PRISMA HEALTH UNIVERSITY MEDICAL GROUP


Address: 300 Scuffletown Rd, Simpsonville, SC 29681-7204
Phone: 8643290029

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QU0200X Clinic/Center
Specialization: Urgent Care
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
SC GP0576 05

Other Provider/Organization Names

Other Name Type Code
University Medical Group Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 300 SCUFFLETOWN RD
City SIMPSONVILLE
State SC
Zip Code 29681-7204

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QU0200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Urgent Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

Search similar providers

City SIMPSONVILLE
Zip Code 29681

Improve Information

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Dataset Information

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.

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