OAKTREE MEDICAL CENTRE, PC (NPI# 1104157718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104157718 |
| Entity Type | Organization |
| Organization Name | OAKTREE MEDICAL CENTRE, PC |
| Other Organization Name | PAIN MANAGEMENT ASSOCIATES ANDERSON |
| Practice Address |
108 Montgomery Drive Anderson SC 29621-3334 |
| Mailing Address |
P.o. Box 484 Easley SC 29641-4848 |
| Practice Telephone | 8642255597 |
| Practice Fax Number | 8642255835 |
| Mailing Telephone | 8648551633 |
| Mailing Fax Number | 8648551323 |
| Enumeration Date | 2010-01-21 |
| Last Update Date | 2010-01-21 |
| Authorized Official Name | DR. DANIEL A MCCOLLUM (CEO) |
| Authorized Official Telephone | 8643432611 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP2763 | 05 |
| Other Name | Type Code |
|---|---|
| Pain Management Associates Anderson | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700069325 | Oaktree Medical Centre, PC | Clinic/Center | 205 Central Park Ln, Suite 7a, Seneca, SC 29678 | 2007-12-06 |
| 1487794319 | Oaktree Medical Centre, PC | Psychiatry & Neurology | 138 Milestone Way, Suite A, Greenville, SC 29615-6617 | 2007-02-08 |
| 1235116708 | Oaktree Medical Centre, PC | Clinic/Center | 1 Caledon Ct, Ste. B, Greenville, SC 29615-3192 | 2005-12-27 |
| 1548247018 | Oaktree Medical Centre, PC | Chiropractor | 3505 Pelham Rd, Greenville, SC 29615-4114 | 2005-12-27 |
| 1922085489 | Oaktree Medical Centre, PC | Clinic/Center | 501b Memorial Drive Ext, Greer, SC 29651-1123 | 2005-12-27 |
| 1083814438 | Oaktree Medical Centre, PC | Clinic/Center | 1005 Grove Rd, Greenville, SC 29605-4630 | 2007-07-24 |
| 1154308617 | Oaktree Medical Centre, PC | Clinic/Center | 115 Brushy Creek Rd, Easley, SC 29642-1120 | 2005-12-27 |
| 1134106693 | Oaktree Medical Centre, PC | Clinic/Center | 200 Patewood Dr, Suite A 350, Greenville, SC 29615-3593 | 2005-12-27 |
| Street Address |
108 MONTGOMERY DRIVE |
| City | ANDERSON |
| State | SC |
| Zip Code | 29621-3334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114574241 | Kathryn L Harwick | Social Worker | 3030 Sc-81, Anderson, SC 29621 | 2019-08-22 |
| 1326517194 | Ashlea Bronwen Bates | Nurse Practitioner | 3424 Clemson Blvd., Anderson, SC 29621 | 2018-11-21 |
| 1770051708 | Bailee Vernon Mccarley | Nurse Practitioner | 800 Fant St, Anderson, SC 29621 | 2018-11-07 |
| 1790278893 | Morgan Cutts | Speech-Language Pathologist | 126 Broadbent Way, Suite A, Anderson, SC 29621 | 2018-06-13 |
| 1427546233 | Amanda Coker Burnette | Family Medicine | 3000 East Greenville Street, Suite 3700, Anderson, SC 29621 | 2018-04-26 |
| 1205342169 | Robert Allen Dameron Jr. | Orthopaedic Surgery | 130 Longview Drive, Anderson, SC 29621 | 2017-12-14 |
| 1578085411 | Michael Jason Bell | Contractor | 520 Hwy 29 Bypass N, Anderson, SC 29621 | 2017-07-12 |
| 1639629983 | Todd E. Hamilton | Dentist | 1112 Cornelia Road, Anderson, SC 29621 | 2016-10-11 |
| 1760939110 | Crystal Vaughn | Nurse Practitioner | Sac Anmed Health 2000 East Greenville Street, Anderson, SC 29621 | 2016-09-01 |
| 1992151328 | Veronica Williams | Non-emergency Medical Transport (VAN) | 2314 Old Williamston Road, Anderson, SC 29621 | 2016-05-04 |
| Find all providers in zip 29621 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| 1952808974 | Healthworks Med Group of South Carolina P C | Clinic/Center | 10 Bib Way, Anderson, SC 29626 | 2018-04-06 |
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| 1750851085 | Jacobus Orthopedics and Interventional Pain Management LLC | Clinic/Center | 118 Clair Dr, Piedmont, SC 29673-7771 | 2018-11-29 |
| 1629556477 | Healthworks Med Group of South Carolina P C | Clinic/Center | 701 Chesterfield Hwy, Cheraw, SC 29520-7002 | 2018-08-03 |
| 1780177576 | Denmark-olar Elementary School | Clinic/Center | 1459 Solomon Blatt Blvd, Denmark, SC 29042 | 2018-06-07 |
| 1841782802 | Denmark-olar High School | Clinic/Center | 197 Viking Cir, Denmark, SC 29042 | 2018-06-05 |
| 1760974828 | Sandy Run K-8 School | Clinic/Center | 450 Old Swamp Rd, Swansea, SC 29160 | 2018-06-05 |
| 1881185999 | St. Matthews K-8 School | Clinic/Center | 132 Saints Avenue, St .matthews, SC 29135 | 2018-05-24 |
| 1598256711 | Calhoun County High School | Clinic/Center | 150 Saints Ave, St Matthews, SC 29135-9005 | 2018-05-23 |
| 1962908558 | Vitality Health Network LLC | Clinic/Center | 3100 Dick Pond Rd Unit E, Myrtle Beach, SC 29588-7286 | 2018-04-03 |
| 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.