DR. KEVIN SHULTZ (NPI# 1083900724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083900724 |
Entity Type | Individual |
Full Name | DR. KEVIN SHULTZ |
Credential | M.D. |
Practice Address |
301 The Pkwy Greer SC 29650-5221 |
Practice Telephone | 6496801688 |
Practice Fax Number | 8649689248 |
Mailing Telephone | 8649680168 |
Mailing Fax Number | 8649689248 |
Enumeration Date | 2011-06-21 |
Last Update Date | 2019-02-01 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
52489 | SC | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
2401 S 31st St, Temple, TX 765080001 | 2547242111 |
Street Address |
301 THE PKWY |
City | GREER |
State | SC |
Zip Code | 29650-5221 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295943322 | John Joseph Palmer | Dentist | 301 The Pkwy, Suite B, Greer, SC 29650-5221 | 2007-05-21 |
1912397621 | Christina Fleshman Hamby | Nurse Practitioner | 301 The Pkwy, Greer, SC 29650-5221 | 2015-02-02 |
1578902631 | Hatfield Family & Cosmetic Dentistry | Dentist | 301 The Pkwy, Greer, SC 29650-5221 | 2013-06-21 |
1669767463 | Johnna Leeann Hatfield | Dentist | 301 The Pkwy, Suite B, Greer, SC 29650-5221 | 2011-06-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154946424 | Paul Wong | Family Medicine | 109 Physicians Drive Suite A, Greer, SC 29650 | 2020-06-12 |
1992273684 | Christopher Michael Campbell | Pharmacist | 845b S Buncombe Rd, Greer, SC 29650 | 2018-11-12 |
1376035618 | Jessica Miller | Dentist | 1494 W Wade Hampton Blvd Ste D, Greer, SC 29650 | 2018-06-02 |
1992212872 | Greenville Health Corporation | Pharmacy | 845 S Buncombe Rd Ste D, Greer, SC 29650 | 2018-01-02 |
1114432077 | Spartanburg Medical Center | Orthopaedic Surgery | 2755 S Highway 14 Ste 1200m, Greer, SC 29650 | 2017-12-13 |
1437679750 | Sanders Healthcare LLC | Home Health | 110 W. Church St., Suite A, Greer, SC 29650 | 2017-06-27 |
1306291117 | James Elliott Crouch | Occupational Therapy Assistant | 1305 Boilings Springs Rd., Greer, SC 29650 | 2016-04-29 |
1033593389 | Premier Medical Transport Service | Non-emergency Medical Transport (VAN) | 120 Glenaire Dr, Greer, SC 29650 | 2015-07-16 |
1104176429 | Suchi Chomal | Pharmacist | 6 Colby Ct, Greer, SC 29650 | 2012-09-13 |
1447500822 | John Varner | Pharmacist | 821 S. Batesville Road, Greer, SC 29650 | 2012-09-13 |
Find all providers in zip 29650 |
Taxonomy Code | 2086S0122X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Plastic and Reconstructive Surgery |
A surgeon who specializes in plastic and reconstructive surgery. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164536074 | Spartanburg Regional Med Ctr | Surgery | 2755 S Highway 14, Suite 1200l, Greer, SC 29650-4902 | 2006-08-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831796150 | Lexington Health Inc | Surgery | 2728 Sunset Blvd Ste 105, West Columbia, SC 29169-4839 | 2020-10-09 |
1407472251 | Paulina Bao Tran Le | Surgery | Prisma Health Medical Group Plastic Surgery, 2 Medical Park, Ste 302, Columbia, SC 29203 | 2020-06-17 |
1366788580 | John Jacob Keyser | Surgery | 4094 Spring Is, Okatie, SC 29909-4053 | 2012-12-15 |
1780971135 | Paul Diegidio | Surgery | 1721 Ebenezer Rd Ste 115, Rock Hill, SC 29732-1119 | 2011-07-06 |
1184757288 | Ted R Vaughn | Surgery | 305a W Alexander Ave, Greenwood, SC 29646-4009 | 2007-03-14 |
1568535847 | Griffin Plastic Surgery PC | Surgery | 513 S Dargan St, Florence, SC 29506-2549 | 2006-11-16 |
1881786820 | Kimberley B Goh | Surgery | 4610 Oleander Drive, 101, Myrtle Beach, SC 29577 | 2006-09-28 |
1780797449 | Marcelo L. Hochman | Surgery | 2097 Henry Techlenburg Dr, Suite 212 West, Charleston, SC 29416-5739 | 2006-08-16 |
1750304333 | Patrick O'neill | Surgery | 245 Seven Farms Dr, Suite 210, Daniel Island, SC 29492-8500 | 2006-07-25 |
1659325371 | Steven K White | Surgery | 1275 21st Ave N, Myrtle Beach, SC 29577-7429 | 2006-05-19 |
Find all providers with the same taxonomy |
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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.