MRS. TANIA C VANDERBILT


Address: 525 Verdae Blvd Ste 200, Greenville, SC 29607-4021
Phone: 8642720388

MRS. TANIA C VANDERBILT (NPI# 1265823876) 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) 1265823876
Entity Type Individual
Full Name MRS. TANIA C VANDERBILT
Credential PHYSICIAN ASSISTANT
Practice Address 525 Verdae Blvd Ste 200
Greenville
SC 29607-4021
Mailing Address 39 Deer Track Rd
Simpsonville
SC 29681-4764
Practice Telephone 8642720388
Practice Fax Number 8642139273
Mailing Telephone 8034671446
Enumeration Date 2015-02-18
Last Update Date 2020-03-10
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 2193 SC Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 525 VERDAE BLVD STE 200
City GREENVILLE
State SC
Zip Code 29607-4021

Providers in the same location

NPI Name Taxonomy Address Enumeration
1316914823 Maya Mathew Powers Internal Medicine 525 Verdae Blvd Ste 200, Greenville, SC 29607 2006-03-02
1396389367 Nathan Heffington Nurse Practitioner 525 Verdae Blvd Ste 200, Greenville, SC 29607-4021 2019-11-04
1295380046 Kathryn A Campbell Nurse Practitioner 525 Verdae Blvd Ste 200, Greenville, SC 29607-4021 2019-08-08
1174056097 Christopher M Davis Family Medicine 525 Verdae Blvd Ste 200, Greenville, SC 29607-4021 2017-04-07
1922495472 Joseph Parker Rogers Pediatrics 525 Verdae Blvd Ste 200, Greenville, SC 29607-4021 2015-04-22
1164720298 Kristin Malik Rich Counselor 525 Verdae Blvd Ste 200, Greenville, SC 29607-4021 2011-03-15
1225357577 Daniel Justin Dukes Pediatrics 525 Verdae Blvd Ste 200, Greenville, SC 29607-4021 2010-05-26
1225264823 Elizabeth Perry Hipp Pediatrics 525 Verdae Blvd Ste 200, Greenville, SC 29607-4021 2009-06-09
1144476193 Brittaine Hinkson Davis Pediatrics 525 Verdae Blvd Ste 200, Greenville, SC 29607 2008-08-11
1255359402 Stephen Jones Pediatrics 525 Verdae Blvd Ste 200, Greenville, SC 29607 2006-07-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1245846138 Personalized Home Care Services Technician 1200 Woodruff Rd A3 Ste 150, Greenville, SC 29607 2020-09-16
1396361960 Complete Homecare of America, Inc. In Home Supportive Care 128 Millport Circle, Suite 200, Greenville, SC 29607 2020-06-19
1275175093 Carrie Laxton Ballenger Nurse Practitioner 2094 Woodruff Road, Greenville, SC 29607 2019-10-14
1861047037 Susannah Long Marriage & Family Therapist 109 Laurens Road, Building 4 Ste D, Greenville, SC 29607 2019-08-05
1043872369 Cheryl Craig Rosemond Case Manager/Care Coordinator 5 Century Drive, Suite 130, Greenville, SC 29607 2019-07-08
1457916561 After Hours Chiropractic LLC Chiropractor 1200 Woodruff Rd Blg A-3, Simpsonville, SC 29607 2019-05-03
1952865289 Orthodontic Specialists of Carolina, PC Dentist 611 Haywood Road, Greenville, SC 29607 2019-01-31
1124502307 Martha Irby Home Health Aide 2320 E North St Rr 107, Greenville, SC 29607 2018-09-24
1780164541 Suval Psychiatric Services, Pa Clinic/Center 33 Market Point Dr Ste 2023, Greenville, SC 29607 2018-08-20
1083113963 Caroline Graham Nurse Practitioner 850 S Pleasantburg Dr, Greenville, SC 29607 2018-02-06
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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Competitor

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City GREENVILLE
Zip Code 29607

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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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