DEPT OF VETERANS AFFAIRS (NPI# 1174614531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174614531 |
Entity Type | Organization |
Organization Name | DEPT OF VETERANS AFFAIRS |
Other Organization Name | GOPC |
Practice Address |
3510 Augusta Rd Greenville SC 29605-1302 |
Practice Telephone | 8642991600 |
Practice Fax Number | 8644222604 |
Mailing Telephone | 8642991600 |
Mailing Fax Number | 8644222604 |
Enumeration Date | 2006-09-28 |
Last Update Date | 2008-06-26 |
Authorized Official Name | DR. MOHAMMAD AIYUB KHAN (STAFF PHYSICIAN) |
Authorized Official Telephone | 8642991600 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QV0200X |
Clinic/Center Specialization: VA |
4776 | VT | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
GOPC | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639515679 | Dept of Veterans Affairs | Clinic/Center | 459 Patterson Rd, Honolulu, HI 96819-1522 | 2013-05-17 |
1427394667 | Dept of Veterans Affairs | General Acute Care Hospital | 8810 Rio San Diego Dr Ste 2200, San Diego, CA 92108-1698 | 2012-12-17 |
1457637829 | Dept of Veterans Affairs | Military Hospital | 1201 Broad Rock Blvd, 2l147, Richmond, VA 23249-0001 | 2011-10-28 |
1285881862 | Dept of Veterans Affairs | General Acute Care Hospital | 25 N Spruce St, Colorado Springs, CO 80905-1436 | 2008-08-26 |
1871762021 | Dept of Veterans Affairs | General Acute Care Hospital | 1601 Sw Archer Rd, Gainesville, FL 32608-1135 | 2008-02-21 |
1184800740 | Dept of Veterans Affairs | General Acute Care Hospital | 1601 Sw Archer Rd, Gainesville, FL 32608-1135 | 2008-01-14 |
1104908110 | Dept of Veterans Affairs | General Acute Care Hospital | 4150 Clement St, San Francisco, CA 94121-1545 | 2006-10-19 |
1063522431 | Dept of Veterans Affairs | Military Hospital | 11301 Wilshire Blvd, Bldg 500, Los Angeles, CA 90073-1003 | 2006-08-30 |
1982669735 | Dept of Veterans Affairs | Clinic/Center | 333 E Huron St, Room 117, Chicago, IL 60611-3004 | 2006-04-17 |
Street Address |
3510 AUGUSTA RD |
City | GREENVILLE |
State | SC |
Zip Code | 29605-1302 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649290347 | Stephen Perlstein | Military Hospital | 3510 Augusta Rd, Greenville, SC 29605-1302 | 2006-07-19 |
1548548621 | Susan D Croteau | Nurse Practitioner | 3510 Augusta Rd, Greenville, SC 29605-1302 | 2011-07-24 |
1902116684 | Svetlana Starikova | Pharmacist | 3510 Augusta Rd, Greenville, SC 29605-1302 | 2010-10-15 |
1306008917 | Mohammad Khan | Internal Medicine | 3510 Augusta Rd, Greenville, SC 29605-1302 | 2008-06-26 |
1720189079 | Richard Gready Fessler | Family Medicine | 3510 Augusta Rd, Greenville, SC 29605-1302 | 2006-09-26 |
1134220114 | Gregrey A Compton | Family Medicine | 3510 Augusta Rd, Greenville, SC 29605-1302 | 2006-09-25 |
1992801013 | Donna Bond Becker | Nurse Practitioner | 3510 Augusta Rd, Greenville Va Outpatient Clinic, Greenville, SC 29605-1302 | 2006-09-16 |
1093817140 | Scott Macdonald Bernth | Dentist | 3510 Augusta Rd, Greenville, SC 29605 | 2006-09-01 |
1639280761 | John Sherwood Simmonds | Internal Medicine | 3510 Augusta Rd, Greenville, SC 29605-1302 | 2006-08-31 |
1417067018 | Elizabeth M Merrill | Pharmacist | 3510 Augusta Rd, Greenville, SC 29605-1302 | 2006-08-30 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205306099 | Prisma Health University Medical Group | Family Medicine | 110 Osage Drive, Greenville, SC 29605 | 2018-12-05 |
1306325626 | Lauren Foster Fiscus | Occupational Therapist | 1900 Augusta Street, Suite 2500, Greenville, SC 29605 | 2018-08-08 |
1063914372 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 1720 Augusta St, Greenville, SC 29605 | 2018-03-02 |
1144748385 | Johanna Ruth Henry | Speech-Language Pathologist | 1900 Augusta St., Suite 2500, Greenville, SC 29605 | 2017-09-08 |
1477083483 | Alexis Dean Pedigo | Speech-Language Pathologist | 1900 Augusta St, Suite 2500, Greenville, SC 29605 | 2017-06-13 |
1134658420 | Trace Christopher Deighan | Obstetrics & Gynecology | 890 West Faris Road, Suite 470, Greenville, SC 29605 | 2017-06-08 |
1023569837 | Blessed With Goodness, LLC | In Home Supportive Care | 716 E. Fairfield Road, Unit 120 (mailbox # 14), Greenville, SC 29605 | 2016-10-17 |
1972050953 | Suha Umina | Pharmacist | 975 W. Faris Road, Greenville, SC 29605 | 2016-09-07 |
1124470976 | Meredith Laine Cavagrotti | Specialist/Technologist | 700 Grove Rd, Greenville, SC 29605 | 2016-07-05 |
1205286895 | Med-trans Corporation | Ambulance | 552 Perimeter Rd, Greenville, SC 29605 | 2016-06-15 |
Find all providers in zip 29605 |
Taxonomy Code | 261QV0200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | VA |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043250418 | Jackson Vamc | Clinic/Center | 1502 S Colorado St, Greenville, MS 38703-7219 | 2006-06-07 |
1811942121 | Dallas Vamc | Clinic/Center | 4006 Wellington St, Greenville, TX 75401-7828 | 2006-05-24 |
1104865211 | Columbia Vamc | Clinic/Center | 41 Park Creek Dr, Greenville, SC 29605-4270 | 2006-06-05 |
1083669030 | Durham Vamc | Clinic/Center | 401 Moye Blvd, Greenville, NC 27834-2885 | 2006-05-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083099444 | Charleston Vamc | Clinic/Center | 2424 City Hall Lane, North Charleston, SC 29406-9998 | 2015-07-28 |
1306014113 | Augusta Vamc | Clinic/Center | 950 Millbrook Ave, Aiken, SC 29803-0602 | 2008-02-14 |
1972542983 | Columbia Vamc | Clinic/Center | 407 N Salem Ave, Sumter, SC 29150-4115 | 2006-06-05 |
1588617815 | Columbia Vamc | Clinic/Center | 1822 Sally Hill Farms Blvd, Florence, SC 29501-6987 | 2006-05-18 |
1215988480 | Columbia Vamc | Clinic/Center | 1702 E Greenville St, Anderson, SC 29621-2009 | 2006-05-13 |
1053786228 | Columbia Vamc | Clinic/Center | 6439 Garners Ferry Rd, Columbia, SC 29209-1638 | 2015-12-14 |
1164810297 | Charleston Vamc | Clinic/Center | 1101 Johnson Ave, Suite R-2a, Myrtle Beach, SC 29577-1893 | 2014-12-23 |
1255729398 | Charleston Vamc | Clinic/Center | 9229 University Blvd, North Charleston, SC 29406-9150 | 2014-12-23 |
1437566528 | Charleston Vamc | Clinic/Center | 9237 University Blvd, North Charleston, SC 29406-9189 | 2014-07-21 |
1861643181 | Columbia Vamc | Clinic/Center | 279 N Grove Medical Park Dr, Spartanburg, SC 29303-4222 | 2008-10-06 |
Find all providers with the same taxonomy |
City | GREENVILLE |
Zip Code | 29605 |
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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.