DR. KURT L GANDENBERGER (NPI# 1386681526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386681526 |
| Entity Type | Individual |
| Full Name | DR. KURT L GANDENBERGER |
| Credential | MD |
| Practice Address |
6704 White Horse Rd Greenville SC 29611-2504 |
| Mailing Address |
1818 Henderson St Columbia SC 29201-2619 |
| Practice Telephone | 8642941392 |
| Practice Fax Number | 8642940424 |
| Mailing Telephone | 8037824278 |
| Mailing Fax Number | 8037823445 |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2009-09-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 14391 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 14391 | 05 |
| Street Address |
6704 WHITE HORSE RD |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29611-2504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396727574 | Michael Lee Martin Sr. | Family Medicine | 6704 White Horse Rd, Greenville, SC 29611-2504 | 2005-11-15 |
| 1922347897 | Doctors Care Sc, Pa | Emergency Medicine | 6704 White Horse Rd, Greenville, SC 29611-2504 | 2013-02-12 |
| 1568745636 | Christopher Lee Kelly | Physician Assistant | 6704 White Horse Rd, Greenville, SC 29611-2504 | 2011-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760028393 | Kristina Diane Allred | Physician Assistant | 3613 Sc-153, Powdersville, SC 29611 | 2019-11-19 |
| 1790264497 | Prisma Health-upstate | General Acute Care Hospital | 11404 Anderson Rd, Greenville, SC 29611 | 2018-08-13 |
| 1053806380 | Hannah Jones | Registered Nurse | 111 Commons Way, Greenville, SC 29611 | 2018-06-28 |
| 1053813873 | Angelika Estefania Batres Navarro | Dentist | 6134 White Horse Rd Ste C, Greenville, SC 29611 | 2018-03-07 |
| 1356851398 | Vanessa Dickey Leverette | Doula | 802 Staunton Bridge Rd, Greenville, SC 29611 | 2017-10-04 |
| 1083084545 | Aegis Family Services, LLC | Counselor | 165 Staunton Bridge Rd., Greenville, SC 29611 | 2015-09-28 |
| 1417330226 | A Different World After School | Counselor | 165 Staunton Bridge Road, Greenville, SC 29611 | 2015-06-30 |
| 1568800415 | Shasta Dawn Vance | Occupational Therapist | : 21 Mcbeth Street Greenville, Greenville, SC 29611 | 2013-06-12 |
| 1013220391 | Tooth Zone - Zona Dientes | Dentist | 103 Commons Way, Greenville, SC 29611 | 2010-07-15 |
| 1689867400 | Christopher George Loubier | Specialist/Technologist | 201 Smythe St, #225, Greenville, SC 29611 | 2007-08-24 |
| Find all providers in zip 29611 | ||||
| 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 | 29611 |
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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.