Organization Active NPI

Victoria Babushkina, MD, PC

  • Internal Medicine Physician
  • Spartanburg, SC
National Provider Identifier
1205882891
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
21033 Issued in SC
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

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
Dr. Victoria Babushkina, M.D.NPI 1972568483
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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
GP3201MedicaidSC

Other names 1

  • Victoria Medical Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.