Organization Active NPI

Carolina Surgical Specialists LLC

  • Specialist
  • Spartanburg, SC
National Provider Identifier
1720030711
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
17440000X Issued in SC
Legal business name
CAROLINA SURGICAL SPECIALISTS LLC
Practice address
1330 Boiling Springs Rd
Suite 2300
Spartanburg, SC 29303-2244
Phone
(864) 585-6491
Fax
(864) 585-3152
NPI assigned
May 17, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Auburn Woods III, MDNPI 1144297888
Title
Physician
Phone
(864) 585-6491

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 17440000X SC Primary

Addresses

Primary practice location

1330 Boiling Springs Rd
Suite 2300
Spartanburg, SC 29303-2244

Mailing address

1330 Boiling Springs Rd
Suite 2300
Spartanburg, SC 29303-2244
Phone (864) 585-6491

Other identifiers 1

IdentifierTypeStateIssuer
PA3433MedicaidSC

National Provider Directory

National Provider Directory

Locations

100 E Wood St
Spartanburg, SC 29303
Phone (864) 560-7070

1330 Boiling Springs Rd
Ste 300
Spartanburg, SC 29303

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720030711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 BOILING SPRINGS RD",
            "address_2": "SUITE 2300",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293032244",
            "telephone_number": "864-585-6491",
            "fax_number": "864-585-3152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 BOILING SPRINGS RD",
            "address_2": "SUITE 2300",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293032244",
            "telephone_number": "864-585-6491",
            "fax_number": "864-585-3152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA SURGICAL SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WOODS",
        "authorized_official_first_name": "AUBURN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "864-585-6491",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "SC",
            "license": "17440000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PA3433",
            "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 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.