Active NPI
Upstate Maternal-Fetal Medicine, PA
- Maternal & Fetal Medicine Physician
- Greenville, SC
National Provider Identifier
1669572434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Maternal & Fetal Medicine Physician
- License
- 18319
- Legal business name
- UPSTATE MATERNAL-FETAL MEDICINE, PA
- Practice address
- 373 Halton Road
Greenville, SC 29607 - Phone
- (864) 331-3230
- Fax
- (864) 331-3236
- NPI assigned
- Sep 22, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Jan Brown
- Title
- Business Manager
- Phone
- (864) 331-3230
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Maternal & Fetal Medicine Physician | 207VM0101X | 18319 | SC | Primary |
Addresses
Primary practice location
373 Halton Road
Greenville, SC 29607
Mailing address
373 Halton Road
Greenville, SC 29607
Phone (864) 331-3230
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP3349 | Medicaid | SC |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Maternal & Fetal Medicine Physician
- Greenville, SC
- NPI 1851491633
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1669572434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "373 HALTON ROAD",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "29607",
"telephone_number": "864-331-3230",
"fax_number": "864-331-3236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "373 HALTON ROAD",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "29607",
"telephone_number": "864-331-3230",
"fax_number": "864-331-3236"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UPSTATE MATERNAL-FETAL MEDICINE, PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-22",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BROWN",
"authorized_official_first_name": "JAN",
"authorized_official_title_or_position": "BUSINESS MANAGER",
"authorized_official_telephone_number": "864-331-3230",
"authorized_official_name_prefix": "Miss"
},
"taxonomies": [
{
"code": "207VM0101X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "SC",
"license": "18319",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP3349",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, SC
- Upstate Home Care LLC (FirstLight HomeCare of Greenville)
- Upstate Home Health Care Solutions LLC (Upstate Home Care Solutions)
- Upstate Hopeful Hands LLC
- Upstate Living Clinic LLC (Greenville Relationship Institute)
- Upstate Living Water, LLC
- Upstate Medical Rehabilitation
- Upstate Palmetto Radiology PC (Palmetto Radiology PC)
- Upstate Pathology, PA
- Upstate Pediatric Dentistry, PA
- Upstate Pharmacy Ima
Sources for this page
- 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.