PRIMARYMD (NPI# 1255799961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255799961 |
| Entity Type | Organization |
| Organization Name | PRIMARYMD |
| Practice Address |
2498 N Pleasantburg Dr Suite D Greenville SC 29609-2730 |
| Mailing Address |
2498 N. Pleasantburg Dr. Suite D Greenville SC 29609 |
| Practice Telephone | 8643055000 |
| Practice Fax Number | 8648408207 |
| Mailing Telephone | 8643055000 |
| Mailing Fax Number | 8648408207 |
| Enumeration Date | 2016-02-09 |
| Last Update Date | 2016-02-09 |
| Authorized Official Name | JASON BLASENAK (MEMBER) |
| Authorized Official Telephone | 8643055000 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | Y |
| Parent Organization Name | EMERGENCYMD |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 978 | SC | Allopathic & Osteopathic Physicians |
| Street Address |
2498 N PLEASANTBURG DR SUITE D |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29609-2730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780685040 | Christian Montagano | Emergency Medicine | 2498 N Pleasantburg Dr, Greenville, SC 29609-2730 | 2005-08-09 |
| 1093322737 | Julia Nguyen Le | Physician Assistant | 2498 N Pleasantburg Dr, Greenville, SC 29609-2730 | 2020-09-27 |
| 1649884115 | Stephanie Borum | Physician Assistant | 2498 N Pleasantburg Dr, Greenville, SC 29609-2730 | 2020-09-02 |
| 1215488267 | Konig Pm, LLC | Anesthesiology | 2498 N Pleasantburg Dr, Suite E, Greenville, SC 29609-2730 | 2016-10-14 |
| 1104373166 | Emergencymd, LLC | Emergency Medicine | 2498 N Pleasantburg Dr, Greenville, SC 29609-2730 | 2016-09-07 |
| 1932652328 | Konig Pm LLC | Anesthesiology | 2498 N Pleasantburg Dr, Suite E, Greenville, SC 29609-2730 | 2016-08-02 |
| 1780067421 | David Griffin Whittington | Pharmacist | 2498 N Pleasantburg Dr, Greenville, SC 29609-2730 | 2015-06-30 |
| 1720471618 | Emergency Physician Services | Clinic/Center | 2498 N Pleasantburg Dr, Greenville, SC 29609-2730 | 2015-03-17 |
| 1659763167 | Bella Vista Dental, LLC | Dentist | 2498 N Pleasantburg Dr, Suite C, Greenville, SC 29609-2730 | 2015-02-21 |
| 1538558390 | Charleston Rx LLC | Pharmacy | 2498 N Pleasantburg Dr, Suite A, Greenville, SC 29609-2730 | 2015-01-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326522376 | Piney Mountain Rx LLC | Pharmacy | 2498 North Pleasantburg Drive, Suite A, Greenville, SC 29609 | 2018-09-17 |
| 1417434655 | Kathryn Dorothy Muschick | Pediatrics | 900 W. Faris Dr., Greenville, SC 29609 | 2018-07-20 |
| 1942705645 | The Wright Home Care, LLC | Social Worker | 217 E Stone Ave Ste 8, Greenville, SC 29609 | 2018-03-26 |
| 1205388386 | Galina Hufstetler | Physical Therapist | 414 Summit Drive, Apt. 313, Greenville, SC 29609 | 2016-10-25 |
| 1811303225 | Cal Jones LLC | Pharmacy | 961 Montebello Dr, Suite 2, Greenville, SC 29609 | 2014-07-07 |
| 1982954319 | John C Shaughnessy | Pharmacist | 1141 State Park Road, Greenville, SC 29609 | 2012-09-13 |
| 1770842726 | Neil S Sondov | Counselor | 1100 Rutherford Road, Greenville, SC 29609 | 2012-05-11 |
| 1790044915 | Crystal Ervin | Counselor | 1 Chick Springs Rd Ste 210a, Greenville, SC 29609 | 2012-05-08 |
| 1881992840 | Cherrydale Dental Associates, LLC | Dentist | 105 State Park Rd, Greenville, SC 29609 | 2011-03-01 |
| 1649584483 | Paul E Waters | Pharmacist | 1 East Stone Ave, Greenville, SC 29609 | 2010-08-04 |
| Find all providers in zip 29609 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164031373 | Rohith Reddy Guduru Venkata | Family Medicine | Delta Regional Medical Center, 1400 E Union St, Greenville, MS 38703 | 2020-07-24 |
| 1497373344 | Dhruval Patel | Family Medicine | 564 Cypress Ln Apt 11d, Greenville, MS 38701-7415 | 2020-07-08 |
| 1457983280 | Emmyget Family Medicine, Pa | Family Medicine | 3405 White Horse Rd Ste E, Greenville, SC 29611-5947 | 2020-02-10 |
| 1275184848 | Rmcca Clinic B, LLC | Family Medicine | 45 Medical Arts Ct Ste 3, Greenville, AL 36037-3872 | 2019-09-25 |
| 1558918342 | Lv Stabler Primary Care LLC | Family Medicine | 45 Medical Arts Ct Ste 2, Greenville, AL 36037-3872 | 2019-08-26 |
| 1205306099 | Prisma Health University Medical Group | Family Medicine | 110 Osage Drive, Greenville, SC 29605 | 2018-12-05 |
| 1336618222 | Ashley Rushin | Family Medicine | 4400 Interstate Highway 30 W, Greenville, TX 75402-4615 | 2018-11-20 |
| 1003209636 | Billy Don Mitchell | Family Medicine | 3080 Cr 3115, Billy Don Mitchell M.d., Greenville, TX 75402 | 2015-03-06 |
| 1437597259 | Frank V Cioppettini | Family Medicine | 31 Memorial Medical Dr, Greenville, SC 29605-4407 | 2013-06-14 |
| 1679816706 | St. Francis Physician Services Inc | Family Medicine | 75 E. Mcbee Avenue, Greenville, SC 29601-2737 | 2013-03-27 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 29609 |
Please comment or provide details below to improve the information on PRIMARYMD.
| 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.