GREENVILLE MEDICAL CENTER (NPI# 1902874142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902874142 |
| Entity Type | Organization |
| Organization Name | GREENVILLE MEDICAL CENTER |
| Practice Address |
90 Shenango St Greenville PA 16125-2060 |
| Practice Telephone | 7245884240 |
| Practice Fax Number | 7245880198 |
| Mailing Telephone | 7245884240 |
| Mailing Fax Number | 7245880198 |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | THORA R JACKSON (ADMINISTRATOR) |
| Authorized Official Telephone | 7245894300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207K00000X | Allergy & Immunology | Allopathic & Osteopathic Physicians | ||
| X | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| X | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| X | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians | ||
| X | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| X | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| X | 2085B0100X |
Radiology Specialization: Body Imaging |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0006509810001 | 05 |
| Street Address |
90 SHENANGO ST |
| City | GREENVILLE |
| State | PA |
| Zip Code | 16125-2060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669455978 | Alicia A Baker | Family Medicine | 90 Shenango St, Greenville, PA 16125-2060 | 2005-11-22 |
| 1255826061 | Brittany Gladysz | Physician Assistant | 90 Shenango St, Greenville, PA 16125-2060 | 2018-06-25 |
| 1568980332 | Tonya Lynn Telesz | Nurse Practitioner | 90 Shenango St, Greenville, PA 16125-2060 | 2017-08-31 |
| 1467904664 | Lenise Murphy-thomas | Nurse Practitioner | 90 Shenango St, Greenville, PA 16125-2060 | 2016-11-04 |
| 1003290404 | Jamie L Park | Nurse Practitioner | 90 Shenango St, Greenville, PA 16125-2060 | 2015-07-15 |
| 1437456126 | Clarissa A White | Nurse Practitioner | 90 Shenango St, Greenville, PA 16125-2060 | 2011-02-16 |
| 1902034804 | Taimur Akram | Family Medicine | 90 Shenango St, Greenville, PA 16125-2060 | 2009-06-30 |
| 1255569018 | Christina Fung-yee Wong | Family Medicine | 90 Shenango St, Greenville, PA 16125-2060 | 2009-06-30 |
| 1710121728 | Upmc Community Medicine Inc | Urology | 90 Shenango St, Greenville, PA 16125-2060 | 2009-04-22 |
| 1497926174 | Laura B Yohe | Family Medicine | 90 Shenango St, Suite 12, Greenville, PA 16125-2060 | 2008-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356983340 | Heather Christine Groeger | Licensed Vocational Nurse | 9 Greenville Sheakleyville Rd, Greenville, PA 16125 | 2019-10-11 |
| 1710316153 | Federico Pascual Vallesteros | Anesthesiology | 223 Greenville Rd, Greenville, PA 16125 | 2013-11-06 |
| 1083944524 | Kimberly Weaver | Nurse Practitioner | 12 Sherrard Avenue, Greenville, PA 16125 | 2010-01-06 |
| 1992972749 | Jinine Elizabeth Flynn-napotnik | Chiropractor | 5 Orthopedic Center, Greenville, PA 16125 | 2008-05-12 |
| 1073631859 | Russell W Poe | Dentist | 83 Shenango St, Greenville, PA 16125 | 2007-03-27 |
| 1487791042 | Sanda Marina Constantinidi | Pediatrics | 6 Manorview Drive, Greenville, PA 16125 | 2007-01-31 |
| 1811067564 | Stuart D Anderson | Orthopaedic Surgery | Greenville Orthopedic Association, 1 Greenville Orthopedic Center, Greenville, PA 16125 | 2006-11-09 |
| 1598854291 | Susan E Calderbank | Dentist | 43 Clinton St, Greenville, PA 16125 | 2006-10-12 |
| 1437268158 | Robert Michael Woods | Dentist | 282 Main Street, Greenville, PA 16125 | 2006-08-29 |
| 1154397453 | Thomas Z Pineo | Family Medicine | 110 North Main Street, Greenville, PA 16125 | 2006-02-27 |
| Find all providers in zip 16125 | ||||
| Taxonomy Code | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841819182 | Greenville Rheumatology & Allergy | Allergy & Immunology | 2104a Woodruff Rd, Greenville, SC 29607-5941 | 2020-04-15 |
| 1841491404 | Delta Asthma & Allergy | Allergy & Immunology | 2335 Highway 1 S, Greenville, MS 38701-8337 | 2007-05-30 |
| 1114092962 | Paul David Mehlhop | Allergy & Immunology | 2395 Hemby Ln., Greenville, NC 27834 | 2006-11-21 |
| 1447285374 | John Michael Pulcini | Allergy & Immunology | 10 Halton Green Way, Greenville, SC 29607-6606 | 2006-07-11 |
| 1215985874 | Charles William Greene Jr. | Allergy & Immunology | 534 Woods Lake Rd, Greenville, SC 29607-2778 | 2006-05-05 |
| 1164412318 | Andrea Brooks Lantz | Allergy & Immunology | 48 Creekview Ct, Greenville, SC 29615-4800 | 2005-10-27 |
| 1972593382 | Allergy Partners, Pllc | Allergy & Immunology | 1150 E Arlington Blvd, Greenville, NC 27858-5866 | 2005-10-26 |
| 1316498884 | Apex Allergy & Immunology, P.C. | Allergy & Immunology | 534 Woods Lake Rd, Greenville, SC 29607-2778 | 2016-10-20 |
| 1689084816 | Neha Sirohi | Allergy & Immunology | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 | 2014-04-28 |
| 1215355797 | Shiven S Patel | Allergy & Immunology | 10 Halton Green Way, Greenville, SC 29607-3475 | 2014-04-02 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 16125 |
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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.