MATTHEW JOHN NAEGEL


Address: 111 Doctors Dr, Greenville, SC 29605-5622
Phone: 8647977150

MATTHEW JOHN NAEGEL (NPI# 1053745190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053745190
Entity Type Individual
Full Name MATTHEW JOHN NAEGEL
Credential PA-C
Practice Address 111 Doctors Dr
Greenville
SC 29605-5622
Mailing Address 1 Independence Pt
Ste 212
Greenville
SC 29615-4545
Practice Telephone 8647977150
Practice Fax Number 8647977155
Mailing Telephone 8647976306
Enumeration Date 2013-08-26
Last Update Date 2015-08-21
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 1974 SC Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
SC 1877PA 05

Office Location

Street Address 111 DOCTORS DR
City GREENVILLE
State SC
Zip Code 29605-5622

Providers in the same location

NPI Name Taxonomy Address Enumeration
1962407171 Alfred Turner Nelson Jr. Neurological Surgery 111 Doctors Dr, Greenville, SC 29605-5622 2005-06-15
1174166169 Graceanna Baker Nurse Practitioner 111 Doctors Dr, Greenville, SC 29605-5622 2019-10-22
1225595275 Kelsey Marie Andersson Physical Therapist 111 Doctors Dr, Greenville, SC 29605-5622 2019-02-26
1538675756 Amanda Marie Looper Physician Assistant 111 Doctors Dr, Greenville, SC 29605-5622 2017-12-26
1902276801 Shonda Michelle Thrift Physician Assistant 111 Doctors Dr, Greenville, SC 29605-5622 2015-10-05
1912375247 Briana Kyleen Isakson Physical Therapist 111 Doctors Dr, Greenville, SC 29605-5622 2015-09-03
1801220900 Joseph B Dowsley Physical Therapist 111 Doctors Dr, Greenville, SC 29605-5622 2013-08-26
1639510704 Stanley Wayne Darnell Nurse Practitioner 111 Doctors Dr, Greenville, SC 29605-5622 2013-07-17
1598100349 Anand Venkatraman Psychiatry & Neurology 111 Doctors Dr, Greenville, SC 29605-5622 2013-05-07
1710273834 David Milford Louis Hall Anesthesiology 111 Doctors Dr, Greenville, SC 29605-5622 2011-06-27
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053924977 Caitlyn N Jetter Physician Assistant 7238 N State Route 49, Greenville, OH 45331-8302 2020-08-29
1720618291 Kaitlin Stover Physician Assistant 3444 Briarcliff Dr Apt K, Greenville, NC 27834-5419 2020-01-23
1962044321 Tyler Robert Tefft Physician Assistant 25 Draper St Apt 129, Greenville, SC 29611-4786 2019-10-17
1780157842 Briana Welch Denton Physician Assistant 2101 W Arlington Blvd # 100, Greenville, NC 27834-5758 2019-01-10
1548732027 Jennifer Pedersen Physician Assistant 14314 Canter Trl, Greenville, SC 29609-0964 2018-12-21
1972089092 Sarah Eileen Mann Physician Assistant 315 Greenville Blvd Se Ste 100, Greenville, NC 27858-5733 2018-07-11
1134588478 Sarah Roeser Physician Assistant 2090 W Arlington Blvd Ste B, Greenville, NC 27834-5727 2016-02-15
1992177760 Robert Chapman Physician Assistant 126 Milestone Way, Greenville, SC 29615-5065 2015-10-20
1497137756 Alexandra Brooks Physician Assistant 2706 Aileen St Ste B, Greenville, TX 75402-6486 2015-06-23
1558776633 David Jonathan Cutter Physician Assistant 1202 W Oak St Ste 200, Greenville, MI 48838-2155 2014-06-26
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Competitor

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City GREENVILLE
Zip Code 29605

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Dataset Information

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.

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