Active NPI
Victoria Babushkina, MD, PC
- Internal Medicine Physician
- Spartanburg, SC
National Provider Identifier
1205882891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 21033
- Legal business name
- VICTORIA BABUSHKINA, MD, PC
- Practice address
- 385 Serpentine Dr
Suite B
Spartanburg, SC 29303-3018 - Phone
- (864) 560-7079
- Fax
- (864) 560-7082
- NPI assigned
- May 25, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Victoria Babushkina, M.D.
- Title
- Owner
- Phone
- (864) 560-7079
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 21033 | SC | Primary |
Addresses
Primary practice location
385 Serpentine Dr
Suite B
Spartanburg, SC 29303-3018
Mailing address
385 Serpentine Dr
Suite B
Spartanburg, SC 29303-3018
Phone (864) 560-7079
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP3201 | Medicaid | SC |
Other names 1
- Victoria Medical
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Wailuku, HI
- NPI 1972568483
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1205882891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "385 SERPENTINE DR",
"address_2": "SUITE B",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293033018",
"telephone_number": "864-560-7079",
"fax_number": "864-560-7082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "385 SERPENTINE DR",
"address_2": "SUITE B",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293033018",
"telephone_number": "864-560-7079",
"fax_number": "864-560-7082"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VICTORIA BABUSHKINA, MD, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-25",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BABUSHKINA",
"authorized_official_first_name": "VICTORIA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "864-560-7079",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "SC",
"license": "21033",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP3201",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Victoria Medical",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Spartanburg, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.