INTERNAL MEDICINE & DIAGNOSTICS GROUP (NPI# 1578650792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578650792 |
Entity Type | Organization |
Organization Name | INTERNAL MEDICINE & DIAGNOSTICS GROUP |
Practice Address |
17 Memorial Medical Dr Greenville SC 29605-4407 |
Practice Telephone | 8642951750 |
Practice Fax Number | 8642951753 |
Mailing Telephone | 8642951750 |
Mailing Fax Number | 8642951753 |
Enumeration Date | 2006-10-09 |
Last Update Date | 2007-10-10 |
Authorized Official Name | DR. JAMES LELAND ANDERSON III (OWNER) |
Authorized Official Telephone | 8642951750 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
7401 | SC | Ambulatory Health Care Facilities |
Street Address |
17 MEMORIAL MEDICAL DR |
City | GREENVILLE |
State | SC |
Zip Code | 29605-4407 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083179410 | Marilyn Kennedy | Counselor | 17 Memorial Medical Dr, Greenville, SC 29605-4407 | 2019-02-11 |
1114498276 | Melinda K Tyson | Counselor | 17 Memorial Medical Dr, Greenville, SC 29605-4407 | 2018-12-16 |
1619460672 | Christopher Kenneth Bradt | Counselor | 17 Memorial Medical Dr, Greenville, SC 29605-4407 | 2018-06-13 |
1891129177 | Ryan William Supler | Nurse Practitioner | 17 Memorial Medical Dr, Greenville, SC 29605-4407 | 2013-08-22 |
1841545431 | St Francis Physician Services Inc | Family Medicine | 17 Memorial Medical Dr, Greenville, SC 29605-4407 | 2012-07-19 |
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 | 261QM2500X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Medical Specialty |
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
Notes: [7/1/2003: new] |
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1780164541 | Suval Psychiatric Services, Pa | Clinic/Center | 33 Market Point Dr Ste 2023, Greenville, SC 29607 | 2018-08-20 |
1730225178 | Caroline R. Price Md Pa | Clinic/Center | 10 Enterprise Blvd Ste 107, Greenville, SC 29615-3534 | 2007-01-30 |
1558426007 | Eastern Psychiatric & Behavioral Specialists, Pllc | Clinic/Center | 1704 E Arlington Blvd Ste A, Greenville, NC 27858-7828 | 2006-12-26 |
1851403877 | John D. Coble | Clinic/Center | 4501 Joe Ramsey Blvd E Ste 110, Greenville, TX 75401-7838 | 2006-08-31 |
1104843119 | Smith Center for Cardiovascular Wellness, P.a. | Clinic/Center | 45 Creekview Ct, Greenville, SC 29615-4800 | 2006-07-16 |
1023563459 | Aid Upstate | Clinic/Center | 811 Pendleton St, Suite 11, Greenville, SC 29601-3209 | 2016-08-15 |
1780034470 | Fulcrum Osteopathic Wellness, LLC | Clinic/Center | 4006 E North St, Suite C, Greenville, SC 29615-2347 | 2016-06-14 |
1942670849 | Pain and Spine Consultants, Pa | Clinic/Center | 2076 Woodruff Rd, Greenville, SC 29607-5939 | 2015-10-05 |
1912348699 | Chris M. Peterson, Md, Pa | Clinic/Center | 7a Cleveland Ct, Greenville, SC 29607-2414 | 2013-07-10 |
1275876872 | Legacy Medical Centers, LLC | Clinic/Center | 301 Halton Rd, Suite A, Greenville, SC 29607-3496 | 2013-04-02 |
Find all providers in GREENVILLE |
City | GREENVILLE |
Zip Code | 29605 |
Please comment or provide details below to improve the information on INTERNAL MEDICINE & DIAGNOSTICS GROUP.
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.