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

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

Dr. Larry Lamar Ware, M.D.

Title

President

Phone

(864) 577-9970

Specialties & licenses 1

Addresses

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.

• Vincent C Slater, D.O.

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

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

{
    "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.
• Cameron Park Slane, DO
• Vincent C Slater, D.O.
• Trisha Slaughter, FNP

• Primary Care Clinic/Center in Spartanburg, SC
• Providers in Spartanburg, SC by specialty
• 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.