NPIMap

Organization Active NPI

Spartanburg Hospital for Restorative Care

  • Family Medicine Physician
  • Spartanburg, SC
National Provider Identifier
1649293580
Registry record updated Aug 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
HTL - 685 Issued in SC
Legal business name
SPARTANBURG HOSPITAL FOR RESTORATIVE CARE
Practice address
389 Serpentine Dr
Spartanburg, SC 29303-3026
Phone
(864) 560-3235
Fax
(864) 560-3158
NPI assigned
Jul 25, 2006
Last updated
Aug 3, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
SPARTANBURG REGIONAL HEALTH SERVICES DISTRICT, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 3, 2009

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

Authorized official

Name
Mrs. Anita M. Butler
Title
Ceo
Phone
(864) 560-3235

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X HTL - 685 SC Primary

Addresses

Primary practice location

389 Serpentine Dr
Spartanburg, SC 29303-3026

Mailing address

389 Serpentine Dr
Spartanburg, SC 29303-3026
Phone (864) 560-3235

Other identifiers 1

IdentifierTypeStateIssuer
GP3052MedicaidSC

National Provider Directory

National Provider Directory
Part of
Spartanburg Regional Health Services District Inc

Practitioners & affiliated clinicians

Practitioners 92

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.

View all 92

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249257600000",
    "number": "1649293580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "389 SERPENTINE DR",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293033026",
            "telephone_number": "864-560-3235",
            "fax_number": "864-560-3158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "389 SERPENTINE DR",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293033026",
            "telephone_number": "864-560-3235",
            "fax_number": "864-560-3158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARTANBURG HOSPITAL FOR RESTORATIVE CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPARTANBURG REGIONAL HEALTH SERVICES DISTRICT, INC",
        "enumeration_date": "2006-07-25",
        "last_updated": "2009-08-03",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "ANITA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "864-560-3235",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "HTL - 685",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3052",
            "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 Aug 3, 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.