Kimberly Michelle Green (NPI# 1447424197, PAC ID# 1658591375) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is HEMATOPOIETIC CELL TRANSPLANTATION AND CELLULAR TH.
| Nation Provider ID (NPI) | 1447424197 |
| PAC ID by PECOS | 1658591375 |
| Professional Enrollment ID | I20170807003265 |
| Full Name | Kimberly Michelle Green |
| Organization Legal Name | CHARLESTON ONCOLOGY PA |
| Address |
2085 Henry Tecklenburg Dr 2nd Floor Charleston SC 29414-5733 |
| Phone Number | 8435772276 |
| Gender | F |
| Graduation Year | 2008 |
| Primary Specialty | HEMATOPOIETIC CELL TRANSPLANTATION AND CELLULAR TH |
| Secondary Specialties | HEMATOLOGY/ONCOLOGY, OSTEOPATHIC MANIPULATIVE MEDICINE |
| Group Practice PAC ID | 3173521002 |
| Number of Group Practice Members | 15 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420065 | BON SECOURS-ST FRANCIS XAVIER HOSPITAL |
| 420087 | ROPER HOSPITAL |
| 420104 | MOUNT PLEASANT HOSPITAL |
| 420030 | COLLETON MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2085 Henry Tecklenburg Dr, 2nd Floor, Charleston, SC 29414-5733 | 8435772276 | CHARLESTON ONCOLOGY PA |
| Organization Legal Name | CHARLESTON ONCOLOGY PA |
| Physicians | 15 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashley Abide Jeter | Hematology/oncology | Charleston Oncology Pa | 2085 Henry Tecklenburg Dr, 2nd Floor, Charleston, SC 29414-5733 |
| Tina R Withrow | Nurse Practitioner | Charleston Oncology Pa | 2085 Henry Tecklenburg Dr, 2nd Floor, Charleston, SC 29414-5733 |
| George F Geils Jr. | Hematopoietic Cell Transplantation and Cellular Th | Charleston Oncology Pa | 125 Doughty St, Suite 500, Charleston, SC 29403-5744 |
| Gene B Saylors | Hematology/oncology | Charleston Oncology Pa | 125 Doughty St, Suite 500, Charleston, SC 29403-5744 |
| Charles S Holladay | Hematology/oncology | Charleston Oncology Pa | 2085 Henry Tecklenburg Dr, 2nd Floor, Charleston, SC 29414-5733 |
| George F Geils Sr. | Hematology/oncology | Charleston Oncology Pa | 125 Doughty St, Suite 500, Charleston, SC 29403-5744 |
| James M Orcutt | Hematology/oncology | Charleston Oncology Pa | 125 Doughty St, Suite 500, Charleston, SC 29403-5744 |
| George Paul Keogh Iii | Hematology/oncology | Charleston Oncology Pa | 125 Doughty St, Suite 500, Charleston, SC 29403-5744 |
| Shelly C Shand | Hematology/oncology | Charleston Oncology Pa | 2085 Henry Tecklenburg Dr, 2nd Floor, Charleston, SC 29414-5733 |
| Julia H Saylors | Hematology/oncology | Charleston Oncology Pa | 2085 Henry Tecklenburg Dr, 2nd Floor, Charleston, SC 29414-5733 |
| Street Address |
2085 HENRY TECKLENBURG DR 2ND FLOOR |
| City | CHARLESTON |
| State | SC |
| Zip | 29414-5733 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Megan K Baker | Surgical Oncology | Roper Saint Francis Physicians Network | 2085 Henry Tecklenburg Dr, Suite 310, Charleston, SC 29414-7713 |
| Carlysle Barfield | Rheumatology | 2085 Henry Tecklenburg Dr, Suite 104, Charleston, SC 29414-7711 | |
| Ashley Abide Jeter | Hematology/oncology | Charleston Oncology Pa | 2085 Henry Tecklenburg Dr, 2nd Floor, Charleston, SC 29414-5733 |
| Tina R Withrow | Nurse Practitioner | Charleston Oncology Pa | 2085 Henry Tecklenburg Dr, 2nd Floor, Charleston, SC 29414-5733 |
| Kathleen H Giarla | Nurse Practitioner | Roper Saint Francis Physicians Network | 2085 Henry Tecklenburg Dr, Suite 320, Charleston, SC 29414-7713 |
| Charles S Holladay | Hematology/oncology | Charleston Oncology Pa | 2085 Henry Tecklenburg Dr, 2nd Floor, Charleston, SC 29414-5733 |
| Shelly C Shand | Hematology/oncology | Charleston Oncology Pa | 2085 Henry Tecklenburg Dr, 2nd Floor, Charleston, SC 29414-5733 |
| Leah Wells | Nurse Practitioner | Roper Saint Francis Physicians Network | 2085 Henry Tecklenburg Dr, Suite 320, Charleston, SC 29414-7713 |
| Julia H Saylors | Hematology/oncology | Charleston Oncology Pa | 2085 Henry Tecklenburg Dr, 2nd Floor, Charleston, SC 29414-5733 |
| Jeffery Bennett | Diagnostic Radiology | Roper Radiologists Pa | 2085 Henry Tecklenburg Dr, Suite 105, Charleston, SC 29414-7711 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stacy H Lawton | Nurse Practitioner | Minuteclinic Diagnostic South Carolina LLC | 2566 Ashley River Rd, Charleston, SC 29414-4605 |
| Sherrill G Bradsher | Nurse Practitioner | Minuteclinic Diagnostic South Carolina LLC | 2566 Ashley River Rd, Charleston, SC 29414-4605 |
| Anthony C Azzolino | Chiropractic | 2352 Ashley River Rd, Charleston, SC 29414-4752 | |
| Marcus R Hostetler | Chiropractic | 2411 Savannah Hwy, Suite 3, Charleston, SC 29414-5320 | |
| William S Ottinger | Obstetrics/gynecology | Charleston Ob/gyn LLC | 1027 Physicians Dr, Suite 110, Charleston, SC 29414-5351 |
| Margaret Crosby Papadea | Obstetrics/gynecology | Charleston Ob/gyn LLC | 1027 Physicians Dr, Suite 110, Charleston, SC 29414-5351 |
| Jennifer Fouquette Fisher | Obstetrics/gynecology | Charleston Ob/gyn LLC | 1027 Physicians Dr, Suite 110, Charleston, SC 29414-5351 |
| Denise Hays Devine | Obstetrics/gynecology | Charleston Ob/gyn LLC | 1027 Physicians Dr, Suite 110, Charleston, SC 29414-5351 |
| Roy D Mckinney | Optometry | 3050 Ashley Town Ctr Dr, Charleston, SC 29414-5664 | |
| Sasha Milleman Perez | Family Medicine | Palmetto Primary Care Physicians | 3030 Ashley Town Ctr Dr, Suite 102a, Charleston, SC 29414-5678 |
| Find all physicians in zip 29414 | |||
| City | CHARLESTON |
| Zip Code | 29414 |
| Specialty | HEMATOPOIETIC CELL TRANSPLANTATION AND CELLULAR TH |
| City + Specialty | CHARLESTON + HEMATOPOIETIC CELL TRANSPLANTATION AND CELLULAR TH |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.