SPARTANBURG REGIONAL MED CTR NPI 1497900641

NPI Information

NPI: 1497900641
Provider Name: SPARTANBURG REGIONAL MED CTR
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Doing Business As: SPARTANBURG REGIONAL PHYSICIAN NETWORK
Address: 101 E WOOD ST
SPARTANBURG, SC
ZIP 29303
Phone: (864) 560-4304

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NPI Details

SPARTANBURG REGIONAL MED CTR is a family medicine in Spartanburg, SC. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SPARTANBURG REGIONAL MED CTR NPI is 1497900641. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Spartanburg Regional Physician Network.

The provider's business location address is:

101 E WOOD ST
SPARTANBURG, SC
ZIP 29303-040
Phone: (864) 560-4304
Fax: (864) 560-4413

The provider's authorized official is Gina Michelle Ruiz .
The authorized official title is Contract Management Coordinator and has the following contact phone number (864) 560-6457.

The enumeration date for this NPI number is 12/1/2008 and was last updated on 12/1/2008.

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	Primary
1	207R00000X	Internal Medicine		No
2	207RE0101X	Internal Medicine	Endocrinology, Diabetes & Metabolism	No
3	207RG0100X	Internal Medicine	Gastroenterology	No
4	207RR0500X	Internal Medicine	Rheumatology	No
5	207V00000X	Obstetrics & Gynecology		No
6	207W00000X	Ophthalmology		No
7	208000000X	Pediatrics		No
8	208600000X	Surgery		No
9	2086H0002X	Surgery	Hospice and Palliative Medicine	No
10	2086S0122X	Surgery	Plastic and Reconstructive Surgery	No
11	2086S0129X	Surgery	Vascular Surgery	No
12	2088P0231X	Urology	Pediatric Urology	No
13	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery)		No
14	207Q00000X	Family Medicine		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	GP1118	MEDICAID	SOUTH 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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