DR. JOHN DELMAR SIDDENS


Address: 104 Simpson Street, Greenville, SC 29605-3593
Phone: 8645223900

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207W00000X Ophthalmology 291 SC Allopathic & Osteopathic Physicians

Other Provider Identifier

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

Provider Secondary Practice Location

Address Telephone Number Fax Number
200 Patewood Dr, Suite B480, Greenville, SC 296153593 8644544570

Office Location

Street Address 104 SIMPSON STREET
City GREENVILLE
State SC
Zip Code 29605-3593

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207W00000X
Grouping Allopathic & Osteopathic Physicians
Classification Ophthalmology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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Competitor

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City GREENVILLE
Zip Code 29605

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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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