Organization Active NPI

Todd D. Gwin, MD, PA

  • Ophthalmology Physician
  • Spartanburg, SC
National Provider Identifier
1376634477
Registry record updated Aug 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
14232 Issued in SC
Legal business name
TODD D. GWIN, MD, PA
Practice address
1330 Boiling Springs Road
Suite 2400
Spartanburg, SC 29303
Phone
(864) 583-5312
Fax
(864) 582-1935
NPI assigned
Sep 27, 2006
Last updated
Aug 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2008

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

Authorized official

Name
Todd D Gwin, MD
Title
President
Phone
(864) 583-5312

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 14232 SC Primary

Addresses

Primary practice location

1330 Boiling Springs Road
Suite 2400
Spartanburg, SC 29303

Mailing address

1330 Boiling Springs Road
Suite 2400
Spartanburg, SC 29303
Phone (864) 583-5312

Other identifiers 2

IdentifierTypeStateIssuer
GP1313MedicaidSC
DF0219OtherRAILROAD MEDICARE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219881600000",
    "number": "1376634477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 BOILING SPRINGS ROAD",
            "address_2": "SUITE 2400",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "29303",
            "telephone_number": "864-583-5312",
            "fax_number": "864-582-1935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 BOILING SPRINGS ROAD",
            "address_2": "SUITE 2400",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "29303",
            "telephone_number": "864-583-5312",
            "fax_number": "864-582-1935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TODD D. GWIN, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2008-08-28",
        "status": "A",
        "authorized_official_last_name": "GWIN",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "864-583-5312",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "SC",
            "license": "14232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP1313",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DF0219",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 28, 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.