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SPARTANBURG MEDICAL CENTER NPI 1689143786


NPI Information

NPI: 1689143786
Provider Name: SPARTANBURG MEDICAL CENTER

Doing Business As: MEDICAL GROUP OF THE CAROLINAS-UROLOGY -SKYLYN

Classification: Urology - 208800000X
Entity Type: Organization
Address:
11 DOCTORS PARK DR STE 220
SPARTANBURG, SC
ZIP 29307
Phone: (864) 253-8055
Get Directions

SPARTANBURG MEDICAL CENTER is an urology in Spartanburg, SC. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. SPARTANBURG MEDICAL CENTER NPI is 1689143786. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Medical Group Of The Carolinas-urology -skylyn.

The provider's business location address is:

11 DOCTORS PARK DR STE 220
SPARTANBURG, SC
ZIP 29307-008
Phone: (864) 253-8055
Fax: (864) 253-8126

The provider's authorized official is Kenneth J Meinke .
The authorized official title is Chief Financial Officer and has the following contact phone number (864) 560-6103.

The enumeration date for this NPI number is 11/19/2018 and was last updated on 3/13/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208800000XUrologyYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15019OTHERSOUTH CAROLINAMEDICARE PIN
2GP8761MEDICAIDSOUTH 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: 4/28/2024

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