AMANDA MARIE LOOPER (NPI# 1538675756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538675756 |
Entity Type | Individual |
Full Name | AMANDA MARIE LOOPER |
Other Name | AMANDA MARIE MILLER |
Credential | PA-C |
Practice Address |
111 Doctors Dr Greenville SC 29605-5622 |
Mailing Address |
1 Independence Pt Ste 212 Greenville SC 29615-4536 |
Practice Telephone | 8647977150 |
Practice Fax Number | 8647977155 |
Mailing Telephone | 8647976308 |
Enumeration Date | 2017-12-26 |
Last Update Date | 2019-08-28 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
2851 | SC | Physician Assistants & Advanced Practice Nursing Providers |
N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA2851 | SC | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
5 Big Oak Ct, Simpsonville, SC 296814964 | 8645679981 |
Street Address |
111 DOCTORS DR |
City | GREENVILLE |
State | SC |
Zip Code | 29605-5622 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962407171 | Alfred Turner Nelson Jr. | Neurological Surgery | 111 Doctors Dr, Greenville, SC 29605-5622 | 2005-06-15 |
1174166169 | Graceanna Baker | Nurse Practitioner | 111 Doctors Dr, Greenville, SC 29605-5622 | 2019-10-22 |
1225595275 | Kelsey Marie Andersson | Physical Therapist | 111 Doctors Dr, Greenville, SC 29605-5622 | 2019-02-26 |
1902276801 | Shonda Michelle Thrift | Physician Assistant | 111 Doctors Dr, Greenville, SC 29605-5622 | 2015-10-05 |
1912375247 | Briana Kyleen Isakson | Physical Therapist | 111 Doctors Dr, Greenville, SC 29605-5622 | 2015-09-03 |
1801220900 | Joseph B Dowsley | Physical Therapist | 111 Doctors Dr, Greenville, SC 29605-5622 | 2013-08-26 |
1053745190 | Matthew John Naegel | Physician Assistant | 111 Doctors Dr, Greenville, SC 29605-5622 | 2013-08-26 |
1639510704 | Stanley Wayne Darnell | Nurse Practitioner | 111 Doctors Dr, Greenville, SC 29605-5622 | 2013-07-17 |
1598100349 | Anand Venkatraman | Psychiatry & Neurology | 111 Doctors Dr, Greenville, SC 29605-5622 | 2013-05-07 |
1710273834 | David Milford Louis Hall | Anesthesiology | 111 Doctors Dr, Greenville, SC 29605-5622 | 2011-06-27 |
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 | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922270594 | Kati George Carter | Physician Assistant | 890 W Faris Rd Ste 550, Greenville, SC 29605-4286 | 2008-03-24 |
1043215411 | Gretchen Blair Journigan | Physician Assistant | 2245 Stantonsburg Rd, Suite H, Greenville, NC 27834-2868 | 2005-06-14 |
1558971820 | Meghan Elizabeth Mcdonough | Physician Assistant | 890 W Faris Rd Ste 310, Greenville, SC 29605-4281 | 2020-08-03 |
1306374400 | Kevin R Knapp | Physician Assistant | 200 Patewood Dr Ste A115, Greenville, SC 29615-3547 | 2017-06-01 |
1730628629 | Elizabeth Mclawhorn | Physician Assistant | 850 Johns Hopkins Drive, Greenville, NC 27835 | 2017-02-13 |
1174067771 | Caitlin Sippey | Physician Assistant | 2325 Stantonsburg Rd, Greenville, NC 27834-7534 | 2016-12-15 |
1093110140 | Danielle Elise Low | Physician Assistant | 11 Park Creek Dr, Greenville, SC 29605-4270 | 2014-10-31 |
1689009722 | Kimberly Yost Miller | Physician Assistant | 890 W Faris Rd, Suite 310, Greenville, SC 29605-4253 | 2013-09-09 |
1427300847 | Melissa Ruth Grinnell | Physician Assistant | 890 W Faris Rd, Suite 310, Greenville, SC 29605-4253 | 2012-10-09 |
1477860583 | Kelly Nicole Hughes | Physician Assistant | 200 Patewood Dr, Ste B400, Greenville, SC 29615-3593 | 2010-09-10 |
Find all providers in GREENVILLE |
City | GREENVILLE |
Zip Code | 29605 |
Please comment or provide details below to improve the information on AMANDA MARIE LOOPER.
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.