SELF MEDICAL GROUP (NPI# 1073840856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073840856 |
| Entity Type | Organization |
| Organization Name | SELF MEDICAL GROUP |
| Other Organization Name | HOSPITAL MEDICINE SPECIALISTS OF SELF MEDICAL GROUP |
| Practice Address |
1325 Spring Street Hospital Medicine Specialists of Self Medical Group Greenwood SC 29646-3860 |
| Mailing Address |
1325 Spring Street Self Medical Group Attn: Hospital Medicine Specialists Greenwood SC 29646-3860 |
| Practice Telephone | 8647254272 |
| Practice Fax Number | 8647254452 |
| Mailing Telephone | 8647254272 |
| Mailing Fax Number | 8647254452 |
| Enumeration Date | 2009-11-16 |
| Last Update Date | 2012-05-23 |
| Authorized Official Name | JAMES A PFEIFFER (PRESIDENT AND CHIEF EXECUTIVE OFFIC) |
| Authorized Official Telephone | 8647254253 |
| Is Organization Subpart | Y |
| Parent Organization Name | SELF MEDICAL GROUP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208M00000X | Hospitalist | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Hospital Medicine Specialists of Self Medical Group | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487212130 | Self Medical Group | Family Medicine | 105 Vinecrest Ct # 510, Greenwood, SC 29646-8031 | 2019-05-29 |
| 1750800264 | Self Medical Group | Family Medicine | 110 Highway 246 N, Greenwood, SC 29649-8748 | 2017-09-15 |
| 1760808083 | Self Medical Group | Clinic/Center | 450 Old Brickyard Rd, Greenwood, SC 29649-8681 | 2014-03-11 |
| 1588969448 | Self Medical Group | Nurse Practitioner | 104 Liner Drive, Greenwood, SC 29646 | 2011-01-24 |
| 1417252636 | Self Medical Group | Family Medicine | 138 Wells Avenue, Greenwood, SC 29646-3837 | 2011-01-19 |
| 1376843037 | Self Medical Group | Obstetrics & Gynecology | 107 Venture Court, Greenwood, SC 29649-8558 | 2010-10-28 |
| 1629382056 | Self Medical Group | Family Medicine | 207 Holiday Road, Mccormick, SC 29835-3430 | 2010-07-27 |
| 1942528161 | Self Medical Group | Family Medicine | 167 Greenwood Ave S, Ware Shoals, SC 29692 | 2010-05-12 |
| 1134442890 | Self Medical Group | Physician Assistant | 115 Academy Avenue, Unit A, Greenwood, SC 29646 | 2010-03-10 |
| 1457685570 | Self Medical Group | Surgery | 160 Academy Avenue, Greenwood, SC 29646-3808 | 2009-09-22 |
| Street Address |
1325 SPRING STREET HOSPITAL MEDICINE SPECIALISTS OF SELF MEDICAL GROUP |
| City | GREENWOOD |
| State | SC |
| Zip Code | 29646-3860 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982836847 | Self Medical Group | Surgery | 1325 Spring Street, Greenwood, SC 29646-3860 | 2009-08-11 |
| 1174842090 | Self Medical Group | Radiology | 1325 Spring Street, Greenwood, SC 29646-3860 | 2010-05-18 |
| 1871816538 | Self Medical Group | Pediatrics | 1325 Spring Street, Greenwood, SC 29646-3860 | 2010-03-10 |
| 1083890339 | Self Regional Healthcare | Internal Medicine | 1325 Spring Street, Greenwood, SC 29646 | 2008-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114535416 | Supriya Lal | Dietitian, Registered | 303 Parkwood Rd, Greenwood, SC 29646 | 2020-07-22 |
| 1174158406 | Mara L Schwartz | Registered Nurse | 1226 Spring St., Diabtes Education Department, Greenwood, SC 29646 | 2020-03-06 |
| 1487213724 | Greater Greenwood United Ministry | Family Medicine | 1404 Edgefield Street, Greenwood, SC 29646 | 2019-06-11 |
| 1346747995 | Kelli Diane Clune | Nurse Practitioner | 115 E Alexander Ave, Greenwood, SC 29646 | 2018-04-10 |
| 1184150112 | Sanquinette Sanders Brownlee | Nurse Practitioner | 929 Phoenix Stret, Clinica Gratis, Greenwood, SC 29646 | 2017-05-11 |
| 1194258426 | Kimberley Lovejoy | Assistant Behavior Analyst | 210a Birchtree, Greenwood, SC 29646 | 2017-04-04 |
| 1427590900 | Rejuvenation Massage By Frances | Clinic/Center | 610 Chace Avenue, Greenwood, SC 29646 | 2016-11-15 |
| 1932651643 | Hayley Smith | Counselor | 110 Court Ave W, Greenwood, SC 29646 | 2016-10-28 |
| 1942757927 | Towanda Morton | Community Health Worker | 303 Suite B South Main Street, Greenwood, SC 29646 | 2016-09-07 |
| 1770039976 | Bragan Mace | Pharmacist | 1376 South Main St., Greenwood, SC 29646 | 2016-08-28 |
| Find all providers in zip 29646 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215391354 | Roderick S Brown | Hospitalist | 1401 River Rd Rm 442, Greenwood, MS 38930-4030 | 2016-04-05 |
| 1881923365 | Knd Development 59 LLC | Hospitalist | 607 Greenwood Springs Dr, Greenwood, IN 46143-6377 | 2009-12-14 |
| 1548422017 | Ahmad Rateb Alawneh | Hospitalist | 701 E County Line Rd, Suite 101, Greenwood, IN 46143-1070 | 2008-06-26 |
| 1720048440 | Greenwood Leflore Hospital | Hospitalist | 1401 River Rd, Greenwood, MS 38930 | 2006-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750708046 | Kirsten Karoline Graff | Hospitalist | 591 Tribeca Ct, Charleston, SC 29414-9024 | 2014-03-25 |
| 1396028205 | Anmed Health | Hospitalist | 2000 E Greenville Street, Anderson, SC 29621-5702 | 2011-09-27 |
| 1518039189 | Sandra Jo Hoffmann | Hospitalist | 6 Braddock Bluff Dr Unit 1672, Hilton Head Island, SC 29928-8015 | 2006-11-15 |
| 1376141317 | Ovsanna Gallo | Hospitalist | 4000 Highway 9 E, Little River, SC 29566-7833 | 2020-10-13 |
| 1144877655 | 24 On Physicians of Sc LLC | Hospitalist | 316 Calhoun St, Charleston, SC 29401-1113 | 2019-08-20 |
| 1184285496 | Jatha John Mathew | Hospitalist | 701 Grove Rd Fl 5, Greenville, SC 29605-4295 | 2019-06-26 |
| 1114406600 | Valerie D Dendy | Hospitalist | 1530 N Limestone St, Gaffney, SC 29340-4742 | 2018-08-07 |
| 1871080283 | Prisma Health Medical Group-midlands | Hospitalist | 115 N Sumter St Ste 400, Sumter, SC 29150-4971 | 2018-04-20 |
| 1154848786 | App of South Carolina Hm Pllc | Hospitalist | 1304 W Bobo Newsom Hwy, Hartsville, SC 29550-4710 | 2017-08-24 |
| 1093244824 | South Carolina Post Acute Medical Services 1 PC | Hospitalist | 1114 E Georgia Rd, Woodruff, SC 29388-9350 | 2017-06-06 |
| 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.