JACK PARKS ARTHUR PA-C NPI 1922763069

NPI Information

  • NPI: 1922763069
  • Provider Name: JACK PARKS ARTHUR, PA-C
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1330 BOILING SPRINGS RD STE 1600
    SPARTANBURG, SC
    ZIP 29303
  • Phone: (864) 583-2662

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NPI Details

Jack Parks Arthur, PA-C is a surgical physician assistant in Spartanburg, SC with 4 years of experience. Jack Parks Arthur, PA-C NPI is 1922763069. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1330 BOILING SPRINGS RD STE 1600
SPARTANBURG, SC
ZIP 29303-219
Phone: (864) 583-2662

The NPI 1922763069 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of gallbladder using an endoscope (HCPCS:47562)

The enumeration date for this NPI number is 11/3/2021 and was last updated on 4/4/2024.

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
1363A00000XPhysician Assistant4227SOUTH CAROLINANo
2363A00000XPhysician AssistantSOUTH CAROLINANo
3363AS0400XPhysician AssistantSurgicalYes

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
1SCL8957628OTHERSOUTH CAROLINAMEDICARE PIN
24927PAMEDICAIDSOUTH 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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