ROBERT DOUGLAS DEVORE (NPI# 1023092699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023092699 |
| Entity Type | Individual |
| Full Name | ROBERT DOUGLAS DEVORE |
| Credential | MD |
| Practice Address |
340 Medical Pkwy Suite 200 Greer SC 29650-2441 |
| Mailing Address |
1 Independence Pt Ste 212 Greenville SC 29615-4536 |
| Practice Telephone | 8647979400 |
| Practice Fax Number | 8647979402 |
| Mailing Telephone | 8647976303 |
| Enumeration Date | 2005-12-06 |
| Last Update Date | 2018-02-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 10196 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 101963 | 05 | |
| SC | RR MEDICARE | P01034028 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548870769 | Robert Devore | Nurse Practitioner | 1 Ford Pl, Detroit, MI 48202-3450 | 2020-08-03 |
| 1881236974 | Robert E. Devore | Counselor | 400 N Benjamin Ln, Boise, ID 83704-5094 | 2019-10-10 |
| 1952313116 | Robert Thomas Devore | Pharmacist | 50 N Perry St, Pontiac, MI 48342-2217 | 2006-08-13 |
| 1912974601 | Robert V Devore | Anesthesiology | 2101 N Waterman Ave, San Bernardino, CA 92404-4836 | 2006-03-02 |
| Street Address |
340 MEDICAL PKWY SUITE 200 |
| City | GREER |
| State | SC |
| Zip Code | 29650-2441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861494502 | Joseph Harold Wentzky Jr. | Surgery | 340 Medical Pkwy, Suite 200, Greer, SC 29650-2441 | 2005-08-12 |
| 1841746948 | Prisma Health-upstate | General Acute Care Hospital | 340 Medical Pkwy, Greer, SC 29650-2441 | 2016-08-29 |
| 1588083745 | Greenville Health System | General Acute Care Hospital | 340 Medical Pkwy, Greer, SC 29650-2441 | 2014-04-15 |
| 1154666550 | Sarah Draper Tellier | Audiologist | 340 Medical Pkwy, Suite 200, Greer, SC 29650-2441 | 2012-12-11 |
| 1730406901 | David Ellis Disbrow | Surgery | 340 Medical Pkwy, Suite 200, Greer, SC 29650-2441 | 2010-04-28 |
| 1366415523 | Timothy Lee Dersch | Surgery | 340 Medical Pkwy, Ste 200, Greer, SC 29650-2441 | 2006-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154946424 | Paul Wong | Family Medicine | 109 Physicians Drive Suite A, Greer, SC 29650 | 2020-06-12 |
| 1992273684 | Christopher Michael Campbell | Pharmacist | 845b S Buncombe Rd, Greer, SC 29650 | 2018-11-12 |
| 1376035618 | Jessica Miller | Dentist | 1494 W Wade Hampton Blvd Ste D, Greer, SC 29650 | 2018-06-02 |
| 1992212872 | Greenville Health Corporation | Pharmacy | 845 S Buncombe Rd Ste D, Greer, SC 29650 | 2018-01-02 |
| 1114432077 | Spartanburg Medical Center | Orthopaedic Surgery | 2755 S Highway 14 Ste 1200m, Greer, SC 29650 | 2017-12-13 |
| 1437679750 | Sanders Healthcare LLC | Home Health | 110 W. Church St., Suite A, Greer, SC 29650 | 2017-06-27 |
| 1306291117 | James Elliott Crouch | Occupational Therapy Assistant | 1305 Boilings Springs Rd., Greer, SC 29650 | 2016-04-29 |
| 1033593389 | Premier Medical Transport Service | Non-emergency Medical Transport (VAN) | 120 Glenaire Dr, Greer, SC 29650 | 2015-07-16 |
| 1104176429 | Suchi Chomal | Pharmacist | 6 Colby Ct, Greer, SC 29650 | 2012-09-13 |
| 1447500822 | John Varner | Pharmacist | 821 S. Batesville Road, Greer, SC 29650 | 2012-09-13 |
| Find all providers in zip 29650 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780248211 | Spartanburg Medical Center | Urology | 2755 S Highway 14 Ste 2050a, Greer, SC 29650-4902 | 2019-04-30 |
| 1487751699 | Blue Ridge Urology Pa | Urology | 402 Memorial Drive Extension, Greer, SC 29651 | 2006-09-20 |
| 1396967162 | The Urology Group Whitlock & Devore | Urology | 420 The Parkway, Bldg C, Greer, SC 29650 | 2007-05-02 |
| 1568590594 | Hammond Urology, Pa | Urology | 2755 S Highway 14, Suite 2050, Greer, SC 29650-4902 | 2007-03-01 |
| 1376632703 | John Edmond Walton | Urology | 402 Memorial Drive Extension, Greer, SC 29651 | 2006-10-12 |
| 1386628956 | Norris Walter Whitlock | Urology | 420 The Pkwy, Building C, Greer, SC 29650-5204 | 2005-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295393098 | Christopher William Ritchie | Urology | 135 Rutledge Ave Fl 5, Charleston, SC 29425-8903 | 2019-06-05 |
| 1609345982 | Spartanburg Medical Center | Urology | 1552 N Limestone St Ste A, Gaffney, SC 29340-4750 | 2018-11-16 |
| 1942775952 | Roper Saint Francis Physicians Network | Urology | 300 Callen Blvd Ste 220, Summerville, SC 29486-2809 | 2018-10-05 |
| 1790131522 | Urology Clinic At Carolinas | Urology | 1594 Freedom Blvd Ste 203, Florence, SC 29505-6046 | 2016-05-11 |
| 1912368457 | Urology Clinic, Inc. | Urology | 1285 Wilson Hall Rd, Sumter, SC 29150 | 2016-03-11 |
| 1154700367 | Gregory Slachta | Urology | 407 Broadview Dr, Ridgeland, SC 29936-5157 | 2015-05-20 |
| 1467893404 | Robert Strehlow Vi | Urology | 391 Serpentine Dr Ste 500, Spartanburg, SC 29303-3083 | 2013-07-06 |
| 1326487588 | Tracy Jon Tipton | Urology | 125 Doughty St Ste 300, Charleston, SC 29403 | 2013-06-21 |
| 1790121424 | Philip Andre Fontenot Jr. | Urology | 50 Bear Dr, Greenville, SC 29605 | 2013-05-21 |
| 1679828750 | Thomas Alexander Kirkland Jr. | Urology | 2 Ladson St, Apt. A, Charleston, SC 29401-2757 | 2012-07-16 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.