PENNY R STREBY


Address: 105 Vinecrest Ct # 500, Greenwood, SC 29646-8031
Phone: 8647257900

PENNY R STREBY (NPI# 1467490276) 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) 1467490276
Entity Type Individual
Full Name PENNY R STREBY
Credential PA-C
Practice Address 105 Vinecrest Ct # 500
Greenwood
SC 29646-8031
Practice Telephone 8647257900
Practice Fax Number 8647257910
Mailing Telephone 8647257900
Mailing Fax Number 8647257910
Enumeration Date 2006-06-03
Last Update Date 2017-03-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 2068 SC Physician Assistants & Advanced Practice Nursing Providers
N 363A00000X Physician Assistant MA051606 PA Physician Assistants & Advanced Practice Nursing Providers
N 363A00000X Physician Assistant 0010-01941 NC Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
SC 1905PA 05
NY 03331211 05

Office Location

Street Address 105 VINECREST CT # 500
City GREENWOOD
State SC
Zip Code 29646-8031

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538488457 Self Medical Group Surgery 105 Vinecrest Ct # 500, Greenwood, SC 29646-8031 2010-05-18

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 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
1780294306 Pamela Hanley Physician Assistant 4953 Aquaduct Dr, Greenwood, IN 46142-7536 2020-08-07
1245868629 Alexandra Diez Arguelles Physician Assistant 402 Vanhoy Dr, Greenwood, IN 46142-9064 2020-03-31
1740745900 Megan Dewitt Carson Physician Assistant 313 Main St Ste A, Greenwood, SC 29646-2757 2019-02-01
1982119699 Patrick Quinn Dooling Physician Assistant 555 E County Line Rd Ste 202, Greenwood, IN 46143-1063 2017-12-05
1083040455 Megan Eliza Wheeler Physician Assistant 501 Epting Ave, Greenwood, SC 29646-4091 2013-09-17
1134442890 Self Medical Group Physician Assistant 115 Academy Avenue, Unit A, Greenwood, SC 29646 2010-03-10
1902025109 Richard David Shults Physician Assistant 1300 Innovation Pkwy, Greenwood, IN 46143-3625 2007-04-25
1699820530 Erin Nikou Physician Assistant 700 Us 31 South, Greenwood, IN 46143-2401 2007-01-23
1437264900 Scott A Brown Physician Assistant 102 W Cannery St, Greenwood, WI 54437 2006-08-21
1780631879 Wayne S Mounts Physician Assistant 115 Academy Ave, Greenwood, SC 29646-3869 2006-05-27
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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