Spartanburg Plastic & Recontructive Surgery

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

8147 Issued in SC

Legal business name

SPARTANBURG PLASTIC & RECONTRUCTIVE SURGERY

Practice address

1702 Skylyn Dr
Spartanburg, SC 29307

Phone

(864) 585-3608

Fax

(864) 585-3745

NPI assigned

May 4, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Magdy A Habib, M.D.

Title

Owner

Phone

(864) 585-3608

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217808000000",
    "number": "1174581391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1702 SKYLYN DR",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "29307",
            "telephone_number": "864-585-3608",
            "fax_number": "864-585-3745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 SKYLYN DR",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "29307",
            "telephone_number": "864-585-3608",
            "fax_number": "864-585-3745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARTANBURG PLASTIC & RECONTRUCTIVE SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2008-08-04",
        "status": "A",
        "authorized_official_last_name": "HABIB",
        "authorized_official_first_name": "MAGDY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-585-3608",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "SC",
            "license": "8147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spartanburg Medical Center
• Spartanburg Medical Center
• Spartanburg Neurological Center, PA
• Spartanburg Pathology Consultants PA
• Spartanburg Pediatric Dentistry
• Spartanburg Radiation Oncology Associates, P.a.
• Spartanburg Radiation Oncology Associates, PA
• Spartanburg Regional
• Spartanburg Regional Health Services District Inc
• Spartanburg Regional Health Services District, Inc.

• Plastic Surgery Physician in Spartanburg, SC
• Providers in Spartanburg, SC by specialty
• Plastic Surgery Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2008; 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.