PHILLIP BRENT REUSTLE


Address: 225 E Wood St, Spartanburg, SC 29303-3050
Phone: 8645604420

PHILLIP BRENT REUSTLE (NPI# 1356537161) 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) 1356537161
Entity Type Individual
Full Name PHILLIP BRENT REUSTLE
Credential PA-C
Practice Address 225 E Wood St
Spartanburg
SC 29303-3050
Mailing Address Po Box 743070
Atlanta
GA 30374-3070
Practice Telephone 8645604420
Enumeration Date 2007-09-15
Last Update Date 2019-12-06
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 3367 SC Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
SC 3359PA 05
SC MEDICARE PIN SCG4005019 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
415 Morris St, Suite 201, Charleston, WV 253011842 3043887700 3043887755

Office Location

Street Address 225 E WOOD ST
City SPARTANBURG
State SC
Zip Code 29303-3050

Providers in the same location

NPI Name Taxonomy Address Enumeration
1609876374 William Cuyler Calton Jr. Surgery 225 E Wood St, Spartanburg, SC 29303-3050 2005-07-26
1598132961 Blaine David Buchanan Physician Assistant 225 E Wood St, Spartanburg, SC 29303-3050 2015-09-01
1316335854 Becky Williams Nurse Practitioner 225 E Wood St, Spartanburg, SC 29303-3050 2015-01-07
1558764654 Christy Flores I Nurse Practitioner 225 E Wood St, Spartanburg, SC 29303-3050 2014-10-02
1982023339 Christopher James Edenfield Physician Assistant 225 E Wood St, Spartanburg, SC 29303 2014-04-14
1841587797 Ronald Howard Figura Surgery 225 E Wood St, Spartanburg, SC 29303 2011-06-29
1255635389 Erica Rousseau Clark Surgery 225 E Wood St, Spartanburg, SC 29303-3050 2011-01-04
1124330014 Susan Grizzard Peterson Nurse Practitioner 225 E Wood St, Spartanburg, SC 29303-3050 2010-07-08
1982803144 Charles Jason Rousseau Surgery 225 E Wood St, Spartanburg, SC 29303-3050 2007-07-17
1730219205 Scott Marion Hovis Surgery 225 E Wood St, Suite G, Spartanburg, SC 29303-3050 2007-03-06
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013532126 Adam Joseph Fulcher Family Medicine Center for Family Medicine, 853 N. Church Street, Suite 510, Spartanburg, SC 29303 2020-06-15
1275011652 Tri-state Medical Supplies, North Grove Durable Medical Equipment & Medical Supplies 1330 Boiling Springs Rd Ste 2900, Spartanburg, SC 29303 2018-07-30
1992227151 Roxanne Pope Speech-Language Pathologist 290 N Grove Medical Park Dr., Spartanburg, SC 29303 2017-07-10
1861934879 Cortney Redmond Mckinney I Counselor 250 Dewey Sve., Spartanburg, SC 29303 2016-11-08
1578011474 Instride Foot and Ankle Specialists, Pllc Podiatrist 269 North Grove Medical Drive, Spartanburg, SC 29303 2016-09-20
1023477536 Whitney Brooke Terry Physician Assistant 391 Serpentine Dr Ste 250, Spartanburg, SC 29303 2016-02-12
1306244348 Medcare Urgent Care Spartanburg, LLC Clinic/Center 301 E Wood Street, Spartanburg, SC 29303 2014-12-08
1508201393 Tom Ju Anesthesiology 1330 Boiling Springs Rd Ste 2700, Spartanburg, SC 29303 2013-05-07
1295072312 Marie O'dell Registered Nurse 7 698 Howard Street, Spartanburg School District, Spartanburg, SC 29303 2013-01-09
1518203330 Sherard Hamilton Ansley Speech-Language Pathologist 698 Howard St., Spartanburg School District 7, Spartanburg, SC 29303 2012-12-26
Find all providers in zip 29303

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
1043789225 Katherine Anderson Andrews Physician Assistant 760 Glenridge Rd, Spartanburg, SC 29301-5308 2018-11-18
1023477536 Whitney Brooke Terry Physician Assistant 391 Serpentine Dr Ste 250, Spartanburg, SC 29303 2016-02-12
1649564063 Brooke Webster Fuentes Physician Assistant 300 E Blackstock Road, Suite E, Spartanburg, SC 29301 2011-06-02
1730415100 Amanda M Elder Physician Assistant 100 E Wood St Ste 401, Spartanburg, SC 29303-3049 2009-10-20
1275688772 Cecilia S. Cannon Physician Assistant 1762 E Main St, Spartanburg, SC 29307-2231 2007-01-24
1255372637 Carlee Dee Bright Physician Assistant 1650 Skylyn Dr Ste 210, Spartanburg, SC 29307-1069 2006-06-09
1750362182 Christel Ann Schweizer Physician Assistant 1776 Skylyn Dr, Spartanburg, SC 29307-1045 2005-11-11
1619508637 Caitlin Elizabeth Mcgougan Physician Assistant 101 E Wood St, Spartanburg, SC 29303-3040 2020-01-29
1255970398 Alissa Reddy Physician Assistant 101 E Wood St Ste 401, Spartanburg, SC 29303-3040 2020-01-06
1881233922 Jordan Garvey Physician Assistant 101 E Wood St Ste 401, Spartanburg, SC 29303-3040 2020-01-06
Find all providers in SPARTANBURG

Competitor

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City SPARTANBURG
Zip Code 29303

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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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