Eastside Family Physicians, PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

NA

Legal business name

EASTSIDE FAMILY PHYSICIANS, PC

Practice address

1330 Boiling Springs Rd
Suite 1200
Spartanburg, SC 29303-2244

Phone

(864) 591-5900

Fax

(864) 529-3358

NPI assigned

May 11, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tod Rainsford Reel, M.D.NPI 1619952736

Title

President

Phone

(864) 591-5900

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tod R Reel, MD

  • Family Medicine Physician
  • Spartanburg, SC
  • NPI 1619952736
  NPD Authorized official
• Austin R McElhaney Jr., MD

  • Family Medicine Physician
  • Spartanburg, SC
  • NPI 1164407292
  NPD (past)

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649220666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 BOILING SPRINGS RD",
            "address_2": "SUITE 1200",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293032244",
            "telephone_number": "864-591-5900",
            "fax_number": "864-529-3358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 BOILING SPRINGS RD",
            "address_2": "SUITE 1200",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293032244",
            "telephone_number": "864-591-5900",
            "fax_number": "864-529-3358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTSIDE FAMILY PHYSICIANS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REEL",
        "authorized_official_first_name": "TOD",
        "authorized_official_middle_name": "RAINSFORD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "864-591-5900",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": "NA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP4281",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jared Earl, D.M.D.
• Early Intervention Upstate Inc.
• Ira Gordon Early Jr., M.D., M.P.H.
• Elisa Ruth Easley, LMSW
• Eastside Eye Center PA
• Coy Eaton, M.D.
• Bonnie Lynn Eaves, RBT
• Gail Ellis Ebert, LMFT-A, MMFT
• Muhammad Y Ebrahim, MD
• Ryan Matthew Edelbrock, MD

• Family Medicine Physician in Spartanburg, SC
• Providers in Spartanburg, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.