SUSAN BAILEY WELLS (NPI# 1164672945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164672945 |
| Entity Type | Individual |
| Full Name | SUSAN BAILEY WELLS |
| Credential | PA |
| Practice Address |
65 International Dr Greenville SC 29615-4816 |
| Mailing Address |
1 Independence Pt Ste 212 Greenville SC 29615-4536 |
| Practice Telephone | 8649877000 |
| Practice Fax Number | 8646727852 |
| Mailing Telephone | 8647976044 |
| Enumeration Date | 2008-09-29 |
| Last Update Date | 2017-03-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1336 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | APPROVED | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366817363 | Susan Wells | Occupational Therapy Assistant | 4041 S Prairie Zinnia Dr, Gold Canyon, AZ 85118-5933 | 2015-12-02 |
| 1841363744 | Susan Wells | Nurse Practitioner | 1723 Sw Martha St, Portland, OR 97239-2715 | 2006-11-16 |
| 1972690824 | Susan Dennis Wells | Dentist | 309 Louisa St, Warrior, AL 35180-1448 | 2006-10-10 |
| 1346726742 | Susan E Wells | Case Manager/Care Coordinator | 805 Tijeras Ave Nw, Albuquerque, NM 87102-3099 | 2018-07-18 |
| 1376900928 | Susan Marie Wells | Community Health Worker | 55 E 18th St, Antioch, CA 94509-2450 | 2016-01-26 |
| 1770969172 | Susan Wells | Speech-Language Pathologist | 1556 W Prince Rd, Tucson, AZ 85705-3024 | 2015-08-07 |
| 1407233356 | Susan C Wells | Speech-Language Pathologist | 1550 Killingsworth Way, The Villages, FL 32162-2175 | 2015-04-29 |
| 1356619043 | Susan Kay Wells | Occupational Therapist | 50 Irving St Nw, Washington, DC 20422-0001 | 2011-12-08 |
| 1548419161 | Susan J Wells | Physical Therapist | 601 N 1st St, Stayton, OR 97383-1704 | 2008-09-18 |
| 1891854436 | Susan W. Wells | Registered Nurse | 301 Palmetto Park Blvd, Lexington, SC 29072-7872 | 2006-12-08 |
| Street Address |
65 INTERNATIONAL DR |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29615-4816 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407851793 | Kim Ong Gococo | Internal Medicine | 65 International Dr, Greenville, SC 29615-4816 | 2005-06-15 |
| 1811402399 | Savannah Stroud Hightower | Nurse Practitioner | 65 International Dr, Greenville, SC 29615-4816 | 2017-12-06 |
| 1851833974 | Jennifer Ramsey Garren | Nurse Practitioner | 65 International Dr, Greenville, SC 29615-4816 | 2016-11-07 |
| 1679029771 | Prisma Health-upstate | General Acute Care Hospital | 65 International Dr, Greenville, SC 29615-4816 | 2016-08-29 |
| 1093127318 | Priscilla Faye Massey | Nurse Practitioner | 65 International Dr, Greenville, SC 29615-4816 | 2014-05-21 |
| 1982023131 | Greenville Health System | General Acute Care Hospital | 65 International Dr, Greenville, SC 29615-4816 | 2014-04-15 |
| 1568664480 | Suzanne Reim Fanning | Internal Medicine | 65 International Dr, Greenville, SC 29615-4816 | 2007-06-04 |
| 1679593966 | Britt Haley Bolemon | Internal Medicine | 65 International Dr, Greenville, SC 29615-4816 | 2006-07-20 |
| 1134125818 | Saeeda Zaman Chowdhury | Internal Medicine | 65 International Dr, Greenville, SC 29615-4816 | 2005-06-27 |
| 1164428397 | Lisa Cunningham Smith | Nurse Practitioner | 65 International Dr, Greenville, SC 29615-4816 | 2005-06-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194358051 | Adenike Orogade | Behavior Technician | 17 Caldedon Ct, Suite B, Greenville, SC 29615 | 2020-02-19 |
| 1629608369 | Jennifer Jacobsen | Behavior Technician | 17 Caldedon Court, Suite B, Greenville, SC 29615 | 2020-01-22 |
| 1932668217 | Carolina Orthopaedic and Neurosurgical Associates | Orthopaedic Surgery | Carolina Orthopaedic and Neurosurgical Associates, 220 Roper Mountain Road Extension, Greenville, SC 29615 | 2019-03-18 |
| 1255816070 | Trevis L Cureton | Pharmacist | 2401 East North St, Greenville, SC 29615 | 2018-09-27 |
| 1497232565 | Jacob J Fountain | Nurse Practitioner | 225 Enterprise Blvd, Suite 101, Greenville, SC 29615 | 2018-07-23 |
| 1346726924 | St. Francis Physician Services, Inc | Internal Medicine | 5 Hoke Smith Blvd, Greenville, SC 29615 | 2018-07-17 |
| 1558853101 | Alexandra Michelle Taylor | Audiologist | 200 Patewood Dr Ste 400, Greenville, SC 29615 | 2018-05-30 |
| 1316466543 | Mariah Hope Mosher | Behavioral Analyst | 7 Mckenna Commons Court, Greenvilee, SC 29615 | 2017-09-19 |
| 1326400896 | Karen L Heaps | Counselor | 3150 S. Hwy 14, The Pelham Center, Greenville, SC 29615 | 2016-03-24 |
| 1134589013 | Sharon Erk | Technician, Other | 2950 E.norths St, Greenville, OH 29615 | 2016-03-04 |
| Find all providers in zip 29615 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| 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. |
| 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 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 29615 |
Please comment or provide details below to improve the information on SUSAN BAILEY WELLS.
| 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.