STEPHANIE BORUM (NPI# 1649884115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649884115 |
| Entity Type | Individual |
| Full Name | STEPHANIE BORUM |
| Credential | PA-C |
| Practice Address |
2498 N Pleasantburg Dr Greenville SC 29609-2730 |
| Mailing Address |
339 Brown Farm Way Taylors SC 29687-6261 |
| Practice Telephone | 8643055000 |
| Enumeration Date | 2020-09-02 |
| Last Update Date | 2020-09-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922103324 | Stephanie Yvette Borum | Internal Medicine | 10 N Greene St, Baltimore, MD 21201-1524 | 2006-09-13 |
| Street Address |
2498 N PLEASANTBURG DR |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29609-2730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780685040 | Christian Montagano | Emergency Medicine | 2498 N Pleasantburg Dr, Greenville, SC 29609-2730 | 2005-08-09 |
| 1093322737 | Julia Nguyen Le | Physician Assistant | 2498 N Pleasantburg Dr, Greenville, SC 29609-2730 | 2020-09-27 |
| 1215488267 | Konig Pm, LLC | Anesthesiology | 2498 N Pleasantburg Dr, Suite E, Greenville, SC 29609-2730 | 2016-10-14 |
| 1104373166 | Emergencymd, LLC | Emergency Medicine | 2498 N Pleasantburg Dr, Greenville, SC 29609-2730 | 2016-09-07 |
| 1932652328 | Konig Pm LLC | Anesthesiology | 2498 N Pleasantburg Dr, Suite E, Greenville, SC 29609-2730 | 2016-08-02 |
| 1255799961 | Primarymd | Family Medicine | 2498 N Pleasantburg Dr, Suite D, Greenville, SC 29609-2730 | 2016-02-09 |
| 1780067421 | David Griffin Whittington | Pharmacist | 2498 N Pleasantburg Dr, Greenville, SC 29609-2730 | 2015-06-30 |
| 1720471618 | Emergency Physician Services | Clinic/Center | 2498 N Pleasantburg Dr, Greenville, SC 29609-2730 | 2015-03-17 |
| 1659763167 | Bella Vista Dental, LLC | Dentist | 2498 N Pleasantburg Dr, Suite C, Greenville, SC 29609-2730 | 2015-02-21 |
| 1538558390 | Charleston Rx LLC | Pharmacy | 2498 N Pleasantburg Dr, Suite A, Greenville, SC 29609-2730 | 2015-01-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326522376 | Piney Mountain Rx LLC | Pharmacy | 2498 North Pleasantburg Drive, Suite A, Greenville, SC 29609 | 2018-09-17 |
| 1417434655 | Kathryn Dorothy Muschick | Pediatrics | 900 W. Faris Dr., Greenville, SC 29609 | 2018-07-20 |
| 1942705645 | The Wright Home Care, LLC | Social Worker | 217 E Stone Ave Ste 8, Greenville, SC 29609 | 2018-03-26 |
| 1205388386 | Galina Hufstetler | Physical Therapist | 414 Summit Drive, Apt. 313, Greenville, SC 29609 | 2016-10-25 |
| 1811303225 | Cal Jones LLC | Pharmacy | 961 Montebello Dr, Suite 2, Greenville, SC 29609 | 2014-07-07 |
| 1982954319 | John C Shaughnessy | Pharmacist | 1141 State Park Road, Greenville, SC 29609 | 2012-09-13 |
| 1770842726 | Neil S Sondov | Counselor | 1100 Rutherford Road, Greenville, SC 29609 | 2012-05-11 |
| 1790044915 | Crystal Ervin | Counselor | 1 Chick Springs Rd Ste 210a, Greenville, SC 29609 | 2012-05-08 |
| 1881992840 | Cherrydale Dental Associates, LLC | Dentist | 105 State Park Rd, Greenville, SC 29609 | 2011-03-01 |
| 1649584483 | Paul E Waters | Pharmacist | 1 East Stone Ave, Greenville, SC 29609 | 2010-08-04 |
| Find all providers in zip 29609 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053924977 | Caitlyn N Jetter | Physician Assistant | 7238 N State Route 49, Greenville, OH 45331-8302 | 2020-08-29 |
| 1720618291 | Kaitlin Stover | Physician Assistant | 3444 Briarcliff Dr Apt K, Greenville, NC 27834-5419 | 2020-01-23 |
| 1962044321 | Tyler Robert Tefft | Physician Assistant | 25 Draper St Apt 129, Greenville, SC 29611-4786 | 2019-10-17 |
| 1780157842 | Briana Welch Denton | Physician Assistant | 2101 W Arlington Blvd # 100, Greenville, NC 27834-5758 | 2019-01-10 |
| 1548732027 | Jennifer Pedersen | Physician Assistant | 14314 Canter Trl, Greenville, SC 29609-0964 | 2018-12-21 |
| 1972089092 | Sarah Eileen Mann | Physician Assistant | 315 Greenville Blvd Se Ste 100, Greenville, NC 27858-5733 | 2018-07-11 |
| 1134588478 | Sarah Roeser | Physician Assistant | 2090 W Arlington Blvd Ste B, Greenville, NC 27834-5727 | 2016-02-15 |
| 1992177760 | Robert Chapman | Physician Assistant | 126 Milestone Way, Greenville, SC 29615-5065 | 2015-10-20 |
| 1497137756 | Alexandra Brooks | Physician Assistant | 2706 Aileen St Ste B, Greenville, TX 75402-6486 | 2015-06-23 |
| 1558776633 | David Jonathan Cutter | Physician Assistant | 1202 W Oak St Ste 200, Greenville, MI 48838-2155 | 2014-06-26 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 29609 |
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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.