SPARTANBURG PLASTIC & RECONTRUCTIVE SURGERY
NPI 1174581391
Plastic Surgery in Spartanburg, SC
NPI Status: Active since May 04, 2006
Contact Information
1702 SKYLYN DR
SPARTANBURG, SC
ZIP 29307
Phone: (864) 585-3608
Fax: (864) 585-3745
- Organization
- Plastic Surgery
- CLIA Number: 42D2282824
- CLIA Cert. Type: School/Student Health Service
- CLIA Exp. Date: 05-25-2027
About SPARTANBURG PLASTIC & RECONTRUCTIVE SURGERY
This page provides the complete NPI Profile along with additional information for Spartanburg Plastic & Recontructive Surgery, a provider established in Spartanburg, South Carolina operating as a Plastic Surgery. The healthcare provider is registered in the NPI registry with number 1174581391 assigned on May 2006. The practitioner's primary taxonomy code is 208200000X with license number 8147 (SC). The provider is registered as an organization and their NPI record was last updated 18 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Mr. Magdy A Habib M.d. (Owner)
- NPI
- 1174581391
- Provider Name
- SPARTANBURG PLASTIC & RECONTRUCTIVE SURGERY
- Entity Type
- Organization
- Location Address
- 1702 SKYLYN DR SPARTANBURG, SC 29307
- Location Phone
- (864) 585-3608
- Location Fax
- (864) 585-3745
- Mailing Address
- 1702 SKYLYN DR SPARTANBURG, SC 29307
- Mailing Phone
- (864) 585-3608
- Mailing Fax
- (864) 585-3745
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-04-2006
- Last Update Date
- 08-04-2008
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Plastic Surgery
- Taxonomy Code
- 208200000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 8147
- License State
- SC
- Taxonomy Description
- A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1754 | MEDICARE ID-TYPE UNSPECIFIED (04) | SC | |
| D17462 | MEDICARE UPIN (02) |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 42D2282824
- Facility Type
- School/Student Health Service
- Certificate Effective Date
- May 26, 2025
- Certificate Expiration Date
- May 25, 2027
- Laboratory Director
- JONATHAN G. GREEN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Spartanburg Plastic & Recontructive Surgery to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1174581391, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 59 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
SPARTANBURG, SC 29307
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174581391, enumerated as an "organization" on May 04, 2006.
The provider is located at 1702 SKYLYN DR SPARTANBURG, SC 29307 and the phone number is (864) 585-3608.
Plastic Surgery with taxonomy code 208200000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
