PALMETTO HEMATOLOGY ONCOLOGY - EASTSIDE – NPI #1568616076
Internal Medicine

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

PALMETTO HEMATOLOGY ONCOLOGY - EASTSIDE is a provider located in SPARTANBURG, SC. NPPES has assigned the NPI number 1568616076 to PALMETTO HEMATOLOGY ONCOLOGY - EASTSIDE on November 11, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “PALMETTO HEMATOLOGY ONCOLOGY - EASTSIDE” is a dba name, the actual legal business name for this organization is SPARTANBURG REGIONAL MED CTR. The primary taxonomy selected by this provider is 207RH0003X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Hematology & Oncology

The NPI profile was previously updated about 15 years ago on Dec 17, 2010. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PALMETTO HEMATOLOGY ONCOLOGY - EASTSIDE below.

NPI Profile for
SPARTANBURG REGIONAL MED CTR

NPI Number
1568616076
Enumeration Date

(more than 17 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SPARTANBURG REGIONAL MED CTR
Doing Business As (dba): PALMETTO HEMATOLOGY ONCOLOGY - EASTSIDE
Primary location
1702 SKYLYN DR
UNIT C
SPARTANBURG, SC 29307-1040
Phone: (864) 560-1402 Fax: (864) 560-1418
Mailing address
380 SERPENTINE DR
SUITE 200
SPARTANBURG, SC 29303-3066
Phone: (864) 560-7050 Fax: (864) 560-7057
Organization Subpart
Yes - PALMETTO HEMATOLOGY ONCOLOGY - EASTSIDE is subpart of another organization.
Authorized Official
MARK AYCOCK
CHIEF FINANCIAL OFFICER
Phone: (864) 560-6000
Updated
Identifiers

Identifiers for PALMETTO HEMATOLOGY ONCOLOGY - EASTSIDE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDNC5911413
MEDICAIDSCGP4991
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RH0003X
- Internal Medicine / Hematology & Oncology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.