Organization Active NPI

Foothills Rheumatology

  • Rheumatology Physician
  • Anderson, SC
National Provider Identifier
1073584769
Registry record updated Nov 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
Legal business name
FOOTHILLS RHEUMATOLOGY
Practice address
2000 E Greenville St
Suite 2700
Anderson, SC 29621-1580
Phone
(864) 716-6030
Fax
(864) 716-6039
NPI assigned
Jan 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2012

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

Authorized official

Name
Amir M Agha, MDNPI 1730144114
Title
MD
Phone
(864) 716-6030

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X Primary

Addresses

Primary practice location

2000 E Greenville St
Suite 2700
Anderson, SC 29621-1580

Mailing address

PO Box 24123
Greenville, SC 29616-4123
Phone (864) 254-0205

Other identifiers 1

IdentifierTypeStateIssuer
GP2344MedicaidSC

National Provider Directory

National Provider Directory

Locations

2000 E Greenville St
Ste 2700
Anderson, SC 29621
Phone (864) 231-6395

138 Milestone Way
Ste B
Greenville, SC 29615
Phone (864) 288-2883

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353283200000",
    "number": "1073584769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24123",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296164123",
            "telephone_number": "864-254-0205",
            "fax_number": "864-254-0309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 E GREENVILLE ST",
            "address_2": "SUITE 2700",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296211580",
            "telephone_number": "864-716-6030",
            "fax_number": "864-716-6039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOTHILLS RHEUMATOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-30",
        "last_updated": "2012-11-19",
        "status": "A",
        "authorized_official_last_name": "AGHA",
        "authorized_official_first_name": "AMIR",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "864-716-6030",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP2344",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2012; 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.