Individual provider Active NPI

Elizabeth Page Kiser, DO

  • Family Medicine Physician
  • Gaffney, SC
National Provider Identifier
1780179812
Registry record updated Aug 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
52075 Issued in SC
Practice address
840 W Floyd Baker Blvd
Gaffney, SC 29341-1845
Phone
(864) 489-3300
Fax
(864) 488-3744
NPI assigned
Jul 1, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X LL52075 SC
Family Medicine Physician 207Q00000X 52075 SC Primary

Addresses

Primary practice location

840 W Floyd Baker Blvd
Gaffney, SC 29341-1845

Mailing address

PO Box 277723
Atlanta, GA 30384-7723
Phone (864) 560-6000

Other identifiers 3

IdentifierTypeStateIssuer
SCK6816084OtherSCMEDICARE PIN
SCK6816067OtherSCMEDICARE PIN
SCK681J577OtherSCMEDICARE PIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210805002810 SC Practitioner - Family Practice 9335489152 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Edward Via Col of Osteo Medicine-Virginia Campus, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cherokee Medical CenterGroup PAC ID 5991041212, 38 clinicians

Practice addresses (Care Compare)

840 W Floyd Baker Blvd
Gaffney, SC 29341-1845
Phone (864) 489-3300

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Gaffney, SC, CCN 427117
  • Cherokee Medical Center Hospital, Gaffney, SC, CCN 420043
  • Spartanburg Medical Center Hospital, Spartanburg, SC, CCN 420007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Cherokee Medical Center Family Medicine Current Accepting new patients
Spartanburg Medical Center Family Medicine Current Accepting new patients
Spartanburg Medical Center CurrentSince Jul 27, 2021 Accepting new patients
Spartanburg Medical Center Current Accepting new patients
Spartanburg Medical Center Family Medicine CurrentSince Jul 27, 2021 Accepting new patients
Spartanburg Medical Center Family Medicine CurrentSince Jul 27, 2021 Accepting new patients
Cherokee Medical Center CurrentSince Jul 27, 2021 Accepting new patients
Cherokee Medical Center CurrentSince Jul 27, 2021 Accepting new patients

Locations

840 W Floyd Baker Blvd
Gaffney, SC 29341
Phone (864) 489-3300

151 Peachwood Centre Dr
Spartanburg, SC 29301
Phone (864) 560-9627

1200 E Main St
Ste 12
Spartanburg, SC 29307
Phone (864) 560-9260

101 E Wood St
Ste 300
Spartanburg, SC 29303
Phone (864) 560-6554

853 N Church St
Ste 510
Spartanburg, SC 29303
Phone (864) 560-1558

2995 Reidville Rd
Ste 100
Spartanburg, SC 29301
Phone (864) 587-3000

2660 Reidville Rd
Unit 1
Spartanburg, SC 29301
Phone (864) 560-9696

511 Cross Anchor Rd
Woodruff, SC 29388
Phone (864) 278-6031

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 14

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1530403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628467200000",
    "number": "1780179812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 277723",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303847723",
            "telephone_number": "864-560-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 W FLOYD BAKER BLVD",
            "city": "GAFFNEY",
            "state": "SC",
            "postal_code": "293411845",
            "telephone_number": "864-489-3300",
            "fax_number": "864-488-3744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISER",
        "first_name": "ELIZABETH",
        "middle_name": "PAGE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-01",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "LL52075",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "52075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "SCK6816084",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "SCK6816067",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "SCK681J577",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaffney, SC

Sources for this page

Verify at the official NPI Registry.