PRISMA HEALTH UNIVERSITY MEDICAL GROUP (NPI# 1861796617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861796617 |
Entity Type | Organization |
Organization Name | PRISMA HEALTH UNIVERSITY MEDICAL GROUP |
Practice Address |
300 Scuffletown Rd Simpsonville SC 29681-7204 |
Mailing Address |
1 Independence Pt Ste 212 Greenville SC 29615-4536 |
Practice Telephone | 8643290029 |
Practice Fax Number | 8643298125 |
Mailing Telephone | 8643854790 |
Enumeration Date | 2011-01-07 |
Last Update Date | 2020-05-15 |
Authorized Official Name | KRISTI A. LAWRENCE (DIRECTOR) |
Authorized Official Telephone | 8647976118 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | GP0576 | 05 |
Other Name | Type Code |
---|---|
University Medical Group | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205306099 | Prisma Health University Medical Group | Family Medicine | 110 Osage Drive, Greenville, SC 29605 | 2018-12-05 |
1730786096 | Prisma Health University Medical Group | Radiology | 1519 Marion St, Columbia, SC 29201-2910 | 2020-10-08 |
1114542081 | Prisma Health University Medical Group | Health Educator | 712 Grove Rd, Greenville, SC 29605-4211 | 2020-06-16 |
1295218642 | Prisma Health University Medical Group | Internal Medicine | 106 John St, Easley, SC 29640-1415 | 2018-09-12 |
1619411899 | Prisma Health University Medical Group | Durable Medical Equipment & Medical Supplies | 109 Fleetwood Dr, Suite B, Easley, SC 29640-2019 | 2016-12-07 |
1225480486 | Prisma Health University Medical Group | Pediatrics | 208 Frontage Rd, Suite 1, Clemson, SC 29631-1691 | 2016-07-12 |
1265884852 | Prisma Health University Medical Group | Durable Medical Equipment & Medical Supplies | 333 S Pine St, Spartanburg, SC 29302-2622 | 2016-07-07 |
1053786483 | Prisma Health University Medical Group | Nurse Practitioner | 701 Grove Rd, Greenville, SC 29605-4210 | 2015-12-10 |
1558754978 | Prisma Health University Medical Group | Orthopaedic Surgery | 10630 Clemson Blvd, Suite 100, Seneca, SC 29678-4546 | 2015-03-10 |
1528465374 | Prisma Health University Medical Group | Anesthesiology | 67 Creekside Park Ct, Greenville, SC 29615-4810 | 2014-11-21 |
Street Address |
300 SCUFFLETOWN RD |
City | SIMPSONVILLE |
State | SC |
Zip Code | 29681-7204 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730182577 | Kimberley S Patton | Family Medicine | 300 Scuffletown Rd, Simpsonville, SC 29681-7204 | 2005-05-24 |
1063991198 | Katelyn Elizabeth Burn | Physical Therapist | 300 Scuffletown Rd, Simpsonville, SC 29681-7204 | 2018-08-09 |
1396251450 | Stefanie Summer Lapresi | Physical Therapist | 300 Scuffletown Rd, Simpsonville, SC 29681-7204 | 2017-12-26 |
1457809675 | David Llaneza | Physical Therapist | 300 Scuffletown Rd, Simpsonville, SC 29681-7204 | 2016-09-16 |
1386190791 | Duncan Evans | Physical Therapist | 300 Scuffletown Rd, Simpsonville, SC 29681-7204 | 2016-08-27 |
1972902781 | Stephanie Buffo Morgan | Physical Therapist | 300 Scuffletown Rd, Simpsonville, SC 29681-7204 | 2014-08-18 |
1124378864 | Jessica Anne Masocol | Family Medicine | 300 Scuffletown Rd, Simpsonville, SC 29681-7204 | 2012-09-10 |
1811299738 | Rebekah Mae Horn | Physical Therapist | 300 Scuffletown Rd, Simpsonville, SC 29681-7204 | 2010-11-29 |
1255563987 | Timothy Caleb Hargrove | Family Medicine | 300 Scuffletown Rd, Simpsonville, SC 29681-7204 | 2009-08-13 |
1871721563 | Chae M. Ko | Family Medicine | 300 Scuffletown Rd, Simpsonville, SC 29681-7204 | 2009-07-01 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851858013 | The Tot Spot of South Carolina | Dentist | 1334 S. Hwy 14, Simpsonville, SC 29681 | 2019-02-25 |
1194206540 | Lynnette Kathleen Beyerle | Nurse Practitioner | 227 N Main Street, Simpsonville, SC 29681 | 2018-08-23 |
1477030070 | Mena M Melek | Pharmacist | 115 Sc-14, Simpsonville, SC 29681 | 2018-07-26 |
1437673423 | Abby Elizabeth Meagher | Nurse Practitioner | 1338 South Carolina Highway 14, Simpsonville, SC 29681 | 2017-08-01 |
1326586447 | Brooke Huffman | Speech-Language Pathologist | 5 Moorgate Dr, Simpsonville, SC 29681 | 2017-02-09 |
1053869818 | A Ray of Sunshine | Home Health | 216 Chickamauga Ln, Simpsonville, SC 29681 | 2016-09-21 |
1679924195 | Guardian Angels of The Upstate | Licensed Practical Nurse | 117 Fairview Pointe Dr, Simpsonville, SC 29681 | 2016-06-27 |
1033560552 | Jimetta Littlejohn | Licensed Practical Nurse | 117 Fairview Pointe Drive, Simpsonville, SC 29681 | 2016-06-27 |
1932597473 | Peace and Comfort Care LLC, Home Health | Home Health | 3106 Bethel Rd Unit 55, Simpsonvill, SC 29681 | 2015-01-07 |
1093136830 | Kidbuilders LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 203 N. Maple St, Suite 8, Simpsonville, SC 29681 | 2013-12-20 |
Find all providers in zip 29681 |
Taxonomy Code | 261QU0200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Urgent Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881061521 | Bon Secours Ambulatory Services - St. Francis, LLC | Clinic/Center | 3930 Grandview Dr Ste B, Simpsonville, SC 29680-3163 | 2015-08-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194380600 | Lexington County Health Services District, Inc. | Clinic/Center | 154 Saluda Pointe Ct, Lexington, SC 29072 | 2019-05-09 |
1790254365 | Gomed Charleston | Clinic/Center | 1257 Smythe St, Daniel Island, SC 29492-8371 | 2018-11-13 |
1053824235 | Broken Better Urgent Care LLC | Clinic/Center | 735 Cherry Rd, Rock Hill, SC 29732-3121 | 2017-11-10 |
1265952261 | Heritage Healthcare System | Clinic/Center | 914 Reynolds Road, Barnwell, SC 29812 | 2017-06-21 |
1093248288 | Charleston Carenow Urgent Care, LLC | Clinic/Center | 516 Saint James Ave, Goose Creek, SC 29445-2793 | 2017-04-05 |
1689113763 | Bon Secours Ambulatory Services-st Francis LLC | Clinic/Center | 1800 Augusta St Ste B, Greenville, SC 29605-2928 | 2017-02-22 |
1124495643 | Bon Secours Ambulatory Services - St. Francis, LLC | Clinic/Center | 1467 Woodruff Rd Ste C, Greenville, SC 29607-6505 | 2015-09-01 |
1780051425 | Bon Secours Ambulatory Services - St. Francis, LLC | Clinic/Center | 3213 N Pleasantburg Dr Ste E2, Greenville, SC 29609-2900 | 2015-08-28 |
1346617081 | Bon Secours Ambulatory Services - St. Francis, LLC | Clinic/Center | 1494 W Wade Hampton Blvd Ste C, Greer, SC 29650-1166 | 2015-08-28 |
1306244348 | Medcare Urgent Care Spartanburg, LLC | Clinic/Center | 301 E Wood Street, Spartanburg, SC 29303 | 2014-12-08 |
Find all providers with the same taxonomy |
City | SIMPSONVILLE |
Zip Code | 29681 |
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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.