GREENVILLE HEALTH SYSTEM (NPI# 1033580444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033580444 |
| Entity Type | Organization |
| Organization Name | GREENVILLE HEALTH SYSTEM |
| Other Organization Name | GHS EMERGENCY MEDICINE-OCONEE |
| Practice Address |
298 Memorial Dr Seneca SC 29672-9443 |
| Mailing Address |
1 Independence Pt Suite 212 Greenville SC 29615-4545 |
| Practice Telephone | 8648857156 |
| Mailing Telephone | 8647976307 |
| Enumeration Date | 2015-10-12 |
| Last Update Date | 2015-10-12 |
| Authorized Official Name | MICHAEL C RIORDAN (PRESIDENT/CEO) |
| Authorized Official Telephone | 8647977808 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207PP0204X |
Emergency Medicine Specialization: Pediatric Emergency Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207PS0010X |
Emergency Medicine Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| GHS Emergency Medicine-Oconee | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972952588 | Greenville Health System | PACE Provider Organization | 32 Stoney Point Dr, Greenville, SC 29605-4628 | 2016-06-06 |
| 1043602428 | Greenville Health System | Clinic/Center | 208 Frontage Rd Ste 1, Clemson, SC 29631-1671 | 2015-02-23 |
| 1770903833 | Greenville Health System | General Acute Care Hospital | 13 Edgewood Dr, Greenville, SC 29605-4235 | 2014-04-16 |
| 1457771511 | Greenville Health System | General Acute Care Hospital | 1120 Grove Rd Ste B, Greenville, SC 29605-4652 | 2014-04-16 |
| 1679992838 | Greenville Health System | General Acute Care Hospital | 719a Se Main St, Simpsonville, SC 29681-3237 | 2014-04-15 |
| 1467871624 | Greenville Health System | General Acute Care Hospital | 109 Fleetwood Dr Ste A, Easley, SC 29640-2019 | 2014-04-15 |
| 1992120851 | Greenville Health System | General Acute Care Hospital | 9 Doctors Dr, Greenville, SC 29605-4266 | 2014-02-28 |
| 1568532513 | Greenville Health System | General Acute Care Hospital | 175 Patewood Dr, Greenville, SC 29615-3570 | 2006-11-08 |
| 1962410845 | Greenville Health System | Skilled Nursing Facility | 101 Cottage Creek Cir, Greer, SC 29650-2438 | 2006-08-04 |
| 1811936008 | Greenville Health System | Local Education Agency (LEA) | 875 W Faris Rd, Greenville, SC 29605-4254 | 2006-06-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | GREENVILLE HEALTH SYSTEM | 300 E Mcbee Ave Ste 302, Greenville, SC 29601-2899 |
| Street Address |
298 MEMORIAL DR |
| City | SENECA |
| State | SC |
| Zip Code | 29672-9443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821097825 | Keowee Radiology P A | Radiology | 298 Memorial Dr, Seneca, SC 29672-9443 | 2005-07-20 |
| 1912420795 | Hayli Grace Evans | Physician Assistant | 298 Memorial Dr, Seneca, SC 29672-9443 | 2017-07-24 |
| 1235666371 | Joshua Padgett | Physician Assistant | 298 Memorial Dr, Seneca, SC 29672-9443 | 2017-05-19 |
| 1063968196 | Prisma Health-upstate | General Acute Care Hospital | 298 Memorial Dr, Seneca, SC 29672-9443 | 2016-08-29 |
| 1689120784 | Upstate Affiliate Organization | Home Health | 298 Memorial Dr, Seneca, SC 29672-9443 | 2016-08-29 |
| 1295188704 | Prisma Health-upstate | Ambulance | 298 Memorial Dr, Seneca, SC 29672-9443 | 2016-07-20 |
| 1578964649 | Greenville Health System | Home Health | 298 Memorial Dr, Seneca, SC 29672-9443 | 2014-09-09 |
| 1164821831 | Greenville Health System | General Acute Care Hospital | 298 Memorial Dr, Seneca, SC 29672-9443 | 2014-08-19 |
| 1720487481 | Greenville Health System | Pharmacy | 298 Memorial Dr, Seneca, SC 29672-9443 | 2014-08-19 |
| 1275941528 | Greenville Health System | General Acute Care Hospital | 298 Memorial Dr, Seneca, SC 29672-9443 | 2014-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790308955 | Pooja Kamboj | Student in an Organized Health Care Education/Training Program | 139 Lila Doyle Dr., Seneca, SC 29672 | 2020-05-22 |
| 1578126785 | Johanna Marie Scarino Lemons | Lactation Consultant, Non-RN | 504 Willow Branch Ln, Seneca, SC 29672 | 2019-04-15 |
| 1982067971 | Marthe Melanie Bryant Connah | Family Medicine | 139 Lila Doyle Drive, Family Medicine Residency - Oconee, Seneca, SC 29672 | 2016-03-29 |
| 1558733220 | Alyssa K. Locke | Occupational Therapist | 101 S-37-349, Seneca, SC 29672 | 2015-10-21 |
| 1497857742 | Pulmonary Critical Care & Sleep Associates Pa | Clinic/Center | 107 Omni Drive, Suite A, Seneca, SC 29672 | 2006-09-05 |
| 1659381440 | Timothy Aaron Zeller | Family Medicine | 139 Lila Doyle Dr, Seneca, SC 29672 | 2006-08-08 |
| 1871546978 | Samuel Thomas Drake | Specialist | 103 Omni Dr Ste A, Seneca, SC 29672 | 2006-05-18 |
| 1235123878 | Nancy Matz Thiel | Chiropractor | 355 Katelynn Lane, Seneca, SC 29672 | 2005-09-09 |
| 1265439954 | David E Heape | Emergency Medicine | 298 Memoral Drive, Oconee Memorial Hospital, Seneca, SC 29672 | 2005-07-07 |
| 1407345846 | Prisma Health-upstate | Clinic/Center | 139 Lila Doyle Drive, Seneca, SC 29672 | 2018-05-01 |
| Find all providers in zip 29672 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265439954 | David E Heape | Emergency Medicine | 298 Memoral Drive, Oconee Memorial Hospital, Seneca, SC 29672 | 2005-07-07 |
| 1265727010 | Northwest Hospitalist Physicians LLP | Emergency Medicine | 100 Fairfield Dr, Seneca, PA 16346-2130 | 2011-06-09 |
| 1548588163 | Kevin Docyk | Emergency Medicine | 298 Memorial Dr, Emergency Department, Seneca, SC 29672-9443 | 2010-05-06 |
| 1659519379 | Northwest Hospitalist Physicians, LLP | Emergency Medicine | 100 Fairfield Dr, Seneca, PA 16346-2130 | 2009-02-03 |
| 1649377425 | John Albert Jupin | Emergency Medicine | 100 Fairfield Dr, Seneca, PA 16346-2130 | 2006-09-20 |
| 1700993458 | Joseph Donald Spennetta | Emergency Medicine | 298 Memorial Dr, Seneca, SC 29672-9443 | 2006-08-25 |
| 1912913419 | John D Gaskins | Emergency Medicine | 298 Memorial Dr, Seneca, SC 29672-9443 | 2006-08-01 |
| 1235156829 | Jeffrey Corsetti | Emergency Medicine | 100 Fairfield Dr, Seneca, PA 16346-2130 | 2006-07-17 |
| 1588689038 | Metin Gunduz | Emergency Medicine | 100 Fairfield Dr, Seneca, PA 16346-2130 | 2006-07-13 |
| 1427073873 | Randy Boggess | Emergency Medicine | 100 Fairfield Dr, Seneca, PA 16346-2130 | 2006-07-13 |
| Find all providers in SENECA | ||||
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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.