Active NPI
Gayatri Sarangdhar Surwade, M.D
- Family Medicine Physician
- Spartanburg, SC
National Provider Identifier
1023313467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MMD.33301 LL
- Practice address
- 853 N Church St
Suite 510
Spartanburg, SC 29303-3098 - Phone
- (864) 560-7001
- NPI assigned
- Jan 16, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MMD.33301 LL | SC | Primary |
Addresses
Primary practice location
853 N Church St
Suite 510
Spartanburg, SC 29303-3098
Mailing address
853 N Church St
Suite 510
Spartanburg, SC 29303-3098
Phone (864) 560-7001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MMD.33301 LL | SC | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295136000000",
"number": "1023313467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "853 N CHURCH ST",
"address_2": "SUITE 510",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293033098",
"telephone_number": "864-560-7001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "853 N CHURCH ST",
"address_2": "SUITE 510",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293033098",
"telephone_number": "864-560-7001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SURWADE",
"first_name": "GAYATRI",
"middle_name": "SARANGDHAR",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-16",
"last_updated": "2011-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "MMD.33301 LL",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spartanburg, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.