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PALMETTO HEMATOLOGY ONCOLOGY - EASTSIDE
NPI 1568616076
Internal Medicine - Hematology & Oncology in Spartanburg, SC

Active since November 11, 2008
1702 SKYLYN DR, UNIT C, SPARTANBURG, SC 29307(864) 560-1402(864) 560-1418 Get Directions Write a Review

NPPES record last updated: December 17, 2010. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Palmetto Hematology Oncology - Eastside NPPES

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

PALMETTO HEMATOLOGY ONCOLOGY - EASTSIDE (NPI 1568616076) is a healthcare organization registered as a hematology & oncology in Spartanburg, South Carolina and active in the NPI registry since November 2008. The organization lists Mark Aycock, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1568616076
Entity TypeOrganization
Primary Taxonomy207RH0003X
Legal Business NameSPARTANBURG REGIONAL MED CTR
Location Address1702 SKYLYN DR, UNIT CSpartanburg, SC 29307-1040
Mailing Address380 Serpentine Dr, Suite 200Spartanburg, SC 29303-3066 · (864) 560-7050 · Fax (864) 560-7057
Phone(864) 560-1402
Fax(864) 560-1418
Organization SubpartYesParent: Spartanburg Regional Health Services District, Inc
Authorized OfficialMark AycockChief Financial Officer · (864) 560-6000
Enumeration DateNovember 11, 2008
Last NPPES UpdateDecember 17, 2010
✔ NPI 1568616076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
1702 SKYLYN DR, Spartanburg, SC 29307
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Other Names 1

Doing Business AsPalmetto Hematology Oncology - Eastside

Other Identifiers 3

Medicaid5911413NC
Medicare PIN4746SC
MedicaidGP4991SC

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include First Choice Next.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Palmetto Hematology Oncology - Eastside is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

812

Medicare enrollment records show 812 clinicians reassign Medicare billing to Palmetto Hematology Oncology - Eastside, which bills Medicare for the services they deliver. Of these, 8 practice at this address and 378 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 39

Certified Registered Nurse Anesthetist (CRNA)193
Nurse Practitioner144
Family Practice95
Diagnostic Radiology93
Obstetrics/Gynecology59
Anesthesiology44
Internal Medicine22
General Surgery20
31 other specialties142

Nearest to this location (20)

See all 812
Melissa Esce, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1699789206
1700 SKYLYN DR
Spartanburg, SC 29307
(864) 573-3000
✔ Accepts MedicareSame address
Shannon Jones, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1750426813
1700 SKYLYN DR
Spartanburg, SC 29307
(864) 591-1540
✔ Accepts MedicareSame address
David Rainville, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1659888246
1700 SKYLYN DR
Spartanburg, SC 29307
(864) 573-3000
✔ Accepts MedicareSame address
Patricia Sauls, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1861753402
1700 SKYLYN DR
Spartanburg, SC 29307
(864) 573-3000
✔ Accepts MedicareSame address
Nickole Teel, MD
Anesthesiology
NPI 1225325202
1700 SKYLYN DR
Spartanburg, SC 29307
(864) 573-3000
✔ PECOS✔ Accepts MedicareSame address
Deborah Anderson, FNP-C
Nurse Practitioner
NPI 1538698030
11 DOCTORS PARK DR STE 220
Spartanburg, SC 29307
(864) 253-8055
✔ PECOS✔ Accepts MedicareSame address
Bennett Bruckner, M.D.
Gastroenterology
NPI 1639270622
11 DOCTORS PARK DR STE 240
Spartanburg, SC 29307
(864) 342-4115
✔ PECOS✔ Accepts MedicareSame address
Janine Bullman, NP
Nurse Practitioner
NPI 1417443805
11 DOCTORS PARK DR STE 240
Spartanburg, SC 29307
(864) 342-4115
✔ PECOS✔ Accepts MedicareSame address
Kelly Bridges, MD
Obstetrics/Gynecology
NPI 1568415768
1686 SKYLYN DR SUITE 101
Spartanburg, SC 29307
(864) 585-3456
✔ PECOS✔ Accepts MedicareSame address
April Johnson, MD
Obstetrics/Gynecology
NPI 1407802689
1686 SKYLYN DRIVE SUITE 101
Spartanburg, SC 29307
(864) 585-3456
✔ PECOS✔ Accepts MedicareSame address
Carol Ketchen, MD
Obstetrics/Gynecology
NPI 1578517470
1686 SKYLYN DRIVE SUITE 101
Spartanburg, SC 29307
(864) 585-3456
✔ PECOS✔ Accepts MedicareSame address
Gordon Sherard, MD
Obstetrics/Gynecology
NPI 1558315267
1686 SKYLYN DRIVE STE 101
Spartanburg, SC 29307
(864) 585-3456
✔ PECOS✔ Accepts MedicareSame address
Aaron Toler, MD
Obstetrics/Gynecology
NPI 1699729459
1686 SKYLYN DRIVE SUITE 101
Spartanburg, SC 29307
(864) 585-3456
✔ PECOS✔ Accepts MedicareSame address
Kimberly Toler, MD
Obstetrics/Gynecology
NPI 1316991177
1686 SKYLYN DRIVE SUITE 101
Spartanburg, SC 29307
(864) 585-3456
✔ PECOS✔ Accepts MedicareSame address
Amber Wallace, M.D.
Obstetrics/Gynecology
NPI 1104035526
1686 SKYLYN DR SUITE 101
Spartanburg, SC 29307
(864) 560-3456
✔ PECOS✔ Accepts MedicareSame address
Brittney Doornbos, DO
Family Practice
NPI 1346862638
1690 SKYLYN DR STE 300A
Spartanburg, SC 29307
(864) 342-4000
✔ PECOS✔ Accepts Medicare0.1 mi
Carol Kooistra, MD
Neurology
NPI 1598741837
541 FLOYD RD
Spartanburg, SC 29307
(864) 585-6179
✔ PECOS✔ Accepts Medicare0.2 mi
John Broderick, M.D.
Orthopedic Surgery
NPI 1235180670
480 FLOYD RD SUITE A
Spartanburg, SC 29307
(864) 582-2188
✔ PECOS✔ Accepts Medicare0.3 mi
Alisha Cartledge, NP
Nurse Practitioner
NPI 1225677297
1650 SKYLYN DR STE 240
Spartanburg, SC 29307
(864) 577-1600
✔ PECOS✔ Accepts Medicare0.3 mi
David Cykert
Internal Medicine
NPI 1154777456
1650 SKYLYN DR STE 202
Spartanburg, SC 29307
(864) 560-9056
✔ PECOS✔ Accepts Medicare0.3 mi
See all 812 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Medical Equipment Supplier Medicare DMEPOS

Medicare supplier enrollment and the product categories That Special Look carries, from the Medicare DMEPOS supplier directory.

That Special Look

DMEPOS supplier · Spartanburg, SCOperated by Spartanburg Medical Center
✔

Accepts Medicare assignment

That Special Look agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20455823
Medicare Participant SinceApril 1, 2018
Supplier Location380 Serpentine Dr Ste 109Spartanburg, SC 29303
Phone(864) 560-7080
Supplier Specialties
Orthotic Personnel Prosthetic Personnel

Medicare Product Categories

Breast Prostheses and/or Accessories
Prosthetic bra, Surgical bra
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Spartanburg Regional Med Ctr's NPI number?

The NPI number for Spartanburg Regional Med Ctr is 1568616076. It was assigned to this organization in the NPPES registry on November 11, 2008. The provider is doing business as Palmetto Hematology Oncology - Eastside.

Where is Spartanburg Regional Med Ctr located?

Spartanburg Regional Med Ctr is located at 1702 Skylyn Dr Unit C, Spartanburg, SC 29307. The listed phone number is (864) 560-1402.

What is Spartanburg Regional Med Ctr's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Spartanburg Regional Med Ctr enrolled in Medicare?

Yes. Spartanburg Regional Med Ctr is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Spartanburg Regional Med Ctr?

According to the CMS Revalidation Reassignment List (October 2026 release), 812 clinicians in 39 Medicare specialties reassign their Medicare billing to Spartanburg Regional Med Ctr. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Certified Registered Nurse Anesthetist (CRNA) (193), Nurse Practitioner (144) and Family Practice (95). Of these, 8 practice at this address and 378 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Spartanburg Regional Med Ctr accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, That Special Look accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Spartanburg Regional Med Ctr accept?

Health plans from First Choice Next list Spartanburg Regional Med Ctr as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Spartanburg Regional Med Ctr was last updated on December 17, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.