KYLE JAMES JERAY (NPI# 1811947419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811947419 |
| Entity Type | Individual |
| Full Name | KYLE JAMES JERAY |
| Credential | M.D. |
| Practice Address |
105 Doctors Dr Greenville SC 29605-5608 |
| Mailing Address |
1 Independence Pt Ste 212 Greenville SC 29615-4536 |
| Practice Telephone | 8647977060 |
| Practice Fax Number | 8647977077 |
| Mailing Telephone | 8647976044 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2017-03-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0801X |
Orthopaedic Surgery Specialization: Orthopaedic Trauma |
16620 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | RAILROAD MEDICARE | APPROVED | 01 |
| SC | APPROVED | 05 |
| Street Address |
105 DOCTORS DR |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29605-5608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811992035 | Stephen Ray Gardner | Neurological Surgery | 105 Doctors Dr, Greenville, SC 29605-5608 | 2005-06-15 |
| 1588282859 | Hannah Saucier | Physician Assistant | 105 Doctors Dr, Greenville, SC 29605-5608 | 2020-07-13 |
| 1740814573 | Peyton Batson | Nurse Practitioner | 105 Doctors Dr, Greenville, SC 29605-5608 | 2020-03-02 |
| 1538606603 | Jessica Traywick Hopkins | Nurse Practitioner | 105 Doctors Dr, Greenville, SC 29605-5608 | 2017-01-26 |
| 1154715126 | Joseph Brock Walker | Orthopaedic Surgery | 105 Doctors Dr, Greenville, SC 29605-5608 | 2015-03-26 |
| 1306195706 | Hannah Brearley Meade | Nurse Practitioner | 105 Doctors Dr, Greenville, SC 29605-5608 | 2012-08-31 |
| 1366705014 | Richard William Gurich Jr. | Orthopaedic Surgery | 105 Doctors Dr, Greenville, SC 29605 | 2012-06-18 |
| 1811279748 | Mandy Marie Spence | Physician Assistant | 105 Doctors Dr, Greenville, SC 29605 | 2011-09-16 |
| 1306162375 | David Evan Lazarus | Orthopaedic Surgery | 105 Doctors Dr, Greenville, SC 29605-5608 | 2010-04-15 |
| 1629206255 | John David Adams Jr. | Orthopaedic Surgery | 105 Doctors Dr, Greenville, SC 29605-5608 | 2009-06-22 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 29605 | ||||
| Taxonomy Code | 207XX0801X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Trauma |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic trauma surgeons deal with the evaluation and management of acute orthopaedic injuries, evaluation and treatment of post-traumatic deformities and nonunions, acute and delayed reconstruction of pelvic and acetabular fractures, as well as osteotomy in the adult hip for treatment of hip arthritis. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073799433 | Michael Srinivasa Sridhar | Orthopaedic Surgery | 105 Doctors Dr, Greenville, SC 29605-5608 | 2008-01-16 |
| 1841227220 | Thomas Michael Schaller | Orthopaedic Surgery | 200 Patewood Drive, Suite C100, Greenville, SC 29615-3557 | 2006-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043452741 | James Clinton Black | Orthopaedic Surgery | 480 Floyd Rd Ste A, Spartanburg, SC 29307-1518 | 2009-03-27 |
| 1184828808 | Charleston Bone & Joint Pa | Orthopaedic Surgery | 767 Johnnie Dodds Blvd, Mt Pleasant, SC 29464-3027 | 2007-06-14 |
| 1407050123 | Charlestone Bone & Joint Pa | Orthopaedic Surgery | 730 Stoney Landing Rd Ste 100, Moncks Corner, SC 29461-2948 | 2007-06-14 |
| 1922555739 | Mcleod Physician Associates II | Orthopaedic Surgery | 1005 E Cheves St, Florence, SC 29506-2707 | 2016-09-09 |
| 1063968055 | Jessica Roberson Strickland | Orthopaedic Surgery | 849 82nd Pkwy, Myrtle Beach, SC 29572-4614 | 2016-08-30 |
| 1083907125 | Kevin Murr | Orthopaedic Surgery | 14 Richland Medical Park Dr Ste 200, Columbia, SC 29203-6882 | 2011-05-23 |
| 1992900286 | Charleston Bone & Joint Pa | Orthopaedic Surgery | 2097 Henry Tecklenburg Dr, Ste 316, Charleston, SC 29414-5740 | 2007-06-18 |
| 1790989416 | Charleston Bone & Joint Pa | Orthopaedic Surgery | 2061 Highway 52, Moncks Corner, SC 29461-5017 | 2007-06-14 |
| 1124080684 | William Estes | Orthopaedic Surgery | 851 Leonard Fulghum Blvd, Suite 101, Mount Pleasant, SC 29464-3787 | 2006-04-03 |
| 1043204704 | Kevin J. Pugh | Orthopaedic Surgery | 1005 E Cheves St, Florence, SC 29506-2707 | 2005-09-08 |
| Find all providers with the same taxonomy | ||||
| City | GREENVILLE |
| Zip Code | 29605 |
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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.