GREGORY THOMAS GARDZIOLA (NPI# 1871539049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871539049 |
| Entity Type | Individual |
| Full Name | GREGORY THOMAS GARDZIOLA |
| Credential | D.O. |
| Practice Address |
200 Patewood Dr Suite B350 Greenville SC 29615-3593 |
| Mailing Address |
1 Independence Pt Suite 212 Greenville SC 29615-4545 |
| Practice Telephone | 8644544500 |
| Practice Fax Number | 8644544505 |
| Mailing Telephone | 8647976044 |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2013-04-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204D00000X | Neuromusculoskeletal Medicine & OMM | 1111 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | RR MEDICARE | P00607536 | 01 |
| SC | BCBS OF SC | 576007863203 | 01 |
| SC | 011114 | 05 |
| Street Address |
200 PATEWOOD DR SUITE B350 |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29615-3593 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508861345 | John Kim Johnson | Neurological Surgery | 200 Patewood Dr, Suite B260, Greenville, SC 29615-3593 | 2005-06-17 |
| 1255941241 | Sharmaine Barnes | Specialist/Technologist | 200 Patewood Dr, Greenville, SC 29615-3593 | 2020-08-04 |
| 1598320897 | Yana Ginzburg | Physical Therapist | 200 Patewood Dr, Greenville, SC 29615-3593 | 2019-05-02 |
| 1457891228 | Sierra R Williams | Nurse Practitioner | 200 Patewood Dr, Suite B260, Greenville, SC 29615-3593 | 2017-02-27 |
| 1063951333 | Megan Lee Hiott | Nurse Practitioner | 200 Patewood Dr, A330, Greenville, SC 29615-3593 | 2017-02-19 |
| 1316485394 | Anita Suzette Combs | Nurse Practitioner | 200 Patewood Dr, Suite B350, Greenville, SC 29615-3593 | 2017-02-09 |
| 1730626813 | Lauren Lee Hays | Nurse Practitioner | 200 Patewood Dr, Suite B350, Greenville, SC 29615-3593 | 2017-01-26 |
| 1497200083 | Abigail Pellett | Physical Therapist | 200 Patewood Dr, Ste C150, Greenville, SC 29615-3593 | 2016-08-24 |
| 1033664909 | Prisma Health-upstate | General Acute Care Hospital | 200 Patewood Dr, Suite C300, Greenville, SC 29615-3593 | 2016-08-22 |
| 1144775032 | Prisma Health-upstate | General Acute Care Hospital | 200 Patewood Dr, Building A, Greenville, SC 29615-3593 | 2016-08-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194358051 | Adenike Orogade | Behavior Technician | 17 Caldedon Ct, Suite B, Greenville, SC 29615 | 2020-02-19 |
| 1629608369 | Jennifer Jacobsen | Behavior Technician | 17 Caldedon Court, Suite B, Greenville, SC 29615 | 2020-01-22 |
| 1932668217 | Carolina Orthopaedic and Neurosurgical Associates | Orthopaedic Surgery | Carolina Orthopaedic and Neurosurgical Associates, 220 Roper Mountain Road Extension, Greenville, SC 29615 | 2019-03-18 |
| 1255816070 | Trevis L Cureton | Pharmacist | 2401 East North St, Greenville, SC 29615 | 2018-09-27 |
| 1497232565 | Jacob J Fountain | Nurse Practitioner | 225 Enterprise Blvd, Suite 101, Greenville, SC 29615 | 2018-07-23 |
| 1346726924 | St. Francis Physician Services, Inc | Internal Medicine | 5 Hoke Smith Blvd, Greenville, SC 29615 | 2018-07-17 |
| 1558853101 | Alexandra Michelle Taylor | Audiologist | 200 Patewood Dr Ste 400, Greenville, SC 29615 | 2018-05-30 |
| 1316466543 | Mariah Hope Mosher | Behavioral Analyst | 7 Mckenna Commons Court, Greenvilee, SC 29615 | 2017-09-19 |
| 1326400896 | Karen L Heaps | Counselor | 3150 S. Hwy 14, The Pelham Center, Greenville, SC 29615 | 2016-03-24 |
| 1134589013 | Sharon Erk | Technician, Other | 2950 E.norths St, Greenville, OH 29615 | 2016-03-04 |
| Find all providers in zip 29615 | ||||
| Taxonomy Code | 204D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine & OMM |
| The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients. |
| Notes: Source: American Osteopathic Association, 2017 [7/1/2017: added definition] - Additional Resources: American Osteopathic Board of Neuromusculoskeletal Medicine, 2017, http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689019259 | Ecu Medicine Neurology Services | Neuromusculoskeletal Medicine & OMM | 2280 Hemby Ln, Greenville, NC 27834-3773 | 2013-05-08 |
| 1366720369 | Rebecca J Bowers | Neuromusculoskeletal Medicine & OMM | 4006 E North St, Ste C, Greenville, SC 29615-6206 | 2011-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952350449 | Harold Roy Nicolette | Neuromusculoskeletal Medicine & OMM | 6 Carriage Ln, Suite B, Charleston, SC 29407-6010 | 2006-05-10 |
| 1619101151 | Regina Ann Koder | Neuromusculoskeletal Medicine & OMM | 3400 Forest Dr, Suite 2072, Columbia, SC 29204-4041 | 2009-05-12 |
| 1508945353 | Lee Ridges | Neuromusculoskeletal Medicine & OMM | 145 E Cheves St, Florence, SC 29506-2526 | 2006-11-03 |
| 1134239049 | Anthony E Holt | Neuromusculoskeletal Medicine & OMM | 917 Bypass 225 S, Greenwood, SC 29646-8025 | 2006-08-30 |
| 1093782575 | Anubha Jati | Neuromusculoskeletal Medicine & OMM | 302 University Pkwy, Aiken, SC 29801-6302 | 2006-03-03 |
| City | GREENVILLE |
| Zip Code | 29615 |
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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.