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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | BCBS | 576007863054 | 01 |
SC | 247833 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
900 W Faris Rd, 2nd Floor, Greenville, SC 296054255 | 8644558898 | 8644555164 |
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 |
Street Address |
3 BUTTERNUT DR STE B |
City | GREENVILLE |
State | SC |
Zip Code | 29605-4653 |
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 |
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 | 2080P0207X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Pediatric Hematology-Oncology |
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. |
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 |
City | GREENVILLE |
Zip Code | 29605 |
Please comment or provide details below to improve the information on ALAN RANDALL ANDERSON.
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.