BON SECOURS MEDICAL GROUP GREENVILLE SPECIALTY CARE LLC
NPI 1184367955
Orthopaedic Surgery in Greenville, SC
NPI Status: Active since April 19, 2022
Contact Information
209 PATEWOOD DR STE 200
GREENVILLE, SC
ZIP 29615
Phone: (864) 234-7654
Fax: (864) 675-1657
- Organization
- Orthopaedic Surgery
- CLIA Number: 42D2244981
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 12-07-2025
About BON SECOURS MEDICAL GROUP GREENVILLE SPECIALTY CARE LLC
This page provides the complete NPI Profile along with additional information for Bon Secours Medical Group Greenville Specialty Care Llc, a provider established in Greenville, South Carolina operating as a Orthopaedic Surgery. The healthcare provider is registered in the NPI registry with number 1184367955 assigned on April 2022. The practitioner's primary taxonomy code is 207X00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Bon Secours Medical Group Greenville Specialty Care Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Wilbur Gay (Cfo)
- NPI
- 1184367955
- Provider Name
- BON SECOURS MEDICAL GROUP GREENVILLE SPECIALTY CARE LLC
- Entity Type
- Organization
- Location Address
- 209 PATEWOOD DR STE 200 GREENVILLE, SC 29615
- Location Phone
- (864) 234-7654
- Location Fax
- (864) 675-1657
- Mailing Address
- PO BOX 631341 CINCINNATI, OH 45263
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-19-2022
- Last Update Date
- 04-19-2022
- 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
Orthopaedic Surgery
- Taxonomy Code
- 207X00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207XS0106X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | |
| 2 | 207XS0114X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | |
| 3 | 207XS0117X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | |
| 4 | 207XX0004X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | |
| 5 | 207XX0005X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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
- 42D2244981
- Facility Type
- Physician Office
- Certificate Effective Date
- December 08, 2023
- Certificate Expiration Date
- December 07, 2025
- Laboratory Director
- REBECCA ALSIP ISKANDAR
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Bon Secours Medical Group Greenville Specialty Care Llc 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 1184367955, we treat the final digit (5) 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 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).
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 65 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
GREENVILLE, SC 29615
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1184367955, enumerated as an "organization" on April 19, 2022.
The provider is located at 209 PATEWOOD DR STE 200 GREENVILLE, SC 29615 and the phone number is (864) 234-7654.
Orthopaedic Surgery with taxonomy code 207X00000X.
