EXPRESSCARE PEDIATRICS, PC (NPI# 1033340716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033340716 |
| Entity Type | Organization |
| Organization Name | EXPRESSCARE PEDIATRICS, PC |
| Practice Address |
274 Commonwealth Dr Suite C Greenville SC 29615-4869 |
| Mailing Address |
2153 E Main St Ste C14-321 Duncan SC 29334-8724 |
| Practice Telephone | 8645512422 |
| Practice Fax Number | 8645512424 |
| Mailing Telephone | 8645512422 |
| Mailing Fax Number | 8645512424 |
| Enumeration Date | 2009-07-29 |
| Last Update Date | 2013-09-10 |
| Authorized Official Name | TONYA KNOX-FRAZIER (OWNER) |
| Authorized Official Telephone | 8645512422 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 274517 | 05 |
| Street Address |
274 COMMONWEALTH DR SUITE C |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29615-4869 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083614739 | David Devon Wilt | Nurse Practitioner | 274 Commonwealth Dr, Greenville, SC 29615-4872 | 2005-07-22 |
| 1093265456 | Tribe513, Pa | Obstetrics & Gynecology | 274 Commonwealth Dr, Suite A, Greenville, SC 29615-4869 | 2016-10-10 |
| 1609259217 | Express Pediatric Care, P.a. | Pediatrics | 274 Commonwealth Dr, Suite C, Greenville, SC 29615-4869 | 2015-06-30 |
| 1760701288 | Tamara Deniece Johnson | Pediatrics | 274 Commonwealth Dr, Suite C, Greenville, SC 29615-4869 | 2010-05-24 |
| 1497899892 | Dawn Polly | Pediatrics | 274 Commonwealth Dr, Suite C, Greenville, SC 29615-4869 | 2007-02-18 |
| 1841388956 | Mercy Ob Gyn | Obstetrics & Gynecology | 274 Commonwealth Dr, Suite B, Greenville, SC 29615-4869 | 2006-10-11 |
| 1932137163 | Tamela Gail Gallman-keller | Obstetrics & Gynecology | 274 Commonwealth Dr, Suite A, Greenville, SC 29615 | 2006-06-28 |
| 1487648044 | John Francis Pilch | Psychiatry & Neurology | 274 Commonwealth Dr, Greenville, SC 29615-4869 | 2005-09-09 |
| 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 | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932612439 | Drumm Enterprises, Inc | Clinic/Center | 12 Waite St Ste A1, Greenville, SC 29607-3215 | 2017-11-07 |
| 1316301146 | Pediatric Hair Solutions Corporation | Clinic/Center | 319 Garlington Rd, Suite C-7, Greenville, SC 29615-4620 | 2016-04-07 |
| 1245651819 | Palmetto Hospitalist Services LLC | Clinic/Center | 2131 Woodruff Rd Ste 2100, #269, Greenville, SC 29607-5959 | 2013-12-26 |
| 1144529983 | Delta Family Medical Services Inc | Clinic/Center | 1554 S Colorado St, Greenville, MS 38703-7219 | 2011-03-18 |
| 1760555346 | Lawler and Associates, LLC | Clinic/Center | 38 Boland Ct, Greenville, SC 29615-5707 | 2006-11-15 |
| 1568480432 | Westside Medical Center | Clinic/Center | 3204 White Horse Rd Ste D, Greenville, SC 29611-5916 | 2006-07-18 |
| 1427010578 | Health Access Inc | Clinic/Center | 2610 Stantonsburg Rd, Greenville, NC 27834-5910 | 2006-04-04 |
| 1174506281 | Delta Heart & Vascular Center, P.a. | Clinic/Center | 1421 E Union St, Greenville, MS 38703-3247 | 2005-11-22 |
| 1821600677 | Ash and Ivy Ltd Co | Clinic/Center | 880 S Pleasantburg Dr Ste 4d, Greenville, SC 29607-2453 | 2020-08-21 |
| 1801404058 | The Cagle Center of Wellness | Clinic/Center | 307 Rutherford St, Greenville, SC 29609-5309 | 2020-07-14 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 29615 |
Please comment or provide details below to improve the information on EXPRESSCARE PEDIATRICS, PC.
| 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.