JANICE LEE REA (NPI# 1053374983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053374983 |
| Entity Type | Individual |
| Full Name | JANICE LEE REA |
| Credential | M.D. |
| Practice Address |
20 Medical Ridge Dr Greenville SC 29605-4267 |
| Mailing Address |
1 Independence Pt Suite 212 Greenville SC 29615-4545 |
| Practice Telephone | 8642207270 |
| Practice Fax Number | 8642207290 |
| Mailing Telephone | 8647976044 |
| Mailing Fax Number | 8647976198 |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2013-06-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0204X |
Pediatrics Specialization: Pediatric Emergency Medicine |
35199 | SC | Allopathic & Osteopathic Physicians |
| N | 2080P0204X |
Pediatrics Specialization: Pediatric Emergency Medicine |
030863 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
20 MEDICAL RIDGE DR |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29605-4267 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457342461 | Gary Morgan Goudelock | Pediatrics | 20 Medical Ridge Dr, Greenville, SC 29605-4267 | 2005-10-31 |
| 1528695038 | Faith W Hicks | Dietitian, Registered | 20 Medical Ridge Dr, Greenville, SC 29605-4267 | 2020-03-25 |
| 1992230387 | Caroline Patricia Brooks | Pediatrics | 20 Medical Ridge Dr, Greenville, SC 29605-4267 | 2017-04-24 |
| 1497280887 | Zachary David Gray | Pediatrics | 20 Medical Ridge Dr, Greenville, SC 29605-4267 | 2017-04-24 |
| 1437605532 | Prisma Health-upstate | General Acute Care Hospital | 20 Medical Ridge Dr, Greenville, SC 29605-4267 | 2016-08-29 |
| 1780034207 | Kindal Wessel Dankovich | Pediatrics | 20 Medical Ridge Dr, Greenville, SC 29605 | 2016-06-15 |
| 1356754097 | Cristina Marie Lopez | Pediatrics | 20 Medical Ridge Dr, Greenville, SC 29605-4267 | 2014-06-10 |
| 1245650381 | Greenville Health System | General Acute Care Hospital | 20 Medical Ridge Dr, Greenville, SC 29605-4267 | 2014-04-16 |
| 1366878951 | Juli Anne Windsor | Physician Assistant | 20 Medical Ridge Dr, Greenville, SC 29605-4267 | 2013-09-16 |
| 1417395500 | Mark B Krom | Pediatrics | 20 Medical Ridge Dr, Greenville, SC 29605-4267 | 2013-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205306099 | Prisma Health University Medical Group | Family Medicine | 110 Osage Drive, Greenville, SC 29605 | 2018-12-05 |
| 1306325626 | Lauren Foster Fiscus | Occupational Therapist | 1900 Augusta Street, Suite 2500, Greenville, SC 29605 | 2018-08-08 |
| 1063914372 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 1720 Augusta St, Greenville, SC 29605 | 2018-03-02 |
| 1144748385 | Johanna Ruth Henry | Speech-Language Pathologist | 1900 Augusta St., Suite 2500, Greenville, SC 29605 | 2017-09-08 |
| 1477083483 | Alexis Dean Pedigo | Speech-Language Pathologist | 1900 Augusta St, Suite 2500, Greenville, SC 29605 | 2017-06-13 |
| 1134658420 | Trace Christopher Deighan | Obstetrics & Gynecology | 890 West Faris Road, Suite 470, Greenville, SC 29605 | 2017-06-08 |
| 1023569837 | Blessed With Goodness, LLC | In Home Supportive Care | 716 E. Fairfield Road, Unit 120 (mailbox # 14), Greenville, SC 29605 | 2016-10-17 |
| 1972050953 | Suha Umina | Pharmacist | 975 W. Faris Road, Greenville, SC 29605 | 2016-09-07 |
| 1124470976 | Meredith Laine Cavagrotti | Specialist/Technologist | 700 Grove Rd, Greenville, SC 29605 | 2016-07-05 |
| 1205286895 | Med-trans Corporation | Ambulance | 552 Perimeter Rd, Greenville, SC 29605 | 2016-06-15 |
| Find all providers in zip 29605 | ||||
| Taxonomy Code | 2080P0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Emergency Medicine |
| A pediatrician who has special qualifications to manage emergencies in infants and children. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992151468 | Shikha Nigam | Pediatrics | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 | 2016-05-13 |
| 1922397934 | Zachary Taylor Burroughs | Pediatrics | 701 Grove Rd, Greenville, SC 29605-4210 | 2011-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679969430 | Earl Dwight Cummings V | Pediatrics | 171 Ashley Ave, Charleston, SC 29425 | 2015-04-08 |
| 1265799225 | Colleen Jae Bressler | Pediatrics | 171 Ashley Ave, Charleston, SC 29425-2618 | 2012-04-16 |
| 1861652760 | Adam Daniel Barouh | Pediatrics | 295 Midland Pkwy, Summerville, SC 29485-8104 | 2008-06-13 |
| 1952419814 | Mary Olivia Titus | Pediatrics | 171 Ashley Ave, Charleston, SC 29425-0001 | 2006-08-29 |
| 1053429092 | Joseph V Dobson | Pediatrics | 171 Ashley Ave, Charleston, SC 29425-0001 | 2006-08-29 |
| 1215045174 | Joseph D Losek | Pediatrics | 171 Ashley Ave, Charleston, SC 29425-0001 | 2006-08-29 |
| 1649267451 | William S Russell | Pediatrics | 171 Ashley Ave, Charleston, SC 29425-8908 | 2005-10-06 |
| City | GREENVILLE |
| Zip Code | 29605 |
Please comment or provide details below to improve the information on JANICE LEE REA.
| 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.