GYNECOLOGIC ONCOLOGY ASSOCIATES, P.A. (NPI# 1114983038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114983038 |
| Entity Type | Organization |
| Organization Name | GYNECOLOGIC ONCOLOGY ASSOCIATES, P.A. |
| Practice Address |
900 W Faris Rd Greenville SC 29605-4255 |
| Mailing Address |
Po Box 25277 Greenville SC 29616-0277 |
| Practice Telephone | 8644555520 |
| Practice Fax Number | 8644551496 |
| Mailing Telephone | 8644555520 |
| Mailing Fax Number | 8644551496 |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2020-08-22 |
| NPI Deactivation Date | 04/27/2006 |
| NPI Reactivation Date | 2006-07-11 |
| Authorized Official Name | DR. LARRY E PULS (PHYSICIAN) |
| Authorized Official Telephone | 8644555520 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
Allopathic & Osteopathic Physicians | ||
| X | 364SX0200X |
Clinical Nurse Specialist Specialization: Oncology |
Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP2449 | 05 |
| Street Address |
900 W FARIS RD |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29605-4255 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679578009 | Dale Lemoin Duncan | Radiology | 900 W Faris Rd, Greenville, SC 29605-4255 | 2005-06-14 |
| 1639770233 | Kristin L Schwartz | Nurse Practitioner | 900 W Faris Rd, Greenville, SC 29605-4255 | 2020-11-02 |
| 1821609322 | Cynthia May Fagan Shaw | Nurse Practitioner | 900 W Faris Rd, Greenville, SC 29605-4255 | 2020-08-10 |
| 1891333852 | Amber N Manley | Speech-Language Pathologist | 900 W Faris Rd, Greenville, SC 29605-4255 | 2019-12-20 |
| 1437793247 | Heather Vance | Nurse Practitioner | 900 W Faris Rd, Greenville, SC 29605-4255 | 2019-11-05 |
| 1821631342 | Amaris Marie Ross | Nurse Practitioner | 900 W Faris Rd, Greenville, SC 29605-4255 | 2019-10-28 |
| 1174175608 | Christine Allison Mcjunkin | Nurse Practitioner | 900 W Faris Rd, Greenville, SC 29605-4255 | 2019-07-15 |
| 1124587068 | Mary Allison Bellomo | Genetic Counselor, MS | 900 W Faris Rd, Greenville, SC 29605-4255 | 2019-03-19 |
| 1568929156 | Victoria Baker Stephens | Nurse Practitioner | 900 W Faris Rd, Greenville, SC 29605-4255 | 2019-03-01 |
| 1194299552 | Stephanie Reinhard | Nurse Practitioner | 900 W Faris Rd, Greenville, SC 29605-4255 | 2019-01-17 |
| 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 | 207VX0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecologic Oncology |
| An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457569923 | Jeffrey Wayne Elder | Obstetrics & Gynecology | 900 W Faris Rd, Greenville, SC 29605-4255 | 2007-05-18 |
| 1497841027 | Donald Williams Wiper IIi | Obstetrics & Gynecology | 890 W Faris Rd, Suite 470, Greenville, SC 29605-4253 | 2006-10-04 |
| 1225096340 | Larry Edwin Puls | Obstetrics & Gynecology | 900 W Faris Rd, Greenville, SC 29605-4255 | 2006-05-01 |
| 1942292644 | Howard D Homesley | Obstetrics & Gynecology | Brody Outpatient Center, 600 Moye Blvd, Greenville, NC 27858 | 2005-08-18 |
| 1245234004 | Diane Alane Semer | Obstetrics & Gynecology | 1850 W Arlington Blvd, Greenville, NC 27834-5704 | 2005-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306055025 | Sjc Oncology Services-south Carolina, LLC | Obstetrics & Gynecology | 100 Buckwalter Place Blvd Ste 150, Bluffton, SC 29910-5154 | 2007-05-21 |
| 1811374101 | Alessia Perry | Obstetrics & Gynecology | 1175 Cook Rd Ste 145, Orangeburg, SC 29118-8235 | 2015-05-06 |
| 1881018596 | Atlantic Urology Clinics LLC | Obstetrics & Gynecology | 199 Village Center Blvd, Suite 100, Myrtle Beach, SC 29579-3589 | 2014-02-17 |
| 1053667816 | Anmed Health | Obstetrics & Gynecology | 107 Wall St Ste 2, Clemson, SC 29631-2921 | 2012-07-31 |
| 1013272004 | Spartanburg Medical Center | Obstetrics & Gynecology | 2759 S Highway 14, Greer, SC 29650-4926 | 2012-07-06 |
| 1083862882 | Provident Health Surgical Associates, Inc. | Obstetrics & Gynecology | 14 Okatie Center Blvd. South, Suite 101, Okatie, SC 29909 | 2008-09-04 |
| 1609070143 | William M Merritt | Obstetrics & Gynecology | 166 Stoneridge Dr, Columbia, SC 29210-8239 | 2007-06-11 |
| 1558422741 | Mppg, Inc. | Obstetrics & Gynecology | 7 Mallet Way, Bluffton, SC 29910 | 2006-12-12 |
| 1982645701 | Anmed Health | Obstetrics & Gynecology | 2000 E Greenville St, Cancer Center 3rd Floor, Anderson, SC 29621-1580 | 2006-06-10 |
| 1467406918 | South Carolina Oncology Assoc Pa | Obstetrics & Gynecology | 166 Stoneridge Dr, South Carolina Oncology Assoc, Columbia, SC 29210 | 2006-05-20 |
| Find all providers with the same taxonomy | ||||
| City | GREENVILLE |
| Zip Code | 29605 |
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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.