SELINA JUAREZ (NPI# 1528597002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528597002 |
| Entity Type | Individual |
| Full Name | SELINA JUAREZ |
| Credential | MD |
| Practice Address |
701 Grove Road 3rd Floor Support Tower Greenville SC 29605 |
| Mailing Address |
701 Grove Rd Fl 3 Greenville SC 29605-4210 |
| Practice Telephone | (864) 455-1435 |
| Mailing Telephone | 8644551435 |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2017-06-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 41135 | SC | Allopathic & Osteopathic Physicians |
| Street Address |
701 GROVE ROAD 3RD FLOOR SUPPORT TOWER |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982750097 | Tara Leigh Connelly | Emergency Medicine | 701 Grove Road, Emergency Department - Greenville Hospital System, Greenville, SC 29605-5601 | 2007-01-25 |
| 1063944429 | Timothy Ryan Parker | Psychiatry & Neurology | 701 Grove Road, Greenville, SC 29605-5601 | 2017-04-03 |
| 1750741708 | Jennifer Beth Eastin | Social Worker | 701 Grove Road, Greenville, SC 29605 | 2016-03-03 |
| 1083045207 | Lora Overacre | Nurse Anesthetist, Certified Registered | 701 Grove Road, Greenville, SC 29605-5611 | 2013-12-13 |
| 1639503865 | Megan Elizabeth Simmons | Internal Medicine | 701 Grove Road, 5th Floor, Greenville, SC 29605-4210 | 2013-08-23 |
| 1376893834 | Rebecca Michelle Schneider | Physician Assistant | 701 Grove Road, 5th Floor, Greenville, SC 29605-5611 | 2012-09-12 |
| 1982966552 | Britni Bradshaw Maple | Pediatrics | 701 Grove Road, Bryan Neonatal Intensive Care Unit, Greenville, SC 29605 | 2012-06-11 |
| 1497051981 | Megan Meredith Puckett | Nurse Anesthetist, Certified Registered | 701 Grove Road, Greenville, SC 29601 | 2011-02-01 |
| 1851520258 | Nicole Ann Cothran | Pediatrics | 701 Grove Road, Greenville, SC 29605-5601 | 2009-07-07 |
| 1225293350 | Hicham Mohamad Said Yactine | Internal Medicine | 701 Grove Road, 5th Floor, Greenville, SC 29615-4566 | 2008-07-29 |
| Find all providers in the same location | ||||
| 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 | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790213833 | Judson Chase Woollen | Surgery | 701 Grove Rd Fl 3, Greenville, SC 29605-4210 | 2017-06-02 |
| 1962792580 | Jessica Gonzalez Hernandez | Surgery | Carolina Surgical Associates Eastside, 135 Commonwealth Drive Ste 210, Greenville, SC 29615-4850 | 2011-04-15 |
| 1730406067 | Pablo Gabriel Giuseppucci | Surgery | 115 Woodshire Rd, Greenville, PA 16125-1215 | 2010-04-27 |
| 1831345081 | Bindhu Oommen | Surgery | 4215 Joe Ramsey Blvd E Ste 220, Greenville, TX 75401-7852 | 2008-08-07 |
| 1538377833 | David Joseph Skarupa | Surgery | 600 Moye Blvd, 2ed, Ecu Brody School of Medicine Dept of Surgery, Greenville, NC 27834 | 2007-05-18 |
| 1639385354 | Patricia Lynn Eichhorn | Surgery | 2104 Woodruff Road, Greenville, SC 29607 | 2007-05-16 |
| 1275690232 | I. H. Shah, M.d. and S. Hasan, M.d. and Associates | Surgery | 4004 Medical Parkway, Greenville, TX 75401 | 2007-01-02 |
| 1245316439 | Donald R Gilbert | Surgery | 2106 Woodruff Rd, Greenville, SC 29607 | 2006-10-31 |
| 1619059334 | John C Mobley | Surgery | 404 Wagner Ave, Greenville, OH 45331-2537 | 2006-10-20 |
| 1184712101 | Norman F. Mcgowin IIi | Surgery | 45 Medical Arts Ct Ste 4, Greenville, AL 36037-3872 | 2006-10-11 |
| 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.