Individual provider Active NPI

Carol Wannamaker Shuler, M.D.

  • Gynecology Physician
  • Seneca, SC
National Provider Identifier
1932153285
Registry record updated Oct 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
12365 Issued in SC
Practice address
103 Carter Park Dr
Suite a
Seneca, SC 29678-1152
Phone
(864) 482-2360
Fax
(864) 482-2365
NPI assigned
May 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 12365 SC Primary

Addresses

Primary practice location

103 Carter Park Dr
Suite a
Seneca, SC 29678-1152

Mailing address

1 Independence PT
Suite 212
Greenville, SC 29615-4545
Phone (864) 797-6306

Other identifiers 1

IdentifierTypeStateIssuer
GP4697MedicaidSC

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
I20100604000002 SC Practitioner - Obstetrics/Gynecology 1951393636 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12365SCMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
GHS Partners in Health, Inc. CurrentSince Oct 1, 2014 Accepting new patients
Greenville Health System Current Accepting new patients
Greenville Health System CurrentSince Sep 20, 2015 Accepting new patients
Prisma Health University Medical Group Current Accepting new patients
Greenville Health System CurrentSince Sep 20, 2015 Accepting new patients
Blue Ridge Women'S Care PA Gynecology PastSince Mar 20, 2003 Accepting new patients

Locations

1 Independence Pt
Ste 212
Greenville, SC 29615
Phone (864) 797-6306

103 Carter Park Dr
#A
Seneca, SC 29678
Phone (864) 482-2360

100 Omni Dr
#A
Seneca, SC 29672
Phone (864) 885-7520

298 Memorial Dr
Seneca, SC 29672
Phone (864) 482-3100

10110 Clemson Blvd
Seneca, SC 29678
Phone (864) 482-0500

772 N Townville St
Seneca, SC 29678
Phone (864) 886-9300

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445299200000",
    "number": "1932153285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 INDEPENDENCE PT",
            "address_2": "SUITE 212",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154545",
            "telephone_number": "864-797-6306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 CARTER PARK DR",
            "address_2": "SUITE A",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296781152",
            "telephone_number": "864-482-2360",
            "fax_number": "864-482-2365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHULER",
        "first_name": "CAROL",
        "middle_name": "WANNAMAKER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-20",
        "last_updated": "2015-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "SC",
            "license": "12365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP4697",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seneca, SC

Sources for this page

Verify at the official NPI Registry.