CHERRYDALE MEDICAL PRACTICE PC (NPI# 1073868600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073868600 |
| Entity Type | Organization |
| Organization Name | CHERRYDALE MEDICAL PRACTICE PC |
| Other Organization Name | DOCTORS EXPRESS |
| Practice Address |
3213 N Pleasantburg Dr Ste E2 Greenville SC 29609-2900 |
| Mailing Address |
6 Spoleto Ct Greenville SC 29609-3062 |
| Practice Telephone | 8644672005 |
| Practice Fax Number | 8644672089 |
| Mailing Telephone | 8644672005 |
| Enumeration Date | 2012-07-19 |
| Last Update Date | 2012-09-04 |
| Authorized Official Name | BRAD CHILDS (PRESIDENT) |
| Authorized Official Telephone | 8649184600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Doctors Express | Doing Business As Name - Organization |
| Street Address |
3213 N PLEASANTBURG DR STE E2 |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29609-2900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326522376 | Piney Mountain Rx LLC | Pharmacy | 2498 North Pleasantburg Drive, Suite A, Greenville, SC 29609 | 2018-09-17 |
| 1417434655 | Kathryn Dorothy Muschick | Pediatrics | 900 W. Faris Dr., Greenville, SC 29609 | 2018-07-20 |
| 1942705645 | The Wright Home Care, LLC | Social Worker | 217 E Stone Ave Ste 8, Greenville, SC 29609 | 2018-03-26 |
| 1205388386 | Galina Hufstetler | Physical Therapist | 414 Summit Drive, Apt. 313, Greenville, SC 29609 | 2016-10-25 |
| 1811303225 | Cal Jones LLC | Pharmacy | 961 Montebello Dr, Suite 2, Greenville, SC 29609 | 2014-07-07 |
| 1982954319 | John C Shaughnessy | Pharmacist | 1141 State Park Road, Greenville, SC 29609 | 2012-09-13 |
| 1770842726 | Neil S Sondov | Counselor | 1100 Rutherford Road, Greenville, SC 29609 | 2012-05-11 |
| 1790044915 | Crystal Ervin | Counselor | 1 Chick Springs Rd Ste 210a, Greenville, SC 29609 | 2012-05-08 |
| 1881992840 | Cherrydale Dental Associates, LLC | Dentist | 105 State Park Rd, Greenville, SC 29609 | 2011-03-01 |
| 1649584483 | Paul E Waters | Pharmacist | 1 East Stone Ave, Greenville, SC 29609 | 2010-08-04 |
| Find all providers in zip 29609 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689113763 | Bon Secours Ambulatory Services-st Francis LLC | Clinic/Center | 1800 Augusta St Ste B, Greenville, SC 29605-2928 | 2017-02-22 |
| 1124495643 | Bon Secours Ambulatory Services - St. Francis, LLC | Clinic/Center | 1467 Woodruff Rd Ste C, Greenville, SC 29607-6505 | 2015-09-01 |
| 1780051425 | Bon Secours Ambulatory Services - St. Francis, LLC | Clinic/Center | 3213 N Pleasantburg Dr Ste E2, Greenville, SC 29609-2900 | 2015-08-28 |
| 1760472260 | Exigent, Inc | Clinic/Center | 2310 Wade Hampton Blvd, Greenville, SC 29615-1043 | 2005-10-26 |
| 1548828957 | Bon Secours Ambulatory Services - St. Francis, LLC | Clinic/Center | 2709 Pelham Rd Ste B, Greenville, SC 29615-4083 | 2019-05-31 |
| 1821593567 | Hunt Regional Medical Partners | Clinic/Center | 3206 Interstate 30, Suite B, Greenville, TX 75402 | 2018-03-26 |
| 1033617931 | Hunt Regional Urgent Care | Clinic/Center | 3206 Interstate 30, Suite B, Greenville, TX 75402 | 2018-01-25 |
| 1184135386 | Bon Secours Ambulatory Services-st Francis LLC | Clinic/Center | 2310 Wade Hampton Blvd, Greenville, SC 29615-1043 | 2017-10-16 |
| 1255389995 | Physicians East, Pa, Urgent Care Center | Clinic/Center | 1711 E Arlington Blvd, Greenville, NC 27858-5872 | 2006-05-05 |
| 1801887625 | Exigent, Inc. | Clinic/Center | 2310 Wade Hampton Blvd, Greenville, SC 29615-1043 | 2005-11-01 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 29609 |
Please comment or provide details below to improve the information on CHERRYDALE MEDICAL PRACTICE PC.
| 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.