Organization Active NPI

Saad Upstate Neurology, P.a.

  • Specialist
  • Spartanburg, SC
National Provider Identifier
1629258827
Registry record updated Nov 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
18351 Issued in SC
Legal business name
SAAD UPSTATE NEUROLOGY, P.A.
Practice address
100 Willow LN
Suite a
Spartanburg, SC 29307-1365
Phone
(864) 542-8713
Fax
(864) 278-7900
NPI assigned
Nov 6, 2007
Last updated
Nov 23, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2009

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

Authorized official

Name
Dr. Juliette Saad, MD
Title
President
Phone
(864) 542-8713

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 18351 SC Primary

Addresses

Primary practice location

100 Willow LN
Suite a
Spartanburg, SC 29307-1365

Mailing address

PO Box 877
Drayton, SC 29333-0718
Phone (864) 542-8713

Other identifiers 1

IdentifierTypeStateIssuer
GP2019MedicaidSC

National Provider Directory

National Provider Directory

Locations

100 Willow Ln
#1A
Spartanburg, SC 29307
Phone (864) 542-8714

100 Willow Ln
Ste A
Spartanburg, SC 29307
Phone (864) 542-8713

1920 N Memorial Way
Ste 110
Houston, TX 77007

NPI Registry JSON

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

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258934400000",
    "number": "1629258827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 877",
            "city": "DRAYTON",
            "state": "SC",
            "postal_code": "293330718",
            "telephone_number": "864-542-8713",
            "fax_number": "864-278-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WILLOW LN",
            "address_2": "SUITE A",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293071365",
            "telephone_number": "864-542-8713",
            "fax_number": "864-278-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAAD UPSTATE NEUROLOGY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-06",
        "last_updated": "2009-11-23",
        "status": "A",
        "authorized_official_last_name": "SAAD",
        "authorized_official_first_name": "JULIETTE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "864-542-8713",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "SC",
            "license": "18351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP2019",
            "state": "SC"
        }
    ],
    "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 Nov 23, 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.