SELF REGIONAL HEALTHCARE – NPI #1710786066
Otolaryngology

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

SELF REGIONAL HEALTHCARE is an otolaryngologist located in GREENWOOD, SC. NPPES has assigned the NPI number 1710786066 to SELF REGIONAL HEALTHCARE on March 10, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. According to the NPI Registry, there are 3 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Y00000X from the Health Care Provider Taxonomy code set, which is classified as Otolaryngology.

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 SELF REGIONAL HEALTHCARE below.

NPI Profile for
SELF REGIONAL HEALTHCARE

NPI Number
1710786066
Enumeration Date

(more than a year 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
SELF REGIONAL HEALTHCARE
Primary location
1015 SPRING ST
GREENWOOD, SC 29646-3831
Phone: (864) 227-6741 Fax: (864) 227-2046
3 Other location(s):
200 Carwellyn Rd
Abbeville, SC 29620-5532
Phone: (864) 227-6741
324 Professional Park Rd
Clinton, SC 29325-7625
Phone: (864) 227-6741
2531 Evans St Ste B
Newberry, SC 29108-2939
Phone: (864) 227-6741
Mailing address
104 WELLS AVE
GREENWOOD, SC 29646-3837
Phone: (864) 725-4673 Fax: (864) 725-7424
Organization Subpart
No
Authorized Official
MATTHEW LOGAN
PRESIDENT & CEO
Phone: (864) 725-4780
Updated
Certification Date
Mar 10, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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
207Y00000X
- Otolaryngology (Primary)
207Q00000X
- Family Medicine

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.