Active NPI
Katherine Haltiwanger Birchenough, MD
- Emergency Medicine Physician
- Greenville, SC
National Provider Identifier
1073567368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 31992
- Practice address
- 1025 Verdae Blvd
Suite B
Greenville, SC 29607-4032 - Phone
- (864) 864-2867
- Fax
- (864) 286-7551
- NPI assigned
- May 20, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 0101230330 | VA | |
| Emergency Medicine Physician | 207P00000X | 31992 | SC | Primary |
Addresses
Primary practice location
1025 Verdae Blvd
Suite B
Greenville, SC 29607-4032
Mailing address
1 Independence PT
Suite 212
Greenville, SC 29615-4545
Phone (864) 797-6044
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00950526 | Other | SC | RAILROAD MEDICARE |
| 319925 | Medicaid | SC |
Other names 1
- Katherine A Haltiwanger
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: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jan 1, 2020 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Augusta Emergency Physicians, LTD | Emergency Medicine | Past | Accepting new patients |
| Lexington Virginia Emergency Physicians LLP | Emergency Medicine | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Fishersville, VA
- NPI 1841222056
-
- Emergency Medicine Physician
- Lexington, VA
- NPI 1508881400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378252800000",
"number": "1073567368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 INDEPENDENCE PT",
"address_2": "SUITE 212",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296154545",
"telephone_number": "864-797-6044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1025 VERDAE BLVD",
"address_2": "SUITE B",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296074032",
"telephone_number": "864-864-2867",
"fax_number": "864-286-7551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIRCHENOUGH",
"first_name": "KATHERINE",
"middle_name": "HALTIWANGER",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-20",
"last_updated": "2013-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "VA",
"license": "0101230330",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "SC",
"license": "31992",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00950526",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "319925",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KATHERINE",
"last_name": "HALTIWANGER",
"middle_name": "A",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2013; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.