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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
GHS OP Radiology | Doing Business As Name - Organization |
Prisma Health OP Radiology | Doing Business As Name - Organization |
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 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Colorado Business Entities | Prisma Health-Upstate | 300 E Mcbee Ave Suite 500, Greenville, SC 29601 |
Street Address |
1210 W FARIS RD |
City | GREENVILLE |
State | SC |
Zip Code | 29605-4444 |
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 |
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 | 261QR0200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Radiology |
Definition to come... |
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 |
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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 |
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.