Upstate Podiatry Group, PA

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

UPSTATE PODIATRY GROUP, PA

Practice address

105 Mimosa Dr
Greer, SC 29650-1737

Phone

(864) 399-9070

NPI assigned

Jan 6, 2020

Organization subpart

Yes

Parent organization

UPSTATE PODIATRY GROUP, PAAs reported in NPPES

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

Authorized official

Name

Stephanie Thomas

Title

Cfo

Phone

(864) 399-9070

Specialties & licenses 1

Addresses

Part of

Upstate Podiatry Group PA

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Upstate Podiatry Group, PA

  • Podiatrist
  • Simpsonville, SC
  • NPI 1144660036
  NPPES parent name

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

{
    "created_epoch": "1578268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578268800000",
    "number": "1609415751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 SE MAIN ST",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296817150",
            "telephone_number": "864-399-9070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 MIMOSA DR",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296501737",
            "telephone_number": "864-399-9070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPSTATE PODIATRY GROUP, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UPSTATE PODIATRY GROUP, PA",
        "enumeration_date": "2020-01-06",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "864-399-9070"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Upstate Medical Care, P.a.
• Upstate Medical Supply on Demand, LLC
• Upstate Nutrition Consultants, Inc.
• Upstate Pedorthic Services Inc.
• Upstate Plastic Surgery
• Upstate Speech and Language Services, LLC
• Upstate Spine & Joint, LLC.
• Upstate Spine & Wellness, LLC
• Upstate Spine & Wellness, LLC
• Urgent Care of the Upstate, Inc.

• Foot & Ankle Surgery Podiatrist in Greer, SC
• Providers in Greer, SC by specialty
• Foot & Ankle Surgery Podiatrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.