JENNIFER SOMMERVILLE COLBURN (NPI# 1477583169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477583169 |
| Entity Type | Individual |
| Full Name | JENNIFER SOMMERVILLE COLBURN |
| Other Name | JENNIFER L. SOMMERVILLE |
| Credential | MD |
| Practice Address |
1686 Skylyn Dr Suite 201 Spartanburg SC 29307-1079 |
| Mailing Address |
1 Independence Pt Suite 212 Greenville SC 29615-4545 |
| Practice Telephone | 8645828135 |
| Practice Fax Number | 8645739757 |
| Mailing Telephone | 8647976044 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2013-08-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 27223 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | BCBS | 576007863102 | 01 |
| SC | 272234 | 05 |
| Street Address |
1686 SKYLYN DR SUITE 201 |
| City | SPARTANBURG |
| State | SC |
| Zip Code | 29307-1079 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861475402 | Emory Levon Eastin | Obstetrics & Gynecology | 1686 Skylyn Dr, Suite 101, Spartanburg, SC 29307-1058 | 2005-11-29 |
| 1356683619 | Jana Platz Keating | Obstetrics & Gynecology | 1686 Skylyn Dr, Suite 101, Spartanburg, SC 29307 | 2013-03-25 |
| 1861782450 | Leah Rebecca Goodson-gerami | Obstetrics & Gynecology | 1686 Skylyn Dr, Suite 201, Spartanburg, SC 29307-1079 | 2011-04-15 |
| 1760637904 | Spartanburg Medical Center | Obstetrics & Gynecology | 1686 Skylyn Dr, Suite 101, Spartanburg, SC 29307-1079 | 2008-12-01 |
| 1730376948 | Spartanburg Regional Med Ctr | Obstetrics & Gynecology | 1686 Skylyn Dr, Suite 102, Spartanburg, SC 29307-1058 | 2007-10-02 |
| 1942495551 | Mary Black Health System LLC | Durable Medical Equipment & Medical Supplies | 1686 Skylyn Dr, Suite 201, Spartanburg, SC 29307-1058 | 2007-09-07 |
| 1104035526 | Amber Ann Wallace | Obstetrics & Gynecology | 1686 Skylyn Dr, Suite 101, Spartanburg, SC 29307 | 2007-05-22 |
| 1609094481 | Mary Black Physicians Group LLC | Durable Medical Equipment & Medical Supplies | 1686 Skylyn Dr, Suite 101, Spartanburg, SC 29307-1058 | 2007-04-24 |
| 1275587065 | George Charles Haddad Jr. | Pediatrics | 1686 Skylyn Dr, Suite 201, Spartanburg, SC 29307-1058 | 2006-05-19 |
| 1417900697 | Louis Buttino | Obstetrics & Gynecology | 1686 Skylyn Dr, Spartanburg, SC 29307-1058 | 2006-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023677945 | Healogics Specialty Physicians of South Carolina, LLC | Clinic/Center | 1630 Skylyn Drive, Suite 420, Spartanburg, SC 29307 | 2019-06-13 |
| 1194247528 | Tawnia Lee Prince | Occupational Therapy Assistant | 110 Summit Knoll Drive, Spartanburg, SC 29307 | 2017-07-07 |
| 1730633553 | Laura K Taylor | Chiropractor | 1802 Drayton Road, Suite 309, Spartanburg, SC 29307 | 2016-08-10 |
| 1013372390 | Erin Lavette Farr | Nurse Practitioner | 2780 East Main Street, Ltc Health Solutions, Spartanburg, SC 29307 | 2015-12-30 |
| 1316312010 | Joy Rogers | Speech-Language Pathologist | 175 Burdette St, Spartanburg, SC 29307 | 2015-12-07 |
| 1376923169 | Olivia Conrad | Speech-Language Pathologist | 220 Sloans Grove Rd, Spartanburg, SC 29307 | 2015-06-05 |
| 1457755118 | Optimal Radiology Partners of Virginia, Pllc | Radiology | 75 Skylyn Drive, Spartanburg, SC 29307 | 2014-10-09 |
| 1295033272 | Sean Quinn | Pharmacist | 790 East Main Street, Spartanburg, SC 29307 | 2011-03-01 |
| 1417250887 | James Edward Bradof | Internal Medicine | 212 Cypress Creek Drive, Spartanburg, SC 29307 | 2010-12-07 |
| 1528388030 | Tanya Tocharoen Tang | Internal Medicine | 126 Dillon Dr., Spartanburg, SC 29307 | 2010-06-07 |
| Find all providers in zip 29307 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275900961 | Gateway Children's | Pediatrics | 397 Serpentine Dr, Ste B, Spartanburg, SC 29303-3067 | 2015-08-28 |
| 1447477344 | Ann Marie Harrill Edwards | Pediatrics | 249 North Grove Medical Park Dr, Ste 100, Spartanburg, SC 29603-4222 | 2007-04-20 |
| 1245393776 | Monique Hope Fox | Pediatrics | 750 South Church Street, Spartanburg, SC 29306 | 2006-12-18 |
| 1083795934 | Christine Hidalgo Philpott | Pediatrics | 201 E Broad St, Spartanburg, SC 29306-3233 | 2006-10-18 |
| 1801837968 | William Travis Weathers | Pediatrics | 1650 Skyn Drive, Suite 240, Spartanburg, SC 29307-1069 | 2006-06-09 |
| 1093769804 | George Chester Glenn IIi | Pediatrics | 1686 Skyland Drive, Suite 201, Spartanburg, SC 29307 | 2006-05-19 |
| 1386697175 | Michelle Lynn Prigge | Pediatrics | 249 N Grove Medical Park Dr Ste 100, Spartanburg, SC 29303 | 2006-05-19 |
| 1619920808 | H Heywood Nettles | Pediatrics | 147 Oakwood Ave, Spartanburg, SC 29302-1207 | 2006-05-18 |
| 1871552315 | Steven Douglas Egge Sr. | Pediatrics | 3020 Reidville Rd Ste B, Spartanburg, SC 29301-5641 | 2006-03-22 |
| 1891765533 | Shelley Mahaffey | Pediatrics | 8311 Warren H Abernathy Hwy, Spartanburg, SC 29301-1249 | 2006-01-25 |
| Find all providers in SPARTANBURG | ||||
| City | SPARTANBURG |
| Zip Code | 29307 |
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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.