Spartanburg Surgical Services, PA

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

17137 Issued in SC

Legal business name

SPARTANBURG SURGICAL SERVICES, PA

Practice address

391 Serpentine Dr
Suite 250
Spartanburg, SC 29303-3080

Phone

(864) 577-0751

Fax

(864) 577-0633

NPI assigned

Jul 25, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Paul A Lepage, MD

Title

President

Phone

(864) 577-0751

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669495032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "391 SERPENTINE DR",
            "address_2": "SUITE 250",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293033080",
            "telephone_number": "864-577-0751",
            "fax_number": "864-577-0633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "391 SERPENTINE DR",
            "address_2": "SUITE 250",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293033080",
            "telephone_number": "864-577-0751",
            "fax_number": "864-577-0633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARTANBURG SURGICAL SERVICES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEPAGE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "864-577-0751",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "SC",
            "license": "17137",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3130",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Spartanburg Rehabilitation Institute Inc.
• Spartanburg School District 7
• Spartanburg Senior Care
• Spartanburg Smiles Youth Dentistry, LLC
• Spartanburg Surgery Center, LLC
• Spartanburg Vision LLC
• Anne Christine Spearman
• James Spearman, MD
• Anita Spears
• David Specia, PA

• Surgery Physician in Spartanburg, SC
• Providers in Spartanburg, SC by specialty
• Surgery 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.