NPIMap

Organization Active NPI

Cardio-Medical Affiliates

Doing business as Dba Carolina Medical Affiliates

  • Internal Medicine Physician
  • Spartanburg, SC
National Provider Identifier
1841235231
Registry record updated Nov 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CARDIO-MEDICAL AFFILIATES
Doing business as
Dba Carolina Medical Affiliates
Practice address
1330 Boiling Springs Rd
Suite 2500
Spartanburg, SC 29303-2244
Phone
(864) 585-5433
Fax
(864) 591-4053
NPI assigned
Jun 18, 2006
Last updated
Nov 17, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2010

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

Authorized official

Name
Toni R Rogers
Title
Business Manager
Phone
(864) 585-5433

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X 19036 SC
Internal Medicine Physician 207R00000X SC Primary
Interventional Cardiology Physician 207RI0011X 26760 SC
Interventional Cardiology Physician 207RI0011X TL27557 SC
Interventional Cardiology Physician 207RI0011X 27614 SC
Infectious Disease Physician 207RI0200X 14717 SC
Rheumatology Physician 207RR0500X 23983 SC

Addresses

Primary practice location

1330 Boiling Springs Rd
Suite 2500
Spartanburg, SC 29303-2244

Mailing address

PO Box 2288
Spartanburg, SC 29304-2288
Phone (864) 585-5433

Other identifiers 1

IdentifierTypeStateIssuer
GP0077MedicaidSC

Other names 1

  • DBA CAROLINA MEDICAL AFFILIATES Doing business as

National Provider Directory

National Provider Directory

Locations

101 Hospital Dr
Ste 3A
Columbus, NC 28722
Phone (828) 894-3311

Practitioners & affiliated clinicians

Practitioners 9

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": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289952000000",
    "number": "1841235231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2288",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293042288",
            "telephone_number": "864-585-5433",
            "fax_number": "864-591-4053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 BOILING SPRINGS RD",
            "address_2": "SUITE 2500",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293032244",
            "telephone_number": "864-585-5433",
            "fax_number": "864-591-4053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIO-MEDICAL AFFILIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2010-11-17",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "TONI",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "864-585-5433"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "SC",
            "license": "19036",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": null,
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "SC",
            "license": "26760",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "SC",
            "license": "TL27557",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "SC",
            "license": "27614",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "SC",
            "license": "14717",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "SC",
            "license": "23983",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP0077",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBA CAROLINA MEDICAL AFFILIATES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 17, 2010; 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.