NPIMap

Organization Active NPI

Physician Therapeutic Infusions of the Upsate, LLC

  • Anesthesiology Physician
  • Anderson, SC
National Provider Identifier
1407343585
Registry record updated Apr 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
PHYSICIAN THERAPEUTIC INFUSIONS OF THE UPSATE, LLC
Practice address
107 Professional CT
Anderson, SC 29621-2052
Phone
(864) 431-1958
NPI assigned
Apr 15, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2018

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

Authorized official

Name
Dr. Matthew Patrick Elliott, MDNPI 1700020054
Title
President
Phone
(864) 431-1958

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
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

107 Professional CT
Anderson, SC 29621-2052

Mailing address

102 Arden Chase
Anderson, SC 29621-1593
Phone (864) 431-1958

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": "1523750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523750400000",
    "number": "1407343585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 ARDEN CHASE",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296211593",
            "telephone_number": "864-431-1958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 PROFESSIONAL CT",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296212052",
            "telephone_number": "864-431-1958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN THERAPEUTIC INFUSIONS OF THE UPSATE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-15",
        "last_updated": "2018-04-15",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "864-431-1958",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2018; 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.