Gaffney Physician Services PC

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

GAFFNEY PHYSICIAN SERVICES PC

Practice address

1530 N Limestone St
Gaffney, SC 29340-4742

Phone

(864) 487-4271

NPI assigned

May 15, 2012

Organization subpart

No

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

Authorized official

Name

Sylvan M Waller, MD

Title

President

Phone

(800) 893-9698

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1337040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337040000000",
    "number": "1508125204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CORPORATE BLVD",
            "address_2": "SUITE 201",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 N LIMESTONE ST",
            "city": "GAFFNEY",
            "state": "SC",
            "postal_code": "293404742",
            "telephone_number": "864-487-4271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAFFNEY PHYSICIAN SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-15",
        "last_updated": "2012-05-15",
        "status": "A",
        "authorized_official_last_name": "WALLER",
        "authorized_official_first_name": "SYLVAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-893-9698",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gaffney Emergency Group PC
• Gaffney Hma Inc (Upstate Carolina Medical Center)
• Gaffney Hma LLC (Mary Black Health System Gaffney)
• Gaffney Hma Physician Management, Inc. (Carolina Sports Medicine and Orthopedic Clinic)
• Gaffney Hma Physician Management, LLC
• Gaffney PPM, LLC
• Gaffney Spine & Health Inc
• Gaffney Urgent Care
• Gaffney Urology PA
• Kristina Gallaway, RN, BSN

• Emergency Medicine Physician in Gaffney, SC
• Providers in Gaffney, SC by specialty
• Emergency Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2012; 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.