MARY BLACK MATERNAL-FETAL MEDICINE – NPI #1073620654
Obstetrics & Gynecology

An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.

Health Care Provider Taxonomy Code for Obstetrics & Gynecology

MARY BLACK MATERNAL-FETAL MEDICINE is a provider located in SPARTANBURG, SC. NPPES has assigned the NPI number 1073620654 to MARY BLACK MATERNAL-FETAL MEDICINE on August 23, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MARY BLACK MATERNAL-FETAL MEDICINE” is a dba name, the actual legal business name for this organization is MARY BLACK HEALTH SYSTEM LLC. The primary taxonomy selected by this provider is 207VM0101X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology, specializing in Maternal & Fetal Medicine

The NPI profile was previously updated about 19 years ago on Aug 14, 2007. 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 MARY BLACK MATERNAL-FETAL MEDICINE below.

NPI Profile for
MARY BLACK HEALTH SYSTEM LLC

NPI Number
1073620654
Enumeration Date

(about 20 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
MARY BLACK HEALTH SYSTEM LLC
Doing Business As (dba): MARY BLACK MATERNAL-FETAL MEDICINE
Primary location
1686 SKYLYN DR STE 102
SPARTANBURG, SC 29307-1058
Phone: (864) 573-3272 Fax:
Mailing address
138 DILLON DR STE A
SPARTANBURG, SC 29307-1018
Phone: (864) 542-8980 Fax: (864) 515-9994
Organization Subpart
Yes - MARY BLACK MATERNAL-FETAL MEDICINE is subpart of another organization.
Authorized Official
DEBBIE BREWER
DIRECTOR OF PROVIDER ENROLLMENT
Phone: (615) 465-7000
Updated
Identifiers

Identifiers for MARY BLACK MATERNAL-FETAL MEDICINE

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
MEDICAIDSCGP2893
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
207VM0101X
- Obstetrics & Gynecology / Maternal & Fetal Medicine (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.