PRISMA HEALTH-UPSTATE


Address: 1210 W Faris Rd, Greenville, SC 29605-4444
Phone: 8642954410

PRISMA HEALTH-UPSTATE (NPI# 1235685330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235685330
Entity Type Organization
Organization Name PRISMA HEALTH-UPSTATE
Other Organization Name PRISMA HEALTH OP RADIOLOGY
Practice Address 1210 W Faris Rd
Greenville
SC 29605-4444
Mailing Address 1 Independence Pt
Suite 212
Greenville
SC 29615-4536
Practice Telephone 8642954410
Enumeration Date 2016-08-29
Last Update Date 2020-04-10
Authorized Official Name POLLY H. MILLER (VP PAYOR STRATEGIES & ALIGNMENT)
Authorized Official Telephone 8645222286
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0200X Clinic/Center
Specialization: Radiology
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
GHS OP Radiology Doing Business As Name - Organization
Prisma Health OP Radiology Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1396207221 Prisma Health-upstate Anesthesiology 905 Verdae Blvd Ste 102, Greenville, SC 29607-4029 2019-04-01
1760963243 Prisma Health-upstate General Acute Care Hospital 112 John St Ste 104, Easley, SC 29640-1405 2018-08-23
1578044053 Prisma Health-upstate General Acute Care Hospital 11402 Anderson Rd Ste B, Greenville, SC 29611-7560 2018-08-23
1790264497 Prisma Health-upstate General Acute Care Hospital 11404 Anderson Rd, Greenville, SC 29611 2018-08-13
1982159877 Prisma Health-upstate Clinic/Center 741 Se Main St, Simpsonville, SC 29681-3237 2016-08-20
1205459443 Prisma Health-upstate Clinic/Center 807 N Main St, Travelers Rest, SC 29690-1551 2020-05-22
1174161806 Prisma Health-upstate Clinic/Center 11082 N Radio Station Rd, Seneca, SC 29678-1142 2019-12-12
1700424439 Prisma Health-upstate Clinic/Center 12016 N Radio Station Rd, Seneca, SC 29678-1143 2019-12-12
1043857998 Prisma Health-upstate Clinic/Center 103 Whitetail Dr, Walhalla, SC 29691-5837 2019-12-10
1932746815 Prisma Health-upstate Clinic/Center 10110 Clemson Blvd, Seneca, SC 29678-0812 2019-12-10

Other Data Sources

Entity Type Entity Name Entity Address
Colorado Business Entities Prisma Health-Upstate 300 E Mcbee Ave Suite 500, Greenville, SC 29601

Office Location

Street Address 1210 W FARIS RD
City GREENVILLE
State SC
Zip Code 29605-4444

Providers in the same location

NPI Name Taxonomy Address Enumeration
1508865510 Blake Christopher Poleynard Radiology 1210 W Faris Rd, Greenville, SC 29605-4444 2005-07-20
1821584228 Gregory Randal Bryant Radiology 1210 W Faris Rd, Greenville, SC 29605-4444 2018-07-09
1962816058 Michael Knipfing Family Medicine 1210 W Faris Rd, Greenville, SC 29605-4444 2014-06-17
1356755573 Samuel Douglas Volin Radiology 1210 W Faris Rd, Greenville, SC 29605-4444 2014-06-16
1891105896 Sanjay Hasmukhlal Mahatma Radiology 1210 W Faris Rd, Greenville, SC 29605-4444 2014-04-30
1750729273 Gregory Scott Matthews Radiology 1210 W Faris Rd, Greenville, SC 29605-4444 2013-06-06
1790028868 Richard Christopher Leach Radiology 1210 W Faris Rd, Greenville, SC 29605-4444 2013-03-27
1689920464 Pavani Thotakura Shah Internal Medicine 1210 W Faris Rd, Greenville, SC 29605 2012-07-30
1750642096 Todd Michael Danziger Radiology 1210 W Faris Rd, Greenville, SC 29605 2012-06-04
1245596014 James Allen West Radiology 1210 W Faris Rd, Greenville, SC 29605 2012-04-06
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QR0200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Radiology

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1568981843 Medical Imaging Express Clinic/Center 361 Woodruff Rd, Greenville, SC 29607-3415 2017-09-18
1750311767 Greenville Physcians Imaging Center Clinic/Center 103 S Venture Dr, Greenville, SC 29615-3571 2006-07-04
1720471618 Emergency Physician Services Clinic/Center 2498 N Pleasantburg Dr, Greenville, SC 29609-2730 2015-03-17
1174795850 Michigan Medical Patient Care Clinic/Center 1202 W Oak St, Greenville, MI 48838-2155 2008-04-02
1023057502 Greenville Hospital System Clinic/Center 200 Patewood Dr, Suite A16, Greenville, SC 29615-3593 2006-06-06
1053315093 Carolina Radiation Medicine, Pa Clinic/Center 801 W H Smith Blvd, Greenville, NC 27834-3764 2005-06-08

Providers in the same taxonomy and state

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1083275366 Tidelands and Medquest Joint Venture, LLC Clinic/Center 900 21st Ave N, Myrtle Beach, SC 29577-7483 2019-06-26
1124370713 Jacquette Caldwell Md Pa Clinic/Center 28 Wildeoak Ct, Columbia, SC 29223-3292 2012-10-08
1912215427 Southside Imaging Center LLC Clinic/Center 430 Society Hill Drive, Aiken, SC 29803 2010-09-17
1760799241 United Rehab Inc Clinic/Center 213 Tanglewood Ct, Ridgeway, SC 29130-7100 2010-09-07
1225291206 Manning Diagnostics LLC Clinic/Center 202 E Hospital St, Manning, SC 29102-3160 2008-07-09
1013170109 Imaging Center At Baxter Village, L.L.C. Clinic/Center 509 6th Baxter Crossing, Fort Mill, SC 29708 2008-07-08
1073772737 Orangeburg Cardiac Imaging Center Clinic/Center 1892 Saint Matthews Rd, Orangeburg, SC 29118-2404 2008-06-06
1861671711 Southern Mri Clinic/Center 49 Pennington Dr Ste B, Bluffton, SC 29910-9014 2007-10-29
1679699144 Inmed Diagnostics Services of Sc LLC Clinic/Center 1704 E Main St, Duncan, SC 29334-9708 2007-03-22
1821114315 Inmed Diagnostics Services of Sc LLC Clinic/Center 1120 W Evans St, Florence, SC 29501-3320 2007-03-22
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Competitor

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City GREENVILLE
Zip Code 29605

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Dataset Information

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.

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