DONNIELLE GREEN (NPI# 1073620530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073620530 |
| Entity Type | Individual |
| Full Name | DONNIELLE GREEN |
| Credential | DO |
| Practice Address |
1 Medical Park Dr Building 4 Suite A Chester SC 29706-9769 |
| Practice Telephone | 8035812001 |
| Practice Fax Number | 8035810827 |
| Mailing Telephone | 8035812001 |
| Mailing Fax Number | 8035810827 |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 894 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 008949 | 05 |
| Street Address |
1 MEDICAL PARK DR BUILDING 4 SUITE A |
| City | CHESTER |
| State | SC |
| Zip Code | 29706-9769 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558353532 | David Emerson Cowan | Urology | 1 Medical Park Dr, Medical Bldg #3, Chester, SC 29706-9769 | 2005-08-17 |
| 1760028476 | Karen Carole Parker Williams | Physical Therapist | 1 Medical Park Dr, Chester, SC 29706-9769 | 2019-11-18 |
| 1316410822 | Medical University Hospital Authority | Skilled Nursing Facility | 1 Medical Park Dr, Chester, SC 29706-9769 | 2019-01-07 |
| 1437622933 | Medical University Hospital Authority | General Acute Care Hospital | 1 Medical Park Dr, Chester, SC 29706-9769 | 2019-01-07 |
| 1962993683 | Wendy Aragon Hall | Specialist/Technologist, Other | 1 Medical Park Dr, Chester, SC 29706-9769 | 2018-05-29 |
| 1316479314 | James Holler IIi | Physician Assistant | 1 Medical Park Dr, Chester, SC 29706-9769 | 2017-03-29 |
| 1710424239 | Erin Corl | Speech-Language Pathologist | 1 Medical Park Dr, Chester, SC 29706-9769 | 2017-01-22 |
| 1346795614 | Kaitlin Ford | Speech-Language Pathologist | 1 Medical Park Dr, Chester, SC 29706-9769 | 2016-08-16 |
| 1669844361 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 1 Medical Park Dr, Bldg 3 Ste B, Chester, SC 29706-9769 | 2015-10-21 |
| 1891166831 | Miranda Prisland | Dietitian, Registered | 1 Medical Park Dr, Chester, SC 29706-9769 | 2015-10-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831719889 | Jump Start Bridging Gaps LLC | Counselor | 512 Columbia St, Chester, SC 29706 | 2020-04-20 |
| 1992215560 | Community Medicine Foundation Inc | Clinic/Center | 524 Doctors Court, Catawba Community Mental Health Center, Chester, SC 29706 | 2017-10-09 |
| 1598285314 | National Scholars Academy | Community/Behavioral Health | 2183 Dawson Drive, Chester, SC 29706 | 2017-06-22 |
| 1265899371 | Resourceful Health Care | Counselor | 1645 J A Cochrane By Pass, Chester, SC 29706 | 2016-01-20 |
| 1871829861 | Goldencare, Inc | Clinic/Center | 1197 Armory Road, Chester, SC 29706 | 2009-10-26 |
| 1922158583 | Bhm of Chester LLC | Assisted Living Facility | 570 Center Street, Chester, SC 29706 | 2007-01-12 |
| 1588777395 | Chester Hma Physician Management | Family Medicine | 517 Doctors Court, Chester, SC 29706 | 2006-08-16 |
| 1710942784 | Phillip Brian Jacobs | Optometrist | 136 Church Street, Chester, SC 29706 | 2006-04-20 |
| 1528063450 | Laudan A. Adkinson | Dentist | 726 Wilson St, Chester, SC 29706 | 2005-06-16 |
| 1679814388 | Kristin Marie Gibson | Counselor | 130 Hudson St, Chester, SC 29706 | 2013-03-05 |
| Find all providers in zip 29706 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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. |
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|---|---|---|---|---|
| 1659844884 | Prime Md, PC | Internal Medicine | 115 Route 206, Chester, NJ 07930 | 2019-01-10 |
| 1356845499 | Sonia Gaur | Internal Medicine | 1 Medical Center Blvd Fl 3, Chester, PA 19013 | 2018-03-22 |
| 1407359532 | Queen Anne's Medical Center, LLC | Internal Medicine | 2108 Rear Didonato Drive, Chester, MD 21619 | 2018-03-15 |
| 1306374137 | Rahul Patel | Internal Medicine | 1 Medical Center Blvd Dept Of, Chester, PA 19013-3902 | 2017-05-24 |
| 1306246640 | Oliver Winter | Internal Medicine | 61 Winthrop Rd, Chester, CT 06412-1036 | 2014-08-22 |
| 1154553568 | Joseph James Cillo | Internal Medicine | 26 Furnace Rd, Chester, NJ 07930-2080 | 2009-08-18 |
| 1205066123 | Nathan Spiegel | Internal Medicine | 32 Cooper Lane, Chester, NJ 07930 | 2009-07-27 |
| 1912115122 | Brian Michael Timura | Internal Medicine | 172 Green Mountain Tpke, Chester, VT 05143-8863 | 2007-05-19 |
| 1932245933 | Carl Lynn Pierce Jr. | Internal Medicine | 500 W 9th St, Chester, PA 19013-4038 | 2007-01-29 |
| 1952465239 | Christopher F Hannum | Internal Medicine | 920 Yarnall St, Chester, PA 19013-2652 | 2006-12-20 |
| Find all providers in CHESTER | ||||
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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.