UPSTATE GASTROENTEROLOGY, PA (NPI# 1851342067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851342067 |
| Entity Type | Organization |
| Organization Name | UPSTATE GASTROENTEROLOGY, PA |
| Practice Address |
1922a Mcconnell Springs Rd Anderson SC 29621-2642 |
| Practice Telephone | 8647166050 |
| Practice Fax Number | 8647166055 |
| Mailing Telephone | 8647166050 |
| Mailing Fax Number | 8647166055 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2011-07-14 |
| Authorized Official Name | DAVID T WORTHAM (MD) |
| Authorized Official Telephone | 8647166050 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | RR MEDICARE | DB7162 | 01 |
| SC | GP3878 | 05 |
| Street Address |
1922A MCCONNELL SPRINGS RD |
| City | ANDERSON |
| State | SC |
| Zip Code | 29621-2642 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114574241 | Kathryn L Harwick | Social Worker | 3030 Sc-81, Anderson, SC 29621 | 2019-08-22 |
| 1326517194 | Ashlea Bronwen Bates | Nurse Practitioner | 3424 Clemson Blvd., Anderson, SC 29621 | 2018-11-21 |
| 1770051708 | Bailee Vernon Mccarley | Nurse Practitioner | 800 Fant St, Anderson, SC 29621 | 2018-11-07 |
| 1790278893 | Morgan Cutts | Speech-Language Pathologist | 126 Broadbent Way, Suite A, Anderson, SC 29621 | 2018-06-13 |
| 1427546233 | Amanda Coker Burnette | Family Medicine | 3000 East Greenville Street, Suite 3700, Anderson, SC 29621 | 2018-04-26 |
| 1205342169 | Robert Allen Dameron Jr. | Orthopaedic Surgery | 130 Longview Drive, Anderson, SC 29621 | 2017-12-14 |
| 1578085411 | Michael Jason Bell | Contractor | 520 Hwy 29 Bypass N, Anderson, SC 29621 | 2017-07-12 |
| 1639629983 | Todd E. Hamilton | Dentist | 1112 Cornelia Road, Anderson, SC 29621 | 2016-10-11 |
| 1760939110 | Crystal Vaughn | Nurse Practitioner | Sac Anmed Health 2000 East Greenville Street, Anderson, SC 29621 | 2016-09-01 |
| 1992151328 | Veronica Williams | Non-emergency Medical Transport (VAN) | 2314 Old Williamston Road, Anderson, SC 29621 | 2016-05-04 |
| Find all providers in zip 29621 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| 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 |
|---|---|---|---|---|
| 1760576490 | Central Indiana Gastroenterology Group PC | Internal Medicine | 2020 Meridian Street, Suite 340, Anderson, IN 46016-4349 | 2006-10-03 |
| 1700828050 | Atam J Mehdiratta | Internal Medicine | 2020 Meridian St Ste 340, Anderson, IN 46016-4349 | 2006-06-12 |
| 1437101771 | David T. Wortham | Internal Medicine | 1922 A Mcconnell Springs Rd, Anderson, SC 29621-2642 | 2006-05-16 |
| 1477503894 | James Henry Kopp | Internal Medicine | 301 E Greenville St, Anderson, SC 29621-5535 | 2006-05-10 |
| 1417948035 | Carl M Lund | Internal Medicine | 118 Montgomery Dr, Anderson, SC 29621-3334 | 2005-11-02 |
| 1952309049 | Manjakkollai P. Veerabagu | Internal Medicine | 130 Perpetual Sq, Anderson, SC 29621-1713 | 2005-07-12 |
| 1861761090 | Anmed Health | Internal Medicine | 2000 E Greenville St, Suite 2900, Anderson, SC 29621-1580 | 2011-12-16 |
| 1982993341 | St Francis Physician Services Inc | Internal Medicine | 301 E Greenville St, Anderson, SC 29621-5535 | 2011-04-06 |
| 1780863860 | James H. Kopp, M.d., P.a. | Internal Medicine | 301 E Greenville St, Anderson, SC 29621-5535 | 2007-10-25 |
| 1821179714 | Roderick Nisi | Internal Medicine | 1601 Medical Arts Blvd, Suite 102, Anderson, IN 46011-3458 | 2006-10-18 |
| Find all providers in ANDERSON | ||||
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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.