| Upstate Footcare | |
|
269 North Grove Medical Park Drive, Spartanburg, SC 29303-4222 | |
| (864) 586-3131 | |
| (864) 586-3200 |
| Full Name | Upstate Footcare |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot Surgery |
| Location | 269 North Grove Medical Park Drive, Spartanburg, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730342577 | NPI | - | NPPES |
| GP9902 | Medicaid | SC | |
| DO4851 | Other | SC | RAIL ROAD MEDICARE GROUP PTAN # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0131X | Podiatrist - Foot Surgery | 00564 (South Carolina) | Primary |
| Provider Name | Hans E Blaakman |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1912950056 PECOS PAC ID: 6103808068 Enrollment ID: I20050912000398 |
| Provider Name | Cassandra Waters Pike |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1538113279 PECOS PAC ID: 4587723010 Enrollment ID: I20110428000689 |
| Mailing Address | Practice Location Address |
|---|---|
| Upstate Footcare 269 North Grove Medical Park Drive, Spartanburg, SC 29303-4222 Ph: (864) 586-3131 | Upstate Footcare 269 North Grove Medical Park Drive, Spartanburg, SC 29303-4222 Ph: (864) 586-3131 |
Carolina Foot Care Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 1399 John B White Sr Blvd, Spartanburg, SC 29306 Phone: 864-595-9300 Fax: 864-595-9400 | |
Henry Arthur Mcaninch Jr., DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 184 Oakland Avenue, Spartanburg, SC 29302 Phone: 864-582-8570 Fax: 864-585-3528 | |
Paul Keane Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1855 E Main St, Ste 14, Tmb 151, Spartanburg, SC 29307 Phone: 252-985-1371 | |
Dr. David Negron, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 101 E Wood St, Spartanburg, SC 29303 Phone: 864-560-6000 | |
Dr. Sarah M Jordan, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1399 John B White Sr Blvd, Spartanburg, SC 29306 Phone: 864-595-9300 Fax: 864-595-9400 | |
Dr. Michael J Jordan, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1399 John B White Sr Blvd, Spartanburg, SC 29306 Phone: 864-595-9300 Fax: 864-595-9400 | |
University Medical Group Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 333 S Pine St, Spartanburg, SC 29302 Phone: 864-515-7520 Fax: 864-515-7501 |