Organization Active NPI

Southern Vascular Institute LLC

  • Diagnostic Radiology Physician
  • Spartanburg, SC
National Provider Identifier
1629211867
Registry record updated Apr 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
SOUTHERN VASCULAR INSTITUTE LLC
Practice address
101 E Wood St
Spartanburg, SC 29303-3040
Phone
(864) 560-6522
Fax
(864) 560-6797
NPI assigned
Apr 17, 2009
Last updated
Apr 17, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
UPSTATE CAROLINA RADIOLOGY PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 17, 2009

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

Authorized official

Name
Arthur M Freedman, MD
Title
Secretary
Phone
(864) 560-6522

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X Primary

Addresses

Primary practice location

101 E Wood St
Spartanburg, SC 29303-3040

Mailing address

101 E Wood St
Spartanburg, SC 29303-3040
Phone (864) 560-6522

National Provider Directory

National Provider Directory
Part of
Spartanburg Radiologica

Locations

1130 Rod Rd
#D201
North Kingstown, RI 02852

3 Saint Francis Dr
Greenville, SC 29601
Phone (864) 255-1800

Ownership & related parties

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.

NPI Registry JSON

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

{
    "created_epoch": "1239926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239926400000",
    "number": "1629211867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E WOOD ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293033040",
            "telephone_number": "864-560-6522",
            "fax_number": "864-560-6797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E WOOD ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293033040",
            "telephone_number": "864-560-6522",
            "fax_number": "864-560-6797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN VASCULAR INSTITUTE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UPSTATE CAROLINA RADIOLOGY PA",
        "enumeration_date": "2009-04-17",
        "last_updated": "2009-04-17",
        "status": "A",
        "authorized_official_last_name": "FREEDMAN",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "864-560-6522",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 17, 2009; 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.