Provider Type Icon

SPARTANBURG MEDICAL CENTER NPI 1760637904


NPI Information

NPI: 1760637904
Provider Name: SPARTANBURG MEDICAL CENTER

Doing Business As: MEDICAL GROUP OF THE CAROLINAS - CAROLINA OB/GYN

Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
1686 SKYLYN DR
SUITE 101
SPARTANBURG, SC
ZIP 29307
Phone: (864) 585-3456
Get Directions

SPARTANBURG MEDICAL CENTER is an obstetrics gynecology in Spartanburg, SC. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. SPARTANBURG MEDICAL CENTER NPI is 1760637904. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Medical Group Of The Carolinas - Carolina Ob/gyn.

The provider's business location address is:

1686 SKYLYN DR
SUITE 101
SPARTANBURG, SC
ZIP 29307-079
Phone: (864) 585-3456
Fax: (864) 585-3209

The provider's authorized official is Kenneth Meinke .
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 12/1/2008 and was last updated on 7/5/2023.


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
1207V00000XObstetrics & GynecologyYes

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
1GP5629MEDICAIDSOUTH CAROLINA
2PG1325MEDICAIDSOUTH CAROLINA
3PG1323MEDICAIDSOUTH CAROLINA
4PG1327MEDICAIDSOUTH CAROLINA
5CN1627OTHERSOUTH CAROLINARR MEDICARE

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.