JOSEPH ANDREW MANFREDI (NPI# 1053362269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053362269 |
| Entity Type | Individual |
| Full Name | JOSEPH ANDREW MANFREDI |
| Credential | MD |
| Practice Address |
877 W Faris Rd Ste B Greenville SC 29605-4296 |
| Mailing Address |
1 Independence Pt Ste 212 Greenville SC 29615-4545 |
| Practice Telephone | 8644556900 |
| Practice Fax Number | 8642555619 |
| Mailing Telephone | 8647976306 |
| Mailing Fax Number | 8645124540 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2014-11-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
29936 | SC | Allopathic & Osteopathic Physicians |
| Y | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
29936 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP2312 | 05 | |
| SC | 299368 | 05 | |
| SC | GP1453 | 05 | |
| SC | 29936 | 05 | |
| SC | GP2315 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568770824 | Joseph Manfredi | Dentist | 425 Madison Ave, Suite 500, New York, NY 10017-1110 | 2010-09-21 |
| Street Address |
877 W FARIS RD STE B |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29605-4296 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588640643 | Archie Hortense Chandler IIi | Internal Medicine | 877 W Faris Rd Ste B, Greenville, SC 29605-4296 | 2005-12-21 |
| 1740893593 | Timothy Robert Malinowski Jr. | Nurse Practitioner | 877 W Faris Rd Ste B, Greenville, SC 29605-4296 | 2020-08-30 |
| 1043841646 | Jordan Gaucher | Physician Assistant | 877 W Faris Rd Ste B, Greenville, SC 29605-4296 | 2020-02-01 |
| 1386274397 | Serena Wormald Kocourek | Registered Nurse | 877 W Faris Rd Ste B, Greenville, SC 29605-4296 | 2020-01-17 |
| 1366097230 | Megan Diane Mcguire | Nurse Practitioner | 877 W Faris Rd Ste B, Greenville, SC 29605 | 2019-08-07 |
| 1295210961 | Katherine Armstrong Sorrel | Physician Assistant | 877 W Faris Rd Ste B, Greenville, SC 29605-4296 | 2018-09-28 |
| 1750893277 | Kimberly Elliott Sadri | Registered Nurse | 877 W Faris Rd Ste B, Greenville, SC 29605-4296 | 2017-10-25 |
| 1467976720 | Whitney Kendall Fields | Nurse Practitioner | 877 W Faris Rd Ste B, Greenville, SC 29605-4296 | 2017-07-28 |
| 1255792206 | Anna Elizabeth Calk | Nurse Practitioner | 877 W Faris Rd Ste B, Greenville, SC 29605-4296 | 2016-03-17 |
| 1457718918 | Elizabeth Peters | Nurse Practitioner | 877 W Faris Rd Ste B, Greenville, SC 29605-4296 | 2016-01-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205306099 | Prisma Health University Medical Group | Family Medicine | 110 Osage Drive, Greenville, SC 29605 | 2018-12-05 |
| 1306325626 | Lauren Foster Fiscus | Occupational Therapist | 1900 Augusta Street, Suite 2500, Greenville, SC 29605 | 2018-08-08 |
| 1063914372 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 1720 Augusta St, Greenville, SC 29605 | 2018-03-02 |
| 1144748385 | Johanna Ruth Henry | Speech-Language Pathologist | 1900 Augusta St., Suite 2500, Greenville, SC 29605 | 2017-09-08 |
| 1477083483 | Alexis Dean Pedigo | Speech-Language Pathologist | 1900 Augusta St, Suite 2500, Greenville, SC 29605 | 2017-06-13 |
| 1134658420 | Trace Christopher Deighan | Obstetrics & Gynecology | 890 West Faris Road, Suite 470, Greenville, SC 29605 | 2017-06-08 |
| 1023569837 | Blessed With Goodness, LLC | In Home Supportive Care | 716 E. Fairfield Road, Unit 120 (mailbox # 14), Greenville, SC 29605 | 2016-10-17 |
| 1972050953 | Suha Umina | Pharmacist | 975 W. Faris Road, Greenville, SC 29605 | 2016-09-07 |
| 1124470976 | Meredith Laine Cavagrotti | Specialist/Technologist | 700 Grove Rd, Greenville, SC 29605 | 2016-07-05 |
| 1205286895 | Med-trans Corporation | Ambulance | 552 Perimeter Rd, Greenville, SC 29605 | 2016-06-15 |
| Find all providers in zip 29605 | ||||
| Taxonomy Code | 207RC0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Clinical Cardiac Electrophysiology |
| A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285918706 | The Dayton Heart Center, Inc. | Internal Medicine | 742 Sweitzer St, Greenville, OH 45331-1099 | 2011-10-03 |
| 1073770624 | St Francis Physician Services Inc | Internal Medicine | 2 Innovation Dr Ste 400, Greenville, SC 29607-5270 | 2008-05-21 |
| 1114076395 | David W Frazier | Internal Medicine | 2340 Hemby Lane, Suite 100, Greenville, NC 27834 | 2007-01-09 |
| 1669538062 | Arrhythmia Consultants, P.a. | Internal Medicine | 712 Grove Rd, Greenville, SC 29605-4211 | 2006-12-29 |
| 1811097108 | Lawrence Tye Weston | Internal Medicine | 712 Grove Road, Greenville, SC 29605-4211 | 2006-09-25 |
| 1417351818 | Spectrum Health Primary Care Partners | Internal Medicine | 615 S Bower St, Greenville, MI 48838-2614 | 2014-10-14 |
| 1598107286 | West Michigan Heart | Internal Medicine | 1014 E Washington St, Greenville, MI 48838-2463 | 2013-07-23 |
| 1477990877 | West Michigan Heart | Internal Medicine | 615 S Bower St, Greenville, MI 48838-2614 | 2013-05-27 |
| 1093072654 | Benjamin Brindley Holmes | Internal Medicine | 877 W Faris Rd Ste B, Greenville, SC 29605-4296 | 2012-04-19 |
| 1518273374 | Aditi Naniwadekar | Internal Medicine | 115 Heart Dr, Greenville, NC 27834 | 2010-08-31 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 29605 |
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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.