Upstate Homecare MD, LLC

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

10288 Issued in SC

Legal business name

UPSTATE HOMECARE MD, LLC

Practice address

212 Horse Head Point Dr
Seneca, SC 29672-8010

Phone

(864) 654-6150

NPI assigned

Feb 7, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

William A King, MDNPI 1659352003

Title

Owner

Phone

(864) 654-6150

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William A King, MD

  • Family Medicine Physician
  • Seneca, SC
  • NPI 1659352003
  Authorized official Same address or phone
• Stephen E Boatwright, MD

  • Pain Medicine (Anesthesiology) Physician
  • Myrtle Beach, SC
  • NPI 1538157334
  NPD (past)
• James R Carroll, MD

  • Family Medicine Physician
  • Mullins, SC
  • NPI 1609816735
  NPD (past)
• Angela Hebert Hayden, APN-BC

  • Nurse Practitioner
  • Greenville, SC
  • NPI 1407090053
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409011200000",
    "number": "1013057520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 HORSEHEAD POINT",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296728010",
            "telephone_number": "864-654-6150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 HORSE HEAD POINT DR",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296728010",
            "telephone_number": "864-654-6150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPSTATE HOMECARE MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2014-08-26",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-654-6150",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "SC",
            "license": "10288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP4621",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allison Shealy Unda, MCD
• Upcountry Dental, LLC (Upcountry Dental)
• Upstate Affiliate Organization (GHS Home Health Agency-Oconee)
• Upstate ENT Associates, P.a.
• Upstate Family Medicine PA
• Upstate Institute of Youth Programs, Inc.
• Upstate Medical Associates PA
• Upstate Pediatric Therapy Co
• Upstate Periodontics and Implantology, LLC
• Upstate Surgery PA

• Geriatric Medicine (Family Medicine) Physician in Seneca, SC
• Providers in Seneca, SC by specialty
• Geriatric Medicine (Family Medicine) Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.