DOCTORS CARE SC, PA (NPI# 1790024685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790024685 |
| Entity Type | Organization |
| Organization Name | DOCTORS CARE SC, PA |
| Other Organization Name | DOCTORS CARE GREER |
| Practice Address |
230 W Wade Hampton Blvd Greer SC 29650-1655 |
| Mailing Address |
1818 Henderson St Columbia SC 29201-2619 |
| Practice Telephone | 8649689144 |
| Practice Fax Number | 8649689244 |
| Mailing Telephone | 8037582600 |
| Mailing Fax Number | 8032538896 |
| Enumeration Date | 2013-02-12 |
| Last Update Date | 2020-09-09 |
| Authorized Official Name | DR. SHELLEY JANSSEN (CHIEF MEDICAL OFFICER) |
| Authorized Official Telephone | 8037824278 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians | ||
| N | 208D00000X | General Practice | Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP0110 | 05 |
| Other Name | Type Code |
|---|---|
| Doctors Care Greer | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861937377 | Doctors Care Sc, Pa | General Practice | 8384 Charlotte Highway, Indian Land, SC 29707-6532 | 2016-12-20 |
| 1639542202 | Doctors Care Sc, Pa | Emergency Medicine | 1538 Main St, Columbia, SC 29201-2808 | 2015-11-04 |
| 1033581384 | Doctors Care Sc, Pa | Emergency Medicine | 300 E Blackstock Rd, Suite E, Spartanburg, SC 29301-3787 | 2015-10-27 |
| 1437498268 | Doctors Care Sc, Pa | Emergency Medicine | 410 E Main Street, Summerville, SC 29483-6420 | 2013-02-14 |
| 1952640807 | Doctors Care Sc, Pa | Emergency Medicine | 1847 S Lake Dr, Lexington, SC 29073-7759 | 2013-02-12 |
| 1851630719 | Doctors Care Sc, Pa | Emergency Medicine | 4621 Hardscrabble Rd, Columbia, SC 29229-0000 | 2013-02-12 |
| 1598004509 | Doctors Care Sc, Pa | General Practice | 3074 Highway 17 Byp N, Mt Pleasant, SC 29466-9315 | 2013-02-11 |
| 1013256023 | Doctors Care Sc, Pa | General Practice | 1014 Saint Andrews Blvd, Charleston, SC 29407-7139 | 2013-02-11 |
| 1730434283 | Doctors Care Sc, Pa | Emergency Medicine | 2012 Harden St Ste 112, Columbia, SC 29204-0915 | 2012-07-20 |
| 1205292885 | Doctors Care Sc, Pa | Emergency Medicine | 1795 N Highway 17, Building #7, Mt Pleasant, SC 29464-3631 | 2016-01-12 |
| Street Address |
230 W WADE HAMPTON BLVD |
| City | GREER |
| State | SC |
| Zip Code | 29650-1655 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548825821 | Adam Thaddeus Thomas | Physician Assistant | 230 W Wade Hampton Blvd, Greer, SC 29650-1655 | 2019-05-02 |
| 1679981831 | Susan Jane Fenderson | Nurse Practitioner | 230 W Wade Hampton Blvd, Greer, SC 29650-1655 | 2014-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154946424 | Paul Wong | Family Medicine | 109 Physicians Drive Suite A, Greer, SC 29650 | 2020-06-12 |
| 1992273684 | Christopher Michael Campbell | Pharmacist | 845b S Buncombe Rd, Greer, SC 29650 | 2018-11-12 |
| 1376035618 | Jessica Miller | Dentist | 1494 W Wade Hampton Blvd Ste D, Greer, SC 29650 | 2018-06-02 |
| 1992212872 | Greenville Health Corporation | Pharmacy | 845 S Buncombe Rd Ste D, Greer, SC 29650 | 2018-01-02 |
| 1114432077 | Spartanburg Medical Center | Orthopaedic Surgery | 2755 S Highway 14 Ste 1200m, Greer, SC 29650 | 2017-12-13 |
| 1437679750 | Sanders Healthcare LLC | Home Health | 110 W. Church St., Suite A, Greer, SC 29650 | 2017-06-27 |
| 1306291117 | James Elliott Crouch | Occupational Therapy Assistant | 1305 Boilings Springs Rd., Greer, SC 29650 | 2016-04-29 |
| 1033593389 | Premier Medical Transport Service | Non-emergency Medical Transport (VAN) | 120 Glenaire Dr, Greer, SC 29650 | 2015-07-16 |
| 1104176429 | Suchi Chomal | Pharmacist | 6 Colby Ct, Greer, SC 29650 | 2012-09-13 |
| 1447500822 | John Varner | Pharmacist | 821 S. Batesville Road, Greer, SC 29650 | 2012-09-13 |
| Find all providers in zip 29650 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154946424 | Paul Wong | Family Medicine | 109 Physicians Drive Suite A, Greer, SC 29650 | 2020-06-12 |
| 1689296881 | Nathanael Zack Heard | Family Medicine | 109 Physicians Dr, Greer, SC 29650-2446 | 2020-05-11 |
| 1801339064 | Michael Charles Tobin | Family Medicine | 221 Watkins Farm Dr, Greer, SC 29651-7539 | 2016-11-21 |
| 1265878268 | Ernestina Nyarko French | Family Medicine | 426 Memorial Drive Ext, Greer, SC 29651-1818 | 2013-05-16 |
| 1104079599 | Upstate Medical Care, P.a. | Family Medicine | 1530 S Highway 14, Greer, SC 29650-4620 | 2008-10-29 |
| 1205083029 | Howard Wayne Pearlman | Family Medicine | 101 Brushy Meadows Dr, Greer, SC 29650-1025 | 2008-08-22 |
| 1063696094 | Gil-young Chae | Family Medicine | 10 Cork Dr, Greer, SC 29650-0973 | 2007-12-27 |
| 1730245101 | Doctors Family Medicine | Family Medicine | 322 Memorial Dr, Greer, SC 29650-1521 | 2006-12-29 |
| 1538225206 | Benjamin Andrew Hester | Family Medicine | 3115d Brushy Creek Rd, Greer, SC 29650-0903 | 2006-12-28 |
| 1689773004 | Jimmie Harold Carpenter | Family Medicine | 101 Bennington Way, Greer, SC 29650-4009 | 2006-09-22 |
| Find all providers in GREER | ||||
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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.