DR. JOHN DELMAR SIDDENS (NPI# 1407826993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407826993 |
Entity Type | Individual |
Full Name | DR. JOHN DELMAR SIDDENS |
Credential | D.O. |
Practice Address |
104 Simpson Street Greenville SC 29605-3593 |
Mailing Address |
1 Independence Pt Ste 212 Greenville SC 29615-4536 |
Practice Telephone | 8645223900 |
Practice Fax Number | 8645223909 |
Mailing Telephone | 8647976303 |
Enumeration Date | 2006-01-25 |
Last Update Date | 2018-11-27 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207W00000X | Ophthalmology | 291 | SC | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | MEDICARE RAILROAD | 180018447 | 01 |
SC | CIGNA PROVIDER NUMBER | 2556148003 | 01 |
SC | AETNA PROVIDER NUMBER | 4232647 | 01 |
SC | TL0727 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
200 Patewood Dr, Suite B480, Greenville, SC 296153593 | 8644544570 |
Street Address |
104 SIMPSON STREET |
City | GREENVILLE |
State | SC |
Zip Code | 29605-3593 |
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 | 207W00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Ophthalmology |
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164683108 | East Carolina Retina Consultants, Pllc | Ophthalmology | 2501 Stantonsburg Rd, Ste A, Greenville, NC 27834-3205 | 2008-06-23 |
1821265141 | Sulene L Chi | Ophthalmology | 601 Halton, Greenville, SC 29607-3403 | 2008-05-15 |
1982732798 | Carolina's Eye Care, P.a. | Ophthalmology | 515 W. Butler Rd., Suite A, Greenville, SC 29607-4833 | 2007-03-01 |
1427139708 | Edwin G Egger | Ophthalmology | 505 Arnold Ave, Greenville, MS 38701-5320 | 2006-10-17 |
1558454298 | Kenneth J Hayles | Ophthalmology | 1550 Medical Park 1, Greenville, MS 38703-7239 | 2006-10-02 |
1225074396 | Anne V. Parker | Ophthalmology | 200 Patewood Dr Ste B180, Greenville, SC 29615-6316 | 2006-06-20 |
1740236611 | Elizabeth Yeargin Holland | Ophthalmology | 612 Grove Rd, Greenville, SC 29605-4209 | 2006-05-25 |
1356306997 | Eastern Carolina Eye Center Pa | Ophthalmology | 2573 Stantonsburg Road, Greenville, NC 27834 | 2006-04-18 |
1619930120 | Charles William Titone | Ophthalmology | 1011 Wh Smith Blvd, Suite 108, Greenville, NC 27834-5052 | 2006-04-07 |
1003895046 | Kevin G Smith | Ophthalmology | 408 S Main St, Greenville, PA 16125-1773 | 2006-01-10 |
Find all providers in GREENVILLE |
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.