OAKTREE MEDICAL CENTRE, PC (NPI# 1154308617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154308617 |
| Entity Type | Organization |
| Organization Name | OAKTREE MEDICAL CENTRE, PC |
| Practice Address |
115 Brushy Creek Rd Easley SC 29642-1120 |
| Mailing Address |
Po Box 484 Easley SC 29641-0484 |
| Practice Telephone | 8648551633 |
| Practice Fax Number | 8648551323 |
| Mailing Telephone | 8648551633 |
| Mailing Fax Number | 8648551323 |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2009-12-29 |
| Authorized Official Name | DR. DANIEL A. MCCOLLUM (PRESIDENT) |
| Authorized Official Telephone | 8648551633 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP2763 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104157718 | Oaktree Medical Centre, PC | Clinic/Center | 108 Montgomery Drive, Anderson, SC 29621-3334 | 2010-01-21 |
| 1700069325 | Oaktree Medical Centre, PC | Clinic/Center | 205 Central Park Ln, Suite 7a, Seneca, SC 29678 | 2007-12-06 |
| 1487794319 | Oaktree Medical Centre, PC | Psychiatry & Neurology | 138 Milestone Way, Suite A, Greenville, SC 29615-6617 | 2007-02-08 |
| 1235116708 | Oaktree Medical Centre, PC | Clinic/Center | 1 Caledon Ct, Ste. B, Greenville, SC 29615-3192 | 2005-12-27 |
| 1548247018 | Oaktree Medical Centre, PC | Chiropractor | 3505 Pelham Rd, Greenville, SC 29615-4114 | 2005-12-27 |
| 1922085489 | Oaktree Medical Centre, PC | Clinic/Center | 501b Memorial Drive Ext, Greer, SC 29651-1123 | 2005-12-27 |
| 1083814438 | Oaktree Medical Centre, PC | Clinic/Center | 1005 Grove Rd, Greenville, SC 29605-4630 | 2007-07-24 |
| 1134106693 | Oaktree Medical Centre, PC | Clinic/Center | 200 Patewood Dr, Suite A 350, Greenville, SC 29615-3593 | 2005-12-27 |
| Street Address |
115 BRUSHY CREEK RD |
| City | EASLEY |
| State | SC |
| Zip Code | 29642-1120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992793780 | Mark James Wasylenko | Specialist | 115 Brushy Creek Rd, Easley, SC 29642-1120 | 2005-10-06 |
| 1700404019 | Katherine Joy Hendricks | Nurse Practitioner | 115 Brushy Creek Rd, Easley, SC 29642-1120 | 2020-07-13 |
| 1467091306 | Carolina Spine and Pain Centers, LLC | Clinic/Center | 115 Brushy Creek Rd, Easley, SC 29642-1120 | 2019-12-23 |
| 1821637760 | Csp Enterprises LLC | Anesthesiology | 115 Brushy Creek Rd, Easley, SC 29642-1120 | 2019-12-23 |
| 1205387883 | Melody Young Deangelis | Nurse Practitioner | 115 Brushy Creek Rd, Easley, SC 29642-1120 | 2016-10-19 |
| 1588047732 | Joseph A Pilgrim | Physical Therapist | 115 Brushy Creek Rd, Suite A, Easley, SC 29642-1120 | 2015-07-07 |
| 1538573431 | Jessica Gravely Bell | Nurse Practitioner | 115 Brushy Creek Rd, Easley, SC 29642-1120 | 2014-06-18 |
| 1215348644 | Exigo Pharmaceuticals, LLC | Pharmacy | 115 Brushy Creek Rd, Easley, SC 29642-1120 | 2014-05-20 |
| 1811318512 | Oaktree Medical Centre | Physical Medicine & Rehabilitation | 115 Brushy Creek Rd, Easley, SC 29642-1120 | 2013-12-23 |
| 1386925758 | Jonathan David Haas | Physical Therapist | 115 Brushy Creek Rd, Advanced Physical Therapy, Easley, SC 29642-1120 | 2011-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093316911 | Marlesia Hall | Licensed Practical Nurse | 106 Teal Dr, Easley, SC 29642 | 2020-11-06 |
| 1437648904 | Onsite Healthcare and Wellness LLC | Nurse Practitioner | 217 Sheffield Ct, Easley, SC 29642 | 2018-05-09 |
| 1477073476 | Aubre True | Specialist/Technologist | 124 Century Oaks Dr, Easley, SC 29642 | 2017-06-21 |
| 1912439944 | First Physical Therapy, LLC | Clinic/Center | 3613 Sc 153, Suite 200, Powdersville, SC 29642 | 2017-03-29 |
| 1801146485 | Sara Michele Calvert | Pharmacist | 1063 South Pendleton Street, Easley, SC 29642 | 2012-09-11 |
| 1023365251 | Heather Lilley | Pharmacist | 5251 Calhoun Memorial Hwy, Easley, SC 29642 | 2012-08-07 |
| 1942590088 | Mallorie Bryan Costner | Speech-Language Pathologist | 507 Huntington Road, Easley, SC 29642 | 2011-04-11 |
| 1225352339 | Jon Lawrence Rhoden | Pharmacist | 320 Watson Road, Easley, SC 29642 | 2010-03-18 |
| 1386865350 | Gordon David Dannelly | Dentist | 701 Brushy Creek Road, Easley, SC 29642 | 2007-05-01 |
| 1538280755 | Michelle Leigh Tucker | Obstetrics & Gynecology | 1351 Crestview Road, Easley, SC 29642 | 2007-04-03 |
| Find all providers in zip 29642 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932716867 | Living Well Chiropractic | Clinic/Center | 3786 Farrs Bridge Rd Ste E, Easley, SC 29640-9345 | 2020-09-24 |
| 1356836753 | Dr Jack Chiropractor Inc | Clinic/Center | 6335c Calhoun Memorial Hwy Ste C, Easley, SC 29640-3784 | 2018-06-27 |
| 1538593017 | Baptist Easley Hospital | Clinic/Center | 200 Fleet Wood Dr 3 Rd Floor, Easley, SC 29640 | 2013-09-03 |
| 1407257280 | Samaritan Health Clinic of Pickens County | Clinic/Center | 303 Dacusville Hwy, Easley, SC 29640-1510 | 2014-09-11 |
| 1962644179 | Community Chiropractic | Clinic/Center | 1097 S Pendleton St, Easley, SC 29642-1050 | 2009-04-02 |
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|---|---|---|---|---|
| 1962001321 | Future Gems Greenville Entrepreneur Mentorship | Clinic/Center | 133 Arnold Mill Rd, Simpsonville, SC 29680-7293 | 2020-10-17 |
| 1649802497 | Regenerative Health 360 LLC | Clinic/Center | 429 Roper Mountain Rd Ste 150, Greenville, SC 29615-4265 | 2020-02-10 |
| 1912537119 | Fairfield Medical Associates, Pa | Clinic/Center | 428 Mcnulty St Ste 3, Blythewood, SC 29016-8786 | 2020-01-16 |
| 1861037574 | Senior Centers of Cherokee County | Clinic/Center | 499 W Rutledge Ave, Gaffney, SC 29341-1639 | 2019-11-18 |
| 1093366056 | Simply Me Infusion Center LLC | Clinic/Center | 1601 N Oak St Ste 307, Myrtle Beach, SC 29577-3579 | 2019-09-21 |
| 1023677945 | Healogics Specialty Physicians of South Carolina, LLC | Clinic/Center | 1630 Skylyn Drive, Suite 420, Spartanburg, SC 29307 | 2019-06-13 |
| 1285290270 | Caresouth Carolina, Inc. | Clinic/Center | 810 Brown St Ste 1, Bishopville, SC 29010-1176 | 2019-05-15 |
| 1750865622 | Merge Medical Analytics | Clinic/Center | 180 Wingo Way Ste 106, Mount Pleasant, SC 29464-1810 | 2018-09-18 |
| 1245718444 | Rapha Wells Primary Health Care | Clinic/Center | 1013 Kincaid Bridge Rd, Winnsboro, SC 29180-7113 | 2018-07-31 |
| 1316424393 | Mobile Medical PC | Clinic/Center | 1991 Glenns Bay Rd Ste 102b, Myrtle Beach, SC 29575 | 2018-07-23 |
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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.