Individual provider Active NPI

Baolam Ho, DO

  • Family Medicine Physician
  • Gaffney, SC
National Provider Identifier
1023632858
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
90055 Issued in SC
Practice address
722 Hyatt St Ste C
Gaffney, SC 29341-2644
Phone
(644) 892-4008
Fax
(864) 488-3987
NPI assigned
Jun 8, 2020
Last updated
Aug 9, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 90055 SC Primary

Addresses

Primary practice location

722 Hyatt St Ste C
Gaffney, SC 29341-2644

Mailing address

PO Box 277723
Atlanta, GA 30384-7723
Phone (864) 560-4123

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bho214279@direct-srhs.et0939.epichosted.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230922003757 SC Practitioner - Family Practice 6800211632 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spartanburg Medical CenterGroup PAC ID 3072425297, shared by 17 NPIs, 1,060 clinicians
Cherokee Medical CenterGroup PAC ID 5991041212, 38 clinicians

Practice addresses (Care Compare)

1200 E Main St
Suite 12
Spartanburg, SC 29307-1738
Phone (864) 560-9260

2995 Reidville Rd
Suite 100
Spartanburg, SC 29301-5600
Phone (864) 587-3000

840 W Floyd Baker Blvd
Gaffney, SC 29341-1845
Phone (864) 489-3300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Spartanburg Medical Center Current Accepting new patients
Spartanburg Medical Center Family Medicine CurrentSince Dec 10, 2024 Accepting new patients
Spartanburg Medical Center Family Medicine Current Accepting new patients
Cherokee Medical Center CurrentSince Aug 1, 2023 Accepting new patients
Cherokee Medical Center Family Medicine Current Accepting new patients
Spartanburg Medical Center Family Medicine CurrentSince Dec 10, 2024 Accepting new patients
Cherokee Medical Center Family Medicine CurrentSince Aug 1, 2023 Accepting new patients
Spartanburg Medical Center CurrentSince Dec 10, 2024 Accepting new patients

Locations

722 Hyatt St
Ste C
Gaffney, SC 29341
Phone (864) 487-2400

840 W Floyd Baker Blvd
Gaffney, SC 29341
Phone (864) 489-3300

101 E Wood St
Ste 300
Spartanburg, SC 29303
Phone (864) 560-6554

1200 E Main St
Ste 12
Spartanburg, SC 29307
Phone (864) 560-9260

151 Peachwood Centre Dr
Spartanburg, SC 29301
Phone (864) 560-9627

2660 Reidville Rd
Unit 1
Spartanburg, SC 29301
Phone (864) 560-9696

2995 Reidville Rd
Ste 100
Spartanburg, SC 29301
Phone 8645873000 ext. 86458

853 N Church St
Ste 510
Spartanburg, SC 29303
Phone (864) 560-1558

511 Cross Anchor Rd
Woodruff, SC 29388
Phone (864) 278-6031

Networks

  • devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1

Interoperability endpoints

  • Direct secure messaging: bho214279@direct-srhs.et0939.epichosted.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1591574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1023632858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 277723",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303847723",
            "telephone_number": "864-560-4123",
            "fax_number": "864-560-4023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "722 HYATT ST STE C",
            "city": "GAFFNEY",
            "state": "SC",
            "postal_code": "293412644",
            "telephone_number": "644-892-4008",
            "fax_number": "864-488-3987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HO",
        "first_name": "BAOLAM",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-08",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "90055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bho214279@direct-srhs.et0939.epichosted.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "bho214279@direct-srhs.et0939.epichosted.com",
            "address_1": "722 Hyatt St Ste C",
            "city": "Gaffney",
            "state": "SC",
            "country_code": "US",
            "postal_code": "293412644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gaffney, SC

Sources for this page

Verify at the official NPI Registry.