Spartanburg Medical Center
NPI 1104867845ActiveOrganization· Pediatrics· Spartanburg, SC
Pediatrics in Spartanburg, South Carolina, registered in NPPES in June 2006, part of Spartanburg Regional Health Services District, Inc. The authorized official on file is Bruce A. Davis, Chief Financial Officer.
Overview
| NPI | 1104867845 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Spartanburg Regional Health Services District, Inc |
| NPI issued | Jun 10, 2006 |
| Last updated in NPPES | Aug 5, 2024 |
| Certified by provider | Aug 5, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | — | — |
| Ophthalmology | 207W00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Pediatrics providers in Spartanburg
- 1588679922
- 1679514418
- 1023392883
- 1043267263
- 1346281185
- 1790135218
- 1215196605
- 1356081574
- 1497707863
- 1053387852
- 1801848296
- 1851914261