PEDIATRIC NUTRITION AND SPECIAL NEEDS – NPI #1710922703
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

PEDIATRIC NUTRITION AND SPECIAL NEEDS is a provider located in BOILING SPRINGS, SC. NPPES has assigned the NPI number 1710922703 to PEDIATRIC NUTRITION AND SPECIAL NEEDS on June 17, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “PEDIATRIC NUTRITION AND SPECIAL NEEDS” 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 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. 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 PEDIATRIC NUTRITION AND SPECIAL NEEDS below.

NPI Profile for
SPARTANBURG REGIONAL MED CTR

NPI Number
1710922703
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
SPARTANBURG REGIONAL MED CTR
Doing Business As (dba): PEDIATRIC NUTRITION AND SPECIAL NEEDS
Primary location
3941 HWY 9
STE B
BOILING SPRINGS, SC 29316
Phone: (864) 585-2765 Fax: (864) 560-9450
Mailing address
PO BOX 2168
SPARTANBURG, SC 29304-2168
Phone: (864) 560-4304 Fax: (864) 560-4413
Organization Subpart
No
Authorized Official
SUSAN BRUCE
CREDENTIALING SPECIALIST
Phone: (864) 560-4057
Updated
Identifiers

Identifiers for PEDIATRIC NUTRITION AND SPECIAL NEEDS

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
MEDICAIDSCGP1118
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
208000000X
- Pediatrics (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.