SPARTANBURG EAR NOSE & THROAT, HEAD & NECK SURGERY PA
NPI 1225082019
Specialist in Spartanburg, SC

Q: What is Spartanburg Ear Nose & Throat, Head & Neck Surgery PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since May 19, 2006CLIA 42D2038266 · Waiver

1095 IRON ORE ROAD, SPARTANBURG, SC 29303(864) 582-2900(864) 582-4991 Get Directions Write a Review

NPPES record last updated: October 24, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 24, 2023, Apr 11, 2023, Apr 4, 2023 (3 updates tracked since 2023).

On this page

About Spartanburg Ear Nose & Throat, Head & Neck Surgery Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SPARTANBURG EAR NOSE & THROAT, HEAD & NECK SURGERY PA (NPI 1225082019) is a healthcare organization registered as a specialist in Spartanburg, South Carolina and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through March 15, 2028 and lists Allison Rodgers, Human Resources, as its authorized official.

NPPES Registry Identity

NPI1225082019

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameSPARTANBURG EAR NOSE & THROAT, HEAD & NECK SURGERY PA

Location Address1095 IRON ORE ROADSpartanburg, SC 29303-2239

Mailing AddressP.o. Box 5787Spartanburg, SC 29304-5787 · (864) 582-2900 · Fax (864) 582-4991

Phone(864) 582-2900

Fax(864) 582-4991

Organization SubpartNo

Authorized OfficialAllison RodgersHuman Resources · (864) 582-2900

Enumeration DateMay 19, 2006

Last NPPES UpdateOctober 24, 20233 updates tracked since enumeration

NPPES CertifiedOctober 24, 2023

✔ NPI 1225082019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1095 IRON ORE ROAD, Spartanburg, SC 29303

Open in Google Maps ↗

Other Identifiers 2

MedicaidPA0828SC

OtherCB3406SC · Railroad Medicare

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 42D2038266

Spartanburg Ear, Nose & Throat · Spartanburg, SC

Active · expires Mar 15, 2028

CLIA Number42D2038266

Laboratory TypePhysician Office

Certificate Effective DateMarch 16, 2026

Certificate Expiration DateMarch 15, 2028

Laboratory DirectorJohn Foster

Laboratory Phone(864) 582-2900

Laboratory LocationSpartanburg Ear, Nose & Throat1095 Iron Ore Road, Spartanburg, SC 29303

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Leave this field empty

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOHN A. FOSTER M.D.

Otolaryngology