DR. MANUEL G TRUJILLO JR. (NPI# 1992951883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992951883 |
| Entity Type | Individual |
| Full Name | DR. MANUEL G TRUJILLO JR. |
| Credential | M.D. |
| Practice Address |
2755 S Highway 14 Ste 2050 Greer SC 29650-4933 |
| Mailing Address |
Po Box 743070 Atlanta GA 30374-3070 |
| Practice Telephone | 8648499330 |
| Practice Fax Number | 8645306990 |
| Mailing Telephone | 8645604304 |
| Mailing Fax Number | 8645604413 |
| Enumeration Date | 2008-08-12 |
| Last Update Date | 2018-11-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208200000X | Plastic Surgery | 31158 | SC | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 31158 | SC | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | LL31158 | SC | Allopathic & Osteopathic Physicians |
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
31158 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | MEDICARE PIN | SCA8577628 | 01 |
| SC | 311585 | 05 | |
| SC | MEDICARE PIN | SCA8573365 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1364 Clifton Rd Ne, Atlanta, GA 303221059 | 4047275658 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790864429 | Manuel Trujillo | Psychiatry & Neurology | 462 1st Ave # A-560, New York, NY 10016-9196 | 2006-11-03 |
| Street Address |
2755 S HIGHWAY 14 STE 2050 |
| City | GREER |
| State | SC |
| Zip Code | 29650-4933 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801176367 | Marylu Williams | Nurse Practitioner | 2755 S Highway 14 Ste 2050, Greer, SC 29650-4933 | 2011-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154946424 | Paul Wong | Family Medicine | 109 Physicians Drive Suite A, Greer, SC 29650 | 2020-06-12 |
| 1992273684 | Christopher Michael Campbell | Pharmacist | 845b S Buncombe Rd, Greer, SC 29650 | 2018-11-12 |
| 1376035618 | Jessica Miller | Dentist | 1494 W Wade Hampton Blvd Ste D, Greer, SC 29650 | 2018-06-02 |
| 1992212872 | Greenville Health Corporation | Pharmacy | 845 S Buncombe Rd Ste D, Greer, SC 29650 | 2018-01-02 |
| 1114432077 | Spartanburg Medical Center | Orthopaedic Surgery | 2755 S Highway 14 Ste 1200m, Greer, SC 29650 | 2017-12-13 |
| 1437679750 | Sanders Healthcare LLC | Home Health | 110 W. Church St., Suite A, Greer, SC 29650 | 2017-06-27 |
| 1306291117 | James Elliott Crouch | Occupational Therapy Assistant | 1305 Boilings Springs Rd., Greer, SC 29650 | 2016-04-29 |
| 1033593389 | Premier Medical Transport Service | Non-emergency Medical Transport (VAN) | 120 Glenaire Dr, Greer, SC 29650 | 2015-07-16 |
| 1104176429 | Suchi Chomal | Pharmacist | 6 Colby Ct, Greer, SC 29650 | 2012-09-13 |
| 1447500822 | John Varner | Pharmacist | 821 S. Batesville Road, Greer, SC 29650 | 2012-09-13 |
| Find all providers in zip 29650 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083900724 | Kevin Shultz | Surgery | 301 The Pkwy, Greer, SC 29650-5221 | 2011-06-21 |
| 1164536074 | Spartanburg Regional Med Ctr | Surgery | 2755 S Highway 14, Suite 1200l, Greer, SC 29650-4902 | 2006-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831796150 | Lexington Health Inc | Surgery | 2728 Sunset Blvd Ste 105, West Columbia, SC 29169-4839 | 2020-10-09 |
| 1407472251 | Paulina Bao Tran Le | Surgery | Prisma Health Medical Group Plastic Surgery, 2 Medical Park, Ste 302, Columbia, SC 29203 | 2020-06-17 |
| 1366788580 | John Jacob Keyser | Surgery | 4094 Spring Is, Okatie, SC 29909-4053 | 2012-12-15 |
| 1780971135 | Paul Diegidio | Surgery | 1721 Ebenezer Rd Ste 115, Rock Hill, SC 29732-1119 | 2011-07-06 |
| 1184757288 | Ted R Vaughn | Surgery | 305a W Alexander Ave, Greenwood, SC 29646-4009 | 2007-03-14 |
| 1568535847 | Griffin Plastic Surgery PC | Surgery | 513 S Dargan St, Florence, SC 29506-2549 | 2006-11-16 |
| 1881786820 | Kimberley B Goh | Surgery | 4610 Oleander Drive, 101, Myrtle Beach, SC 29577 | 2006-09-28 |
| 1780797449 | Marcelo L. Hochman | Surgery | 2097 Henry Techlenburg Dr, Suite 212 West, Charleston, SC 29416-5739 | 2006-08-16 |
| 1750304333 | Patrick O'neill | Surgery | 245 Seven Farms Dr, Suite 210, Daniel Island, SC 29492-8500 | 2006-07-25 |
| 1659325371 | Steven K White | Surgery | 1275 21st Ave N, Myrtle Beach, SC 29577-7429 | 2006-05-19 |
| Find all providers with the same taxonomy | ||||
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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.