GREENWOOD REGIONAL RHEUMATOLOGY CENTER PA (NPI# 1811174279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811174279 |
| Entity Type | Organization |
| Organization Name | GREENWOOD REGIONAL RHEUMATOLOGY CENTER PA |
| Practice Address |
917 Bypass 225 S Greenwood SC 29646-8025 |
| Mailing Address |
Po Box 427 Greenwood SC 29648-0427 |
| Practice Telephone | 8649538002 |
| Practice Fax Number | 8649539690 |
| Mailing Telephone | 8649538002 |
| Mailing Fax Number | 8649539690 |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2013-05-06 |
| Authorized Official Name | DR. JOHN TRIMMER HICKS (PHYSICIAN/PRACTICE OWNER) |
| Authorized Official Telephone | 8649538002 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
15159 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP3287 | 05 | |
| SC | UPIN | D05839 | 01 |
| Street Address |
917 BYPASS 225 S |
| City | GREENWOOD |
| State | SC |
| Zip Code | 29646-8025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487654034 | Bret J Warner | Psychiatry & Neurology | 917 Bypass 225 S, Greenwood, SC 29646-8025 | 2005-07-26 |
| 1851783377 | Piedmont Neurology | Psychiatry & Neurology | 917 Bypass 225 S, Greenwood, SC 29646-8025 | 2015-02-20 |
| 1134239049 | Anthony E Holt | Neuromusculoskeletal Medicine & OMM | 917 Bypass 225 S, Greenwood, SC 29646-8025 | 2006-08-30 |
| 1104802388 | John Trimmer Hicks | Internal Medicine | 917 Bypass 225 S, Greenwood, SC 29646-8025 | 2005-12-19 |
| 1700886009 | Wayne B Sida | Psychiatry & Neurology | 917 Bypass 225 S, Greenwood, SC 29646-8025 | 2005-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114535416 | Supriya Lal | Dietitian, Registered | 303 Parkwood Rd, Greenwood, SC 29646 | 2020-07-22 |
| 1174158406 | Mara L Schwartz | Registered Nurse | 1226 Spring St., Diabtes Education Department, Greenwood, SC 29646 | 2020-03-06 |
| 1487213724 | Greater Greenwood United Ministry | Family Medicine | 1404 Edgefield Street, Greenwood, SC 29646 | 2019-06-11 |
| 1346747995 | Kelli Diane Clune | Nurse Practitioner | 115 E Alexander Ave, Greenwood, SC 29646 | 2018-04-10 |
| 1184150112 | Sanquinette Sanders Brownlee | Nurse Practitioner | 929 Phoenix Stret, Clinica Gratis, Greenwood, SC 29646 | 2017-05-11 |
| 1194258426 | Kimberley Lovejoy | Assistant Behavior Analyst | 210a Birchtree, Greenwood, SC 29646 | 2017-04-04 |
| 1427590900 | Rejuvenation Massage By Frances | Clinic/Center | 610 Chace Avenue, Greenwood, SC 29646 | 2016-11-15 |
| 1932651643 | Hayley Smith | Counselor | 110 Court Ave W, Greenwood, SC 29646 | 2016-10-28 |
| 1942757927 | Towanda Morton | Community Health Worker | 303 Suite B South Main Street, Greenwood, SC 29646 | 2016-09-07 |
| 1770039976 | Bragan Mace | Pharmacist | 1376 South Main St., Greenwood, SC 29646 | 2016-08-28 |
| Find all providers in zip 29646 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| 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 |
|---|---|---|---|---|
| 1710355540 | Articularis Healthcare Group Inc. | Internal Medicine | 105 Vinecrest Ct, Greenwood, SC 29646-8031 | 2015-09-10 |
| 1871888487 | Taylor Lauren Mader | Internal Medicine | 105 Vinecrest Ct, Suite 600, Greenwood, SC 29646-8031 | 2011-06-10 |
| 1104802388 | John Trimmer Hicks | Internal Medicine | 917 Bypass 225 S, Greenwood, SC 29646-8025 | 2005-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568786630 | Irum Mona Idrees | Internal Medicine | 135 Commonwealth Dr Ste 170, Greenville, SC 29615-6940 | 2010-03-18 |
| 1205065976 | Lexington County Health Services District Inc. | Internal Medicine | 146 East Hospital Dr, Ste 550, West Columbia, SC 29169-4843 | 2009-07-02 |
| 1114104999 | Suhail Kumar | Internal Medicine | 3 Saint Francis Dr Ste 400, Greenville, SC 29601 | 2008-01-24 |
| 1952449290 | Sofia Aksentijevich | Internal Medicine | 14 E Farmfield Avenue, Charleston, SC 29407-7757 | 2007-02-01 |
| 1124198080 | The Arthritis and Osteoporosis Center Pa | Internal Medicine | 1768 Village Park Dr, Orangeburg, SC 29118 | 2006-11-08 |
| 1710056007 | Robert Thomas Keenan | Internal Medicine | 800 E Cheves St Ste 280, Florence, SC 29506-2652 | 2006-11-08 |
| 1881782266 | Erica Anderson | Internal Medicine | 14 Farmfield Ave Ste E, Charleston, SC 29407-7757 | 2006-10-10 |
| 1699725986 | Muthamma J Machimada | Internal Medicine | 135 Commonwealth Dr. Ste. 170, Greenville, SC 29615-6940 | 2006-05-10 |
| 1992753636 | John Louis Brittis | Internal Medicine | 23 Plantation Park Drive, Suite 101, Bluffton, SC 29910 | 2006-05-05 |
| 1700849627 | Walter Morse Bonner Jr. | Internal Medicine | 890 Johnnie Dodds Blvd, Suite 2a, Mt Pleasant, SC 29464-6129 | 2006-04-11 |
| 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.