery in Seneca, 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. UPSTATE SURGERY PA NPI is 1437136108. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

16 ACCOUNTANTS CIR
SENECA, SC
ZIP 29678-670
Phone: (864) 886-9250
Fax: (864) 886-9251

The provider's authorized official is Bradford A Tyler .
The authorized official title is President/owner and has the following contact phone number (864) 886-9250.

The enumeration date for this NPI number is 12/23/2005 and was last updated on 8/22/2020.

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
1208600000XSurgery22507SOUTH 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
1T67488MEDICAIDSOUTH 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: 11/21/2025

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