SELF MEDICAL GROUP – NPI #1538488457
Thoracic Surgery (Cardiothoracic Vascular Surgery)

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

SELF MEDICAL GROUP is a thoracic surgeon located in GREENWOOD, SC. NPPES has assigned the NPI number 1538488457 to SELF MEDICAL GROUP on May 18, 2010. 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 CARDIOTHORACIC SURGERY, A DIVISION OF SELF MEDICAL GROUP. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208G00000X from the Health Care Provider Taxonomy code set, which is classified as Thoracic Surgery (Cardiothoracic Vascular Surgery).

The NPI profile was previously updated about 2 years ago on May 31, 2024. 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

NPI Number
1538488457
Enumeration Date

(more than 16 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
SELF MEDICAL GROUP
Other Name: ADVANCED CARDIOTHORACIC SURGERY, A DIVISION OF SELF MEDICAL GROUP
Primary location
1506 SPRING ST
GREENWOOD, SC 29646-4071
Phone: (864) 725-7900 Fax: (864) 725-7910
Mailing address
105 VINECREST CT # 500
GREENWOOD, SC 29646-8031
Phone: (864) 725-7900 Fax: (864) 725-7910
Organization Subpart
No
Authorized Official
MATTHEW LOGAN
PRESIDENT AND CHIEF EXECUTIVE OFFIC
Phone: (864) 725-4253
Updated
Certification Date
May 31, 2024

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
208G00000X
- Thoracic Surgery (Cardiothoracic 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.