THOMAS R PROSTKO (NPI# 1780883942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780883942 |
| Entity Type | Organization |
| Organization Name | THOMAS R PROSTKO |
| Other Organization Name | EASLEY GASTROENTEROLOGY |
| Practice Address |
403 Hillcrest Dr Suite A Easley SC 29640-1207 |
| Practice Telephone | 8644420771 |
| Practice Fax Number | 8644420774 |
| Mailing Telephone | 8644420771 |
| Mailing Fax Number | 8644420774 |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2008-06-19 |
| Authorized Official Name | DR. THOMAS R. PROSTKO (OWNER) |
| Authorized Official Telephone | 8644420771 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
13970 | SC | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP3506 | 05 |
| Other Name | Type Code |
|---|---|
| Easley Gastroenterology | Doing Business As Name - Organization |
| Street Address |
403 HILLCREST DR SUITE A |
| City | EASLEY |
| State | SC |
| Zip Code | 29640-1207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417928243 | Thomas Richard Prostko | Internal Medicine | 403 Hillcrest Dr, Suite A, Easley, SC 29640-1207 | 2006-01-30 |
| 1376715797 | Foothills Urology | Specialist | 403 Hillcrest Dr, Suite A, Easley, SC 29640-1207 | 2008-03-26 |
| 1699965715 | John Movius Warren Jr. | Obstetrics & Gynecology | 403 Hillcrest Dr, Suite A, Easley, SC 29640-1207 | 2007-07-25 |
| 1003978248 | Smith Therapy Services | Clinic/Center | 403 Hillcrest Dr, Suite A, Easley, SC 29640-1207 | 2006-12-14 |
| 1811082928 | Palmetto Health | Surgery | 403 Hillcrest Dr, Suite C, Easley, SC 29640-1207 | 2006-10-04 |
| 1366472615 | Herbert R Squires | Obstetrics & Gynecology | 403 Hillcrest Dr, Suite A, Easley, SC 29640-1207 | 2006-07-03 |
| 1376570234 | Johnny H Cox | Surgery | 403 Hillcrest Dr, Suite C, Easley, SC 29640-1207 | 2006-06-27 |
| 1336101088 | Joshua Alan Morowitz | Surgery | 403 Hillcrest Dr, Easley, SC 29640-1207 | 2006-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063935773 | Mary Kathryn Henderson | Speech-Language Pathologist | 1400 Griffin Mill Road, Easley, SC 29640 | 2017-07-25 |
| 1417309451 | Ashby Park Pediatric Dentistry Easley | Dentist | 708 North A Street, Easley, SC 29640 | 2016-07-01 |
| 1548696990 | Phuong T Tran | Pharmacist | 309 Rolling Hills Circle, Easley, SC 29640 | 2013-09-17 |
| 1538593017 | Baptist Easley Hospital | Clinic/Center | 200 Fleet Wood Dr 3 Rd Floor, Easley, SC 29640 | 2013-09-03 |
| 1942507173 | Joanne Mason Wilkinson | Occupational Therapist | 1807a East Main St, Easley, SC 29640 | 2011-02-24 |
| 1861793911 | Ark Pharmacy Services LLC | Pharmacy | 5119- A Calhoun Memorial Hwy, Easley, SC 29640 | 2010-11-05 |
| 1659507952 | Sarah Elizabeth Proulx | Dentist | 227 South Pendleton Street, Suita A, Easley, SC 29640 | 2009-06-02 |
| 1508030503 | Jean Claire Palmour | Massage Therapist | 404 South Fifth Street, Jj & Company Salon & Spa, Easley, SC 29640 | 2008-04-22 |
| 1760685143 | Cannon Memorial Hospital | Family Medicine | 111 W. Roper Rd., Easley, SC 29640 | 2007-06-06 |
| 1942419171 | William Kent Hammond | Dentist | 298 Enterprise Dr, Easley, SC 29640 | 2007-05-22 |
| Find all providers in zip 29640 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477881126 | Baptist Easley Hospital | Clinic/Center | 1807a East Main St., Easley, SC 29640-0000 | 2009-11-18 |
| 1871783845 | Livingwell Integrative Healthcare | Clinic/Center | 838 Powdersville Rd, Suite G, Easley, SC 29642-3703 | 2007-07-26 |
| 1043391048 | Palmetto Health | Clinic/Center | Palmetto Health, 200 Fleetwood Drive, Easley, SC 29640 | 2006-10-17 |
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| 1780164541 | Suval Psychiatric Services, Pa | Clinic/Center | 33 Market Point Dr Ste 2023, Greenville, SC 29607 | 2018-08-20 |
| 1265674253 | Plastic Surgery Center of The Carolinas | Clinic/Center | 391 Serpentine Dr Ste 300, Spartanburg, SC 29303-3080 | 2009-04-06 |
| 1770723512 | May River Dermatology | Clinic/Center | 350 Fording Island Rd, Suite 100, Bluffton, SC 29910-5168 | 2009-03-05 |
| 1215183215 | The Head and Neck Center: for Otolaryngology, Facial Plastic and Recon | Clinic/Center | 2 Leas Courtyard Dr, Seneca, SC 29672-6660 | 2008-08-11 |
| 1447468111 | George Richmond Mushet | Clinic/Center | 117 Pine Needle Rd, Aiken, SC 29803-2631 | 2007-05-18 |
| 1730225178 | Caroline R. Price Md Pa | Clinic/Center | 10 Enterprise Blvd Ste 107, Greenville, SC 29615-3534 | 2007-01-30 |
| 1134277882 | Mary M Varn, Md, LLC | Clinic/Center | 233 E Blackstock Rd Ste J, Spartanburg, SC 29301-2652 | 2007-01-08 |
| Find all providers with the same taxonomy | ||||
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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.