ANTHONY PROVENZANO (NPI# 1710371091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710371091 |
| Entity Type | Individual |
| Full Name | ANTHONY PROVENZANO |
| Practice Address |
511 Paladin Dr Greenville NC 27834-7826 |
| Practice Telephone | 2527528880 |
| Practice Fax Number | 2523172092 |
| Mailing Telephone | 2527528880 |
| Mailing Fax Number | 2523172092 |
| Enumeration Date | 2015-03-24 |
| Last Update Date | 2020-09-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
2019-01052 | NC | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760517718 | Anthony A Provenzano | Pharmacist | 3030 Cullerton St, Franklin Park, IL 60131-2205 | 2007-02-22 |
| 1205995776 | Anthony Frank Provenzano | Internal Medicine | 1 Pondfield Rd W, Ste 1, Bronxville, NY 10708-2666 | 2006-12-08 |
| Street Address |
511 PALADIN DR |
| City | GREENVILLE |
| State | NC |
| Zip Code | 27834-7826 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174525315 | Graham Vance Byrum Jr. | Internal Medicine | 511 Paladin Dr, Greenville, NC 27834-7826 | 2005-06-01 |
| 1306485008 | Cresencia P Grimm | Nurse Practitioner | 511 Paladin Dr, Greenville, NC 27834-7826 | 2019-12-27 |
| 1285282244 | Andrew Feldin Hill | Nurse Practitioner | 511 Paladin Dr, Greenville, NC 27834-7826 | 2019-09-03 |
| 1215307202 | Tiffany Mills Lee | Nurse Practitioner | 511 Paladin Dr, Greenville, NC 27834-7826 | 2015-10-02 |
| 1043500168 | Sharlyn K Williams | Nurse Practitioner | 511 Paladin Dr, Greenville, NC 27834-7826 | 2011-04-11 |
| 1003148867 | Staci G. Streeter-moye | Nurse Practitioner | 511 Paladin Dr, Greenville, NC 27834-7826 | 2010-02-04 |
| 1174763973 | Malinda Chapman Harrington | Nurse Practitioner | 511 Paladin Dr, Greenville, NC 27834-7826 | 2009-03-06 |
| 1346485687 | Heather Harper Jones | Internal Medicine | 511 Paladin Dr, Greenville, NC 27834-7826 | 2008-12-15 |
| 1225298490 | Nauman Shahid | Internal Medicine | 511 Paladin Dr, Greenville, NC 27834-7826 | 2008-06-11 |
| 1104042365 | Scott Alan Kendrick | Internal Medicine | 511 Paladin Dr, Greenville, NC 27834-7826 | 2007-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841801255 | Nicholas Mcarthur Bennett | Day Training, Developmentally Disabled Services | 302 C, Greenville, NC 27834 | 2020-08-11 |
| 1275150245 | Shelby Renee Jones | Student in an Organized Health Care Education/Training Program | East Carolina University College of Nursing, 600 Moye Blvd, Greenville, NC 27834 | 2020-06-25 |
| 1194347138 | Soban Ahmad | Student in an Organized Health Care Education/Training Program | 600 Moye Blvd., Vmc Ma Room 350. Internal Medicine Resi, Mailstop #734, Greenville, NC 27834 | 2020-05-13 |
| 1427687789 | Brandon Allen Yates | Student in an Organized Health Care Education/Training Program | 435 Clinic Drive, Greenville, NC 27834 | 2020-04-07 |
| 1144854407 | Kristen Springer Dreyfus | Marriage & Family Therapist | 2609 West Arlington Blvd Suite 106, Greenville, NC 27834 | 2020-02-26 |
| 1861038606 | Southern Surgical Outpatient Surgery Center, Pa | Clinic/Center | 2457 Emerald Place, Greenville, NC 27834 | 2019-11-26 |
| 1003460569 | Shaun Fitzpatrick | Nurse Practitioner | Physicians East, Pa 1850 W. Arlington Blvd., Greenville, NC 27834 | 2019-08-01 |
| 1649831496 | Katherine Salome Ross | Genetic Counselor, MS | 524 Moye Blvd, Greenville, NC 27834 | 2019-06-24 |
| 1477011880 | Lauren Bethune Scroggs | Counselor | 2150 West 5th Street, Health Sciences Building Mailstop 688, Greenville, NC 27834 | 2019-03-05 |
| 1669998001 | Idella's Care Home | Community/Behavioral Health | 2912 Lee Ct # 9a, Greenville, NC 27834 | 2017-08-17 |
| Find all providers in zip 27834 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992276851 | Delta Kidney Alliance LLC | Internal Medicine | 1997 N Medical Park Dr, Greenville, MS 38703-7268 | 2018-12-17 |
| 1124188347 | Wilson M Parry | Internal Medicine | 1997 Medical Park Dr Ste A, Greenville, MS 38703-7268 | 2006-12-11 |
| 1033142724 | Nouhad O Kronfol | Internal Medicine | 1997 Medical Park Dr, Greenville, MS 38703-7268 | 2006-07-08 |
| 1538146303 | Joachim E Hertel | Internal Medicine | 10 Memorial Medical Dr, Greenville, SC 29605-4450 | 2005-12-22 |
| 1679557516 | Carolina Nephrology Pa | Internal Medicine | 203 Mills Avenue, Greenville, SC 29605-4019 | 2005-12-05 |
| 1881689966 | Kaye R Christopher | Internal Medicine | 203 Mills Ave, Greenville, SC 29605-4019 | 2005-09-15 |
| 1376540724 | Paul Bolin Jr. | Internal Medicine | 2355 W Arlington Blvd, Ecu Physicians Nephrology/hypertension Clinic, Greenville, NC 27834-2847 | 2005-06-30 |
| 1174525315 | Graham Vance Byrum Jr. | Internal Medicine | 511 Paladin Dr, Greenville, NC 27834-7826 | 2005-06-01 |
| 1780003624 | William Alfredo Davila | Internal Medicine | 2355 W Arlington Blvd, Ecu Physicians Nephrology and Hypertension, Greenville, NC 27834-2847 | 2014-04-08 |
| 1841618329 | Tarak Shah | Internal Medicine | 203 Mills Ave, Greenville, SC 29605-4019 | 2014-04-02 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 27834 |
Please comment or provide details below to improve the information on ANTHONY PROVENZANO.
| 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.