Individual provider Active NPI

Ryan Thomas Hudson, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Spartanburg, SC
National Provider Identifier
1306266390
Registry record updated Jun 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
52138 Issued in SC
Practice address
303 E Wood St
Spartanburg, SC 29303
Phone
(864) 208-8800
Fax
(864) 208-8857
NPI assigned
Apr 17, 2014
Last updated
Jun 29, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 52138 SC Primary

Addresses

Primary practice location

303 E Wood St
Spartanburg, SC 29303

Mailing address

303 E Wood St
Spartanburg, SC 29303-3020
Phone (864) 208-8800

Other practice location 1

2100 Stantonsburg Rd
Greenville, NC 27834-2818
Phone (252) 847-6600

Other identifiers 1

IdentifierTypeStateIssuer
521386MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180703001344 SC Practitioner - Physical Medicine and Rehabilitation 8527367689 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

160 Harold Fleming CT
Spartanburg, SC 29303-4226
Phone (864) 641-6510

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
52138SCMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Spartanburg Rehabilitation Institute Inc. CurrentSince Nov 1, 2023 Accepting new patients
Vibra Physicians LLC CurrentSince Jan 1, 2022 Accepting new patients
Orthopedic Specialties of Spartanburg LLC CurrentSince Jul 1, 2018 Accepting new patients
Spartanburg Rehabilitation Institute Inc Past Accepting new patients

Locations

1200 Hospital Dr
Mt Pleasant, SC 29464
Phone (843) 226-7721

160 Harold Fleming Ct
Spartanburg, SC 29303
Phone (864) 594-8611

303 E Wood St
Spartanburg, SC 29303
Phone (864) 208-8800

1024 N Galloway Ave
Ste 101
Mesquite, TX 75149

Interoperability endpoints

  • Direct secure messaging: ryanhudson@orthospeci.allscriptsdirect.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1397692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530230400000",
    "number": "1306266390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 E WOOD ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293033020",
            "telephone_number": "864-208-8800",
            "fax_number": "864-208-8857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 E WOOD ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "29303",
            "telephone_number": "864-208-8800",
            "fax_number": "864-208-8857"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 Stantonsburg Rd",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "NC",
            "postal_code": "278342818",
            "country_code": "US",
            "telephone_number": "252-847-6600",
            "fax_number": "252-847-0840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "RYAN",
        "middle_name": "THOMAS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-17",
        "last_updated": "2018-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "SC",
            "license": "52138",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "521386",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

Verify at the official NPI Registry.