Skylyn Medical Associates, PA

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

15277 Issued in SC

Legal business name

SKYLYN MEDICAL ASSOCIATES, PA

Practice address

1776 Skylyn Dr
Spartanburg, SC 29307-1045

Phone

(864) 577-9970

Fax

(864) 577-9952

NPI assigned

Jul 27, 2006

Organization subpart

No

Name

Dr. Larry Lamar Ware, M.D.

Title

President

Phone

(864) 577-9970

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vincent C Slater, D.O.

  • Family Medicine Physician
  • Spartanburg, SC
  • NPI 1306000948
  NPD

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720002066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1776 SKYLYN DR",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293071045",
            "telephone_number": "864-577-9970",
            "fax_number": "864-577-9952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1776 SKYLYN DR",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293071045",
            "telephone_number": "864-577-9970",
            "fax_number": "864-577-9952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYLYN MEDICAL ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WARE",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "LAMAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "864-577-9970",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "SC",
            "license": "15277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martha Skelton-Patrick, LISW-CP
• Kaitlin Cieslak Skelton, APRN, CRNA
• Jacqulyn M. Skinner, LISW-CP
• Skylyn Dental Associates LLC
• Skylyn Medical Associates PA
• Skylyn Wellness Center, Inc
• Skylyn Wellness Center, Inc.
• Vincent C Slater, D.O.
• Trisha Slaughter, FNP
• Jane Coker Sleigher, LMSW

• All providers in Spartanburg, SC
• Primary Care Clinic/Center 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.