UPSTATE PODIATRY GROUP PA NPI 1619479342

NPI Information

  • NPI: 1619479342
  • Provider Name: UPSTATE PODIATRY GROUP, PA
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Organization
  • Address: 1012 MEDICAL RIDGE RD
    CLINTON, SC
    ZIP 29325
  • Phone: (864) 833-9274

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NPI Details

UPSTATE PODIATRY GROUP, PA is a durable medical equipment medical supplies in Clinton, SC. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. UPSTATE PODIATRY GROUP, PA NPI is 1619479342. The provider is registered as an organization entity type.

The provider's business location address is:

1012 MEDICAL RIDGE RD
CLINTON, SC
ZIP 29325-542
Phone: (864) 833-9274

The provider's authorized official is Stephanie Thomas .
The authorized official title is Practice Administrator and has the following contact phone number (864) 399-9070.

The enumeration date for this NPI number is 3/8/2018 and was last updated on 4/8/2020.

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
1261QP1100XClinic/CenterPodiatricNo
2332B00000XDurable Medical Equipment & Medical SuppliesYes

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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