Neuro Health SC LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

NEURO HEALTH SC LLC

Doing business as

Genesis Lifestyle Medicine

Practice address

108 Commons Blvd Ste a
Piedmont, SC 29673-7766

Phone

(864) 940-3682

NPI assigned

Oct 21, 2020

Last updated

Nov 20, 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

Alex Spinoso, MD

Title

Authorized Official

Phone

(864) 940-3682

Specialties & licenses 1

Addresses

Other names 1

• Genesis Lifestyle Medicine Doing business as

Locations

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

{
    "created_epoch": "1603238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605830400000",
    "number": "1801495841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 COMMONS BLVD STE A",
            "city": "PIEDMONT",
            "state": "SC",
            "postal_code": "296737766",
            "telephone_number": "864-940-3682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 COMMONS BLVD STE A",
            "city": "PIEDMONT",
            "state": "SC",
            "postal_code": "296737766",
            "telephone_number": "864-940-3682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURO HEALTH SC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-21",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A",
        "authorized_official_last_name": "SPINOSO",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "864-940-3682",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Genesis Lifestyle Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Genesis Lifestyle Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Medicine Physician in Piedmont, SC
• Providers in Piedmont, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.