SELF MEDICAL GROUP – NPI #1124488895
Surgery
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
SELF MEDICAL GROUP is a surgeon located in GREENWOOD, SC. NPPES has assigned the NPI number 1124488895 to SELF MEDICAL GROUP on February 24, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. SELF MEDICAL GROUP is also known by the name ADVANCED VASCULAR ASSOCIATES A DIVISION OF SELF MEDICAL GROUP. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2086S0129X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Vascular Surgery
The NPI profile was previously updated about 4 years ago on Dec 14, 2021. 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 MEDICAL GROUP below.
NPI Profile for
SELF MEDICAL GROUP
(more than 10 years ago)
GREENWOOD, SC 29646-3808 Phone: (864) 223-8090 Fax:
PRESIDENT AND CFO
Phone: (864) 725-4253
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.
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 |
|---|---|---|
| 2086S0129X - Surgery / Vascular Surgery (Primary) |
||
| 208600000X - Surgery |
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.