Upstate Adult & Adolescent Medicine

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

18210 Issued in SC

Legal business name

UPSTATE ADULT & ADOLESCENT MEDICINE

Practice address

540 Old Howell Rd
Greenville, SC 29615-1969

Phone

(864) 235-9005

Fax

(864) 235-9166

NPI assigned

Mar 15, 2006

Organization subpart

No

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

Authorized official

Name

Michael Jay Traurig, MD

Title

President/Owner

Phone

(864) 235-9008

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841269503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 OLD HOWELL RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296151969",
            "telephone_number": "864-235-9005",
            "fax_number": "864-235-9166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 OLD HOWELL RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296151969",
            "telephone_number": "864-235-9005",
            "fax_number": "864-235-9166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPSTATE ADULT & ADOLESCENT MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TRAURIG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "864-235-9008",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "18210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3063",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• University Medical Group Department of OBGYN
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• Upper Extremity Rehab Specialists, PA
• Kristen Konetzni Uprichard, D.M.D
• Upstate Affiliate Organization
• Upstate Behavioral Health
• Upstate Birth Center
• Upstate Cardiology PA
• Upstate Cardiology PA

• Internal Medicine Physician in Greenville, SC
• Providers in Greenville, SC by specialty
• Internal Medicine Physician 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.