GREENVILLE SURGICAL ASSOC., P.C. (NPI# 1730371386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1730371386 |
Entity Type | Organization |
Organization Name | GREENVILLE SURGICAL ASSOC., P.C. |
Practice Address |
111 N Main St Greenville PA 16125-1705 |
Practice Telephone | 7245885600 |
Mailing Telephone | 7245885600 |
Enumeration Date | 2007-08-16 |
Last Update Date | 2007-08-16 |
Authorized Official Name | JAMES J KOLENICH (PRESIDENT) |
Authorized Official Telephone | 7245885600 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | MEDICAR PROVIDER NUMBER | 407325 | 01 |
Street Address |
111 N MAIN ST |
City | GREENVILLE |
State | PA |
Zip Code | 16125-1705 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285934869 | Pa Artificial Limb & Brace Co., Inc.. | Prosthetic/Orthotic Supplier | 111 N Main St, Greenville, PA 16125-1705 | 2010-10-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356983340 | Heather Christine Groeger | Licensed Vocational Nurse | 9 Greenville Sheakleyville Rd, Greenville, PA 16125 | 2019-10-11 |
1710316153 | Federico Pascual Vallesteros | Anesthesiology | 223 Greenville Rd, Greenville, PA 16125 | 2013-11-06 |
1083944524 | Kimberly Weaver | Nurse Practitioner | 12 Sherrard Avenue, Greenville, PA 16125 | 2010-01-06 |
1992972749 | Jinine Elizabeth Flynn-napotnik | Chiropractor | 5 Orthopedic Center, Greenville, PA 16125 | 2008-05-12 |
1073631859 | Russell W Poe | Dentist | 83 Shenango St, Greenville, PA 16125 | 2007-03-27 |
1487791042 | Sanda Marina Constantinidi | Pediatrics | 6 Manorview Drive, Greenville, PA 16125 | 2007-01-31 |
1811067564 | Stuart D Anderson | Orthopaedic Surgery | Greenville Orthopedic Association, 1 Greenville Orthopedic Center, Greenville, PA 16125 | 2006-11-09 |
1598854291 | Susan E Calderbank | Dentist | 43 Clinton St, Greenville, PA 16125 | 2006-10-12 |
1437268158 | Robert Michael Woods | Dentist | 282 Main Street, Greenville, PA 16125 | 2006-08-29 |
1154397453 | Thomas Z Pineo | Family Medicine | 110 North Main Street, Greenville, PA 16125 | 2006-02-27 |
Find all providers in zip 16125 |
Taxonomy Code | 208600000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790213833 | Judson Chase Woollen | Surgery | 701 Grove Rd Fl 3, Greenville, SC 29605-4210 | 2017-06-02 |
1962792580 | Jessica Gonzalez Hernandez | Surgery | Carolina Surgical Associates Eastside, 135 Commonwealth Drive Ste 210, Greenville, SC 29615-4850 | 2011-04-15 |
1730406067 | Pablo Gabriel Giuseppucci | Surgery | 115 Woodshire Rd, Greenville, PA 16125-1215 | 2010-04-27 |
1831345081 | Bindhu Oommen | Surgery | 4215 Joe Ramsey Blvd E Ste 220, Greenville, TX 75401-7852 | 2008-08-07 |
1538377833 | David Joseph Skarupa | Surgery | 600 Moye Blvd, 2ed, Ecu Brody School of Medicine Dept of Surgery, Greenville, NC 27834 | 2007-05-18 |
1639385354 | Patricia Lynn Eichhorn | Surgery | 2104 Woodruff Road, Greenville, SC 29607 | 2007-05-16 |
1275690232 | I. H. Shah, M.d. and S. Hasan, M.d. and Associates | Surgery | 4004 Medical Parkway, Greenville, TX 75401 | 2007-01-02 |
1245316439 | Donald R Gilbert | Surgery | 2106 Woodruff Rd, Greenville, SC 29607 | 2006-10-31 |
1619059334 | John C Mobley | Surgery | 404 Wagner Ave, Greenville, OH 45331-2537 | 2006-10-20 |
1184712101 | Norman F. Mcgowin IIi | Surgery | 45 Medical Arts Ct Ste 4, Greenville, AL 36037-3872 | 2006-10-11 |
Find all providers in GREENVILLE |
City | GREENVILLE |
Zip Code | 16125 |
Please comment or provide details below to improve the information on GREENVILLE SURGICAL ASSOC., P.C..
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.