SPARTANBURG REGIONAL MED CTR NPI 1568616076

NPI Information

  • NPI: 1568616076
  • Provider Name: SPARTANBURG REGIONAL MED CTR
  • Classification: Internal Medicine - 207RH0003X
  • Specialization: Hematology & Oncology
  • Entity Type: Organization
  • Doing Business As: PALMETTO HEMATOLOGY ONCOLOGY - EASTSIDE
  • Address: 1702 SKYLYN DR
    UNIT C
    SPARTANBURG, SC
    ZIP 29307
  • Phone: (864) 560-1402

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NPI Details

SPARTANBURG REGIONAL MED CTR is a hematology and oncology internal medicine in Spartanburg, SC. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. SPARTANBURG REGIONAL MED CTR NPI is 1568616076. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Palmetto Hematology Oncology - Eastside.

The provider's business location address is:

1702 SKYLYN DR
UNIT C
SPARTANBURG, SC
ZIP 29307-040
Phone: (864) 560-1402
Fax: (864) 560-1418

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

The enumeration date for this NPI number is 11/11/2008 and was last updated on 12/17/2010.

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
1207RH0003XInternal MedicineHematology & OncologyYes

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
15911413MEDICAIDNORTH CAROLINA
24746MEDICARE PINSOUTH CAROLINA
3GP4991MEDICAIDSOUTH 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: 3/30/2025

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