MR. TIMOTHY ROBERT MALINOWSKI JR.


Address: 877 W Faris Rd Ste B, Greenville, SC 29605-4296
Phone: 8644556900

MR. TIMOTHY ROBERT MALINOWSKI JR. (NPI# 1740893593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1740893593
Entity Type Individual
Full Name MR. TIMOTHY ROBERT MALINOWSKI JR.
Credential AGPCNP-BC
Practice Address 877 W Faris Rd Ste B
Greenville
SC 29605-4296
Mailing Address 300 E Mcbee Ave Fl 4
Greenville
SC 29601-2842
Practice Telephone 8644556900
Mailing Telephone 8645228617
Enumeration Date 2020-08-30
Last Update Date 2020-09-23
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 24219 SC Physician Assistants & Advanced Practice Nursing Providers

Other Providers TIMOTHY MALINOWSKI

NPI Name Taxonomy Address Enumeration
1508842360 Timothy Robert Malinowski Internal Medicine 877 W Faris Rd, Ste B, Greenville, SC 29605-4296 2005-12-22

Office Location

Street Address 877 W FARIS RD STE B
City GREENVILLE
State SC
Zip Code 29605-4296

Providers in the same location

NPI Name Taxonomy Address Enumeration
1588640643 Archie Hortense Chandler IIi Internal Medicine 877 W Faris Rd Ste B, Greenville, SC 29605-4296 2005-12-21
1043841646 Jordan Gaucher Physician Assistant 877 W Faris Rd Ste B, Greenville, SC 29605-4296 2020-02-01
1386274397 Serena Wormald Kocourek Registered Nurse 877 W Faris Rd Ste B, Greenville, SC 29605-4296 2020-01-17
1366097230 Megan Diane Mcguire Nurse Practitioner 877 W Faris Rd Ste B, Greenville, SC 29605 2019-08-07
1295210961 Katherine Armstrong Sorrel Physician Assistant 877 W Faris Rd Ste B, Greenville, SC 29605-4296 2018-09-28
1750893277 Kimberly Elliott Sadri Registered Nurse 877 W Faris Rd Ste B, Greenville, SC 29605-4296 2017-10-25
1467976720 Whitney Kendall Fields Nurse Practitioner 877 W Faris Rd Ste B, Greenville, SC 29605-4296 2017-07-28
1255792206 Anna Elizabeth Calk Nurse Practitioner 877 W Faris Rd Ste B, Greenville, SC 29605-4296 2016-03-17
1457718918 Elizabeth Peters Nurse Practitioner 877 W Faris Rd Ste B, Greenville, SC 29605-4296 2016-01-28
1689044018 Kimberly Levi Vinzant Nurse Practitioner 877 W Faris Rd Ste B, Greenville, SC 29605 2015-09-28
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609482280 Deanna Mclamb Nurse Practitioner 3102 Bell Arthur Rd, Greenville, NC 27834-4758 2020-09-19
1801401252 Jodi Lynn Tesch Nurse Practitioner N984 Glennview Dr, Greenville, WI 54942-8531 2020-09-12
1760091482 Melinda Kathryn Galford Nurse Practitioner 320 Falls St Apt 303, Greenville, SC 29601-2830 2020-07-28
1801414750 Christopher Mangus Nurse Practitioner 1806 E 1st St Apt R9, Greenville, NC 27858-2214 2020-07-08
1932751559 Caroline Gray Riddick Nurse Practitioner 527 Mills Ave # 201a, Greenville, SC 29605-5602 2019-07-13
1437621323 Queeneice Boyette Ganison Nurse Practitioner 205 S Delta St, Greenville, MS 38703-4420 2018-12-18
1881169662 Gerald Braden Wiggs Nurse Practitioner 3023 Fernleaf Dr, Greenville, NC 27858-8192 2018-10-09
1073091286 Natalie Isbell Ragsdale Nurse Practitioner 20 Mcgee St, Greenville, SC 29601-2210 2018-07-31
1760980908 Angela Nicole Gary Nurse Practitioner 1003 Grove Rd Ste C2, Greenville, SC 29605-4623 2018-01-23
1023527934 Jennifer Anne Hovis Nurse Practitioner Hcr 2 5355, Greenville, MO 63944 2017-09-22
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Competitor

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City GREENVILLE
Zip Code 29605

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Dataset Information

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.

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