ALAN RANDALL ANDERSON


Address: 3 Butternut Dr Ste B, Greenville, SC 29605-4653
Phone: 8642417272

ALAN RANDALL ANDERSON (NPI# 1124175146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124175146
Entity Type Individual
Full Name ALAN RANDALL ANDERSON
Credential M.D.
Practice Address 3 Butternut Dr Ste B
Greenville
SC 29605-4653
Mailing Address 1 Independence Pt Ste 212
Greenville
SC 29615-4536
Practice Telephone 8642417272
Practice Fax Number 8646727852
Enumeration Date 2007-01-04
Last Update Date 2018-03-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0207X Pediatrics
Specialization: Pediatric Hematology-Oncology
24783 SC Allopathic & Osteopathic Physicians
N 2080P0207X Pediatrics
Specialization: Pediatric Hematology-Oncology
055084 GA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
SC BCBS 576007863054 01
SC 247833 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
900 W Faris Rd, 2nd Floor, Greenville, SC 296054255 8644558898 8644555164

Other Providers ALAN ANDERSON

NPI Name Taxonomy Address Enumeration
1134686397 Alan E Anderson Behavior Technician 1540 Belvo Rd, Miamisburg, OH 45342-7807 2019-02-25
1952715377 Alan Anderson Dentist 3873 Hwy 64 W, Tyler, TX 75704-6925 2014-06-13
1922329713 Alan Arthur Anderson Denturist 1622 S Mildred St, Suite A, Tacoma, WA 98465-1610 2010-06-16
1215142120 Alan R Anderson Dentist 6614 E Mill Plain Blvd, Vancouver, WA 98661 2007-05-14
1174746697 Alan H. Anderson Dentist 1758 W 4805 S, Salt Lake City, UT 84118-1177 2007-04-11
1578626628 Alan E Anderson Optometrist 9905 45th Avenue North, Suite 110, Plymouth, MN 55442-3315 2006-12-19
1003159005 Alan Anderson Psychiatry & Neurology 5325 Faraon St, Saint Joseph, MO 64506-3488 2013-03-28
1972697134 Alan Michael Anderson Dentist 52 N Tu Su Ln, Bishop, CA 93514-8058 2006-10-03
1568476760 Alan Dennis Anderson Chiropractor 8720 Main St, Suite 120, Woodstock, GA 30188-4946 2006-07-27
1891713160 Alan Richard Anderson Nurse Anesthetist, Certified Registered 100 South St, Southbridge, MA 01550-4051 2006-07-17

Office Location

Street Address 3 BUTTERNUT DR STE B
City GREENVILLE
State SC
Zip Code 29605-4653

Providers in the same location

NPI Name Taxonomy Address Enumeration
1518488469 Morgan Yarborough Boatwright Nurse Practitioner 3 Butternut Dr Ste B, Greenville, SC 29605-4653 2017-06-30
1437562386 Richard Lee O'neal Internal Medicine 3 Butternut Dr Ste B, Greenville, SC 29605-4653 2014-06-09
1386063543 Greenville Health System General Acute Care Hospital 3 Butternut Dr Ste B, Greenville, SC 29605-4653 2014-04-15

Providers in the same zip code

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 Information

Taxonomy Code 2080P0207X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Hematology-Oncology

Taxonomy Definition

A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417434655 Kathryn Dorothy Muschick Pediatrics 900 W. Faris Dr., Greenville, SC 29609 2018-07-20
1073610648 Peter Tai-ching Ho Pediatrics 15 Oxford Way, Greenville, DE 19807-2577 2006-09-17
1568415917 William Frederick Schmidt IIi Pediatrics 900 W Faris Rd Fl 2, Greenville, SC 29605-4255 2006-05-18
1871749176 Aniket Saha Pediatrics 900 W Faris Rd Fl 2, Greenville, SC 29605-4255 2008-08-18
1285838086 Cathleen Marie Cook Pediatrics 600 Moye Blvd, Greenville, NC 27834-4300 2007-06-14
1134339369 Beng Richard Fuh Pediatrics 600 Moye Blvd, Ecu Physicians Pedictric Outpatient Center, Greenville, NC 27834-4300 2007-05-23
1376659581 Nichole Leigh Bryant Pediatrics 900 W Faris Rd, 2nd Floor, Greenville, SC 29605-4255 2006-08-21
1194756726 Rebecca Pendergrass Cook Pediatrics 900 W Faris Rd, Greenville, SC 29605-4255 2006-07-05
1811943871 Howland E Crosswell Pediatrics 900 W Faris Rd, 2nd Floor, Greenville, SC 29605-4255 2006-05-25
1710944285 Mauro Grossi Pediatrics 600 Moye Blvd, Pcmh 288 West, Greenville, NC 27834-4300 2006-04-28
Find all providers in GREENVILLE

Competitor

Search similar providers

City GREENVILLE
Zip Code 29605

Improve Information

Please comment or provide details below to improve the information on ALAN RANDALL ANDERSON.

Dataset Information

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.

Trending Searches