Upstate Medical Care, P.a.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD27439 Issued in SC

Legal business name

UPSTATE MEDICAL CARE, P.A.

Practice address

1530 S Highway 14
Greer, SC 29650-4620

Phone

(864) 530-0000

Fax

(864) 530-0001

NPI assigned

Oct 29, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Namrata M Shidhaye, M.D.

Title

Owner

Phone

(864) 530-0000

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1225238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263340800000",
    "number": "1104079599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 S HIGHWAY 14",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296504620",
            "telephone_number": "864-253-0000",
            "fax_number": "864-530-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 S HIGHWAY 14",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296504620",
            "telephone_number": "864-530-0000",
            "fax_number": "864-530-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPSTATE MEDICAL CARE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-29",
        "last_updated": "2010-01-13",
        "status": "A",
        "authorized_official_last_name": "SHIDHAYE",
        "authorized_official_first_name": "NAMRATA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-530-0000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "MD27439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kierra Tyler
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• Upstate Affiliate Organization
• Upstate Dermatology PA
• Upstate Medical Supply on Demand, LLC
• Upstate Nutrition Consultants, Inc.
• Upstate Pedorthic Services Inc.
• Upstate Plastic Surgery
• Upstate Podiatry Group, PA

• Family Medicine Physician in Greer, SC
• Providers in Greer, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2010; 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.