MARK CLEVELAND PRUITT (NPI# 1649267139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649267139 |
| Entity Type | Individual |
| Full Name | MARK CLEVELAND PRUITT |
| Credential | MD |
| Practice Address |
67 Creekside Park Ct Greenville SC 29615-4810 |
| Mailing Address |
1 Independence Pt Ste 212 Greenville SC 29615-4536 |
| Practice Telephone | 8645223700 |
| Practice Fax Number | 8645223705 |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2016-06-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 25985 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 259856 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538273743 | Mark Duane Pruitt | Social Worker | 4205 W Grandview Rd, Salem, IN 47167-8276 | 2006-08-18 |
| 1437144938 | Mark A Pruitt | Nurse Practitioner | 2690 May St Ste 102, Hood River, OR 97031-9786 | 2005-09-12 |
| 1124432943 | Mark Pruitt | Emergency Medicine | 6640 Kaniksu St, Bonners Ferry, ID 83805 | 2014-06-19 |
| Street Address |
67 CREEKSIDE PARK CT |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29615-4810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164972899 | Jane Elizabeth Mitchum | Nurse Practitioner | 67 Creekside Park Ct, Greenville, SC 29615-4810 | 2016-10-05 |
| 1326498411 | Christin Moran Hanson | Nurse Practitioner | 67 Creekside Park Ct, Greenville, SC 29615-4810 | 2016-06-20 |
| 1225418452 | James Cranston Gray IIi | Anesthesiology | 67 Creekside Park Ct, Greenville, SC 29615-4810 | 2015-06-03 |
| 1528465374 | Prisma Health University Medical Group | Anesthesiology | 67 Creekside Park Ct, Greenville, SC 29615-4810 | 2014-11-21 |
| 1265871321 | Thomas Joel Brinkley | Anesthesiology | 67 Creekside Park Ct, Greenville, SC 29615 | 2013-06-21 |
| 1033558838 | Margaret M Miller | Anesthesiology | 67 Creekside Park Ct, Greenville, SC 29615-4810 | 2013-06-14 |
| 1093150229 | Michael Chestnut | Anesthesiology | 67 Creekside Park Ct, Greenville, SC 29615-4810 | 2013-05-01 |
| 1992061550 | Megan Werntz | Anesthesiology | 67 Creekside Park Ct, Greenville, SC 29615-4810 | 2012-04-09 |
| 1447549753 | William Edward Mckinney | Anesthesiology | 67 Creekside Park Ct, Greenville, SC 29615-4810 | 2011-04-07 |
| 1578881140 | Melissa Guffey Potisek | Anesthesiology | 67 Creekside Park Ct, Greenville, SC 29615-4810 | 2010-05-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194358051 | Adenike Orogade | Behavior Technician | 17 Caldedon Ct, Suite B, Greenville, SC 29615 | 2020-02-19 |
| 1629608369 | Jennifer Jacobsen | Behavior Technician | 17 Caldedon Court, Suite B, Greenville, SC 29615 | 2020-01-22 |
| 1932668217 | Carolina Orthopaedic and Neurosurgical Associates | Orthopaedic Surgery | Carolina Orthopaedic and Neurosurgical Associates, 220 Roper Mountain Road Extension, Greenville, SC 29615 | 2019-03-18 |
| 1255816070 | Trevis L Cureton | Pharmacist | 2401 East North St, Greenville, SC 29615 | 2018-09-27 |
| 1497232565 | Jacob J Fountain | Nurse Practitioner | 225 Enterprise Blvd, Suite 101, Greenville, SC 29615 | 2018-07-23 |
| 1346726924 | St. Francis Physician Services, Inc | Internal Medicine | 5 Hoke Smith Blvd, Greenville, SC 29615 | 2018-07-17 |
| 1558853101 | Alexandra Michelle Taylor | Audiologist | 200 Patewood Dr Ste 400, Greenville, SC 29615 | 2018-05-30 |
| 1316466543 | Mariah Hope Mosher | Behavioral Analyst | 7 Mckenna Commons Court, Greenvilee, SC 29615 | 2017-09-19 |
| 1326400896 | Karen L Heaps | Counselor | 3150 S. Hwy 14, The Pelham Center, Greenville, SC 29615 | 2016-03-24 |
| 1134589013 | Sharon Erk | Technician, Other | 2950 E.norths St, Greenville, OH 29615 | 2016-03-04 |
| Find all providers in zip 29615 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396207221 | Prisma Health-upstate | Anesthesiology | 905 Verdae Blvd Ste 102, Greenville, SC 29607-4029 | 2019-04-01 |
| 1841796620 | Charles Edward Reier | Anesthesiology | 520 Wildrose Ln, Greenville, OH 45331-2472 | 2018-04-02 |
| 1871972836 | Chelsey Woodrum | Anesthesiology | 306 Treybrooke Cir, Apt 24, Greenville, NC 27834-5961 | 2015-05-23 |
| 1710316153 | Federico Pascual Vallesteros | Anesthesiology | 223 Greenville Rd, Greenville, PA 16125 | 2013-11-06 |
| 1619269859 | Jessica Shuffler Gonzalez | Anesthesiology | 67 Creekeside Park Court, Greenville, SC 29615-4810 | 2011-05-06 |
| 1750561197 | James Ross Simril | Anesthesiology | 1 St. Francis Drive, Greenville, SC 29601-3955 | 2007-11-13 |
| 1902094485 | Coastal Pain Medicine, LLC | Anesthesiology | 2905 Groveland Dr, Greenville, NC 27858-7188 | 2007-10-09 |
| 1093805152 | Kevin Burton Walker | Anesthesiology | 21 Brendan Way, Greenville, SC 29615-3514 | 2006-10-12 |
| 1083644181 | Asit Patel | Anesthesiology | 42 Oxford Way, Greenville, DE 19807-2569 | 2006-07-04 |
| 1508800079 | Alan Wayne Smith | Anesthesiology | 67 Creekside Drive, Greenville, SC 29615 | 2006-06-15 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 29615 |
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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.