NPIMap

Organization Active NPI

Spartanburg Ear Nose & Throat, Gaffney Office

  • Specialist
  • Gaffney, SC
National Provider Identifier
1194749853
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
SPARTANBURG EAR NOSE & THROAT, GAFFNEY OFFICE
Practice address
231 E Buford St
Gaffney, SC 29340-3030
Phone
(864) 488-0112
NPI assigned
Jul 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Patricia Stallings
Title
Office Manager
Phone
(864) 278-1442

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

231 E Buford St
Gaffney, SC 29340-3030

Mailing address

231 E Buford St
Gaffney, SC 29340-3030
Phone (864) 488-0112

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040625000295 SC Part B Supplier - Clinic/Group Practice 6608852165 Receives reassigned benefits from 16 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Greer, SC; Spartanburg, SC

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

2755 S Highway 14
Ste 2400
Greer, SC 29650
Phone (864) 582-2900

1690 Skylyn Dr
Ste 240
Spartanburg, SC 29307
Phone (864) 582-2900

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194749853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 E BUFORD ST",
            "city": "GAFFNEY",
            "state": "SC",
            "postal_code": "293403030",
            "telephone_number": "864-488-0112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 E BUFORD ST",
            "city": "GAFFNEY",
            "state": "SC",
            "postal_code": "293403030",
            "telephone_number": "864-488-0112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARTANBURG EAR NOSE & THROAT, GAFFNEY OFFICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STALLINGS",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "864-278-1442"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaffney, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.