SELF MEDICAL GROUP


Address: 138 Wells Avenue, Greenwood, SC 29646-3837
Phone: 8647254138

SELF MEDICAL GROUP (NPI# 1417252636) 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) 1417252636
Entity Type Organization
Organization Name SELF MEDICAL GROUP
Other Organization Name ADVANCED WOUND HEALING, A DIVISION OF SELF MEDICAL GROUP
Practice Address 138 Wells Avenue
Greenwood
SC 29646-3837
Practice Telephone 8647254138
Practice Fax Number 8647254666
Mailing Telephone 8647254138
Mailing Fax Number 8647254666
Enumeration Date 2011-01-19
Last Update Date 2012-05-23
Authorized Official Name JAMES A PFEIFFER (PRESIDENT AND CHIEF EXECUTIVE OFFIC)
Authorized Official Telephone 8647255010
Is Organization Subpart Y
Parent Organization Name SELF MEDICAL GROUP

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Advanced Wound Healing, A Division of Self Medical Group Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1487212130 Self Medical Group Family Medicine 105 Vinecrest Ct # 510, Greenwood, SC 29646-8031 2019-05-29
1750800264 Self Medical Group Family Medicine 110 Highway 246 N, Greenwood, SC 29649-8748 2017-09-15
1760808083 Self Medical Group Clinic/Center 450 Old Brickyard Rd, Greenwood, SC 29649-8681 2014-03-11
1588969448 Self Medical Group Nurse Practitioner 104 Liner Drive, Greenwood, SC 29646 2011-01-24
1376843037 Self Medical Group Obstetrics & Gynecology 107 Venture Court, Greenwood, SC 29649-8558 2010-10-28
1629382056 Self Medical Group Family Medicine 207 Holiday Road, Mccormick, SC 29835-3430 2010-07-27
1942528161 Self Medical Group Family Medicine 167 Greenwood Ave S, Ware Shoals, SC 29692 2010-05-12
1134442890 Self Medical Group Physician Assistant 115 Academy Avenue, Unit A, Greenwood, SC 29646 2010-03-10
1457685570 Self Medical Group Surgery 160 Academy Avenue, Greenwood, SC 29646-3808 2009-09-22
1982836847 Self Medical Group Surgery 1325 Spring Street, Greenwood, SC 29646-3860 2009-08-11

Office Location

Street Address 138 WELLS AVENUE
City GREENWOOD
State SC
Zip Code 29646-3837

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1114535416 Supriya Lal Dietitian, Registered 303 Parkwood Rd, Greenwood, SC 29646 2020-07-22
1174158406 Mara L Schwartz Registered Nurse 1226 Spring St., Diabtes Education Department, Greenwood, SC 29646 2020-03-06
1487213724 Greater Greenwood United Ministry Family Medicine 1404 Edgefield Street, Greenwood, SC 29646 2019-06-11
1346747995 Kelli Diane Clune Nurse Practitioner 115 E Alexander Ave, Greenwood, SC 29646 2018-04-10
1184150112 Sanquinette Sanders Brownlee Nurse Practitioner 929 Phoenix Stret, Clinica Gratis, Greenwood, SC 29646 2017-05-11
1194258426 Kimberley Lovejoy Assistant Behavior Analyst 210a Birchtree, Greenwood, SC 29646 2017-04-04
1427590900 Rejuvenation Massage By Frances Clinic/Center 610 Chace Avenue, Greenwood, SC 29646 2016-11-15
1932651643 Hayley Smith Counselor 110 Court Ave W, Greenwood, SC 29646 2016-10-28
1942757927 Towanda Morton Community Health Worker 303 Suite B South Main Street, Greenwood, SC 29646 2016-09-07
1770039976 Bragan Mace Pharmacist 1376 South Main St., Greenwood, SC 29646 2016-08-28
Find all providers in zip 29646

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1245862473 Kristina Mckissick Family Medicine 805 Montague Ave, Greenwood, SC 29649-1471 2020-02-05
1487212130 Self Medical Group Family Medicine 105 Vinecrest Ct # 510, Greenwood, SC 29646-8031 2019-05-29
1750800264 Self Medical Group Family Medicine 110 Highway 246 N, Greenwood, SC 29649-8748 2017-09-15
1689066060 Richard Glen Huber Family Medicine 31 N Restin Rd, Greenwood, IN 46142-8583 2015-02-23
1679912406 Michael J. Mooney Family Medicine 965 Emerson Pkwy Ste J, Greenwood, IN 46143 2013-06-14
1114362639 Sarah Ann Beeson Family Medicine 1000 Us Highway 31 S, Greenwood, IN 46143-2407 2013-05-10
1013350198 Elise Rose Laroche Family Medicine 747 E County Line Rd Ste D, Greenwood, IN 46143-1082 2013-04-09
1548506868 Community Health Network Inc Family Medicine 615 W Smith Valley Rd, Greenwood, IN 46142-3048 2012-12-13
1801158456 Frank William Fortuna Family Medicine 461 Camby Court, Greenwood, IN 46142 2012-06-11
1518287473 Brendan K. Sweeny Family Medicine 107 N State Road 135 Ste 103, Greenwood, IN 46142 2010-06-02
Find all providers in GREENWOOD

Competitor

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City GREENWOOD
Zip Code 29646

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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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