ANDREA T. DEYRUP (NPI# 1154379105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154379105 |
| Entity Type | Individual |
| Full Name | ANDREA T. DEYRUP |
| Credential | M.D., PH.D. |
| Practice Address |
8 Memorial Medical Ct Suite 1 Greenville SC 29605-4449 |
| Practice Telephone | 8642953492 |
| Practice Fax Number | 8642954817 |
| Mailing Telephone | 8642953492 |
| Mailing Fax Number | 8642954817 |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2009-06-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0101X |
Pathology Specialization: Anatomic Pathology |
052916 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
8 MEMORIAL MEDICAL CT SUITE 1 |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29605-4449 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316948185 | Barry C Blackston | Internal Medicine | 8 Memorial Medical Ct, Ste 4, Greenville, SC 29605-4400 | 2005-08-03 |
| 1144657891 | John E Carey Md Pa | Specialist | 8 Memorial Medical Ct, St 4, Greenville, SC 29605-4449 | 2013-09-26 |
| 1447406095 | Allison Murray Young | Pathology | 8 Memorial Medical Ct, Suite 1, Greenville, SC 29605-4449 | 2008-08-14 |
| 1093912859 | Robert Allen Farrar Jr. | Pathology | 8 Memorial Medical Ct, Suite 1, Greenville, SC 29605-4449 | 2007-06-27 |
| 1598976987 | James William Fulcher | Pathology | 8 Memorial Medical Ct, Greenville, SC 29605-4449 | 2007-05-25 |
| 1780893719 | Christopher M Simons | Pathology | 8 Memorial Medical Ct, Greenville, SC 29605-4449 | 2007-05-22 |
| 1184831299 | William A Kanner | Pathology | 8 Memorial Medical Ct, Suite 1, Greenville, SC 29605-4449 | 2007-05-17 |
| 1730214925 | St Francis Physician Services Inc | Surgery | 8 Memorial Medical Ct, Greenville, SC 29605-4449 | 2007-02-21 |
| 1740337567 | Jennifer Knight | Pathology | 8 Memorial Medical Ct, Suite 1, Greenville, SC 29605-4449 | 2007-01-04 |
| 1194777086 | Elizabeth Mohler Bailey | Pathology | 8 Memorial Medical Ct, Suite 1, Greenville, SC 29605-4455 | 2006-05-17 |
| 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 | 207ZP0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. [7/1/2007: definition added, source added, 7/1/2009: defintion reformatted; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology (note: this taxonomy code identifies the "anatomic pathology only" route). To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003850769 | Luminita Rezeanu | Pathology | 8 Memorial Medical Court, Greenville, SC 29605-4210 | 2006-06-15 |
| 1275096497 | Madiha Emran Soofi | Pathology | 600 Moye Blvd, Greenville, NC 27834-4300 | 2019-04-14 |
| 1245497049 | Lydia Franks | Pathology | 600 Moye Blvd, Brody Outpatient Center, Greenville, NC 27834 | 2008-05-20 |
| 1881686574 | Karlene O Hewan-lowe | Pathology | 600 Moye Blvd, Ecu Physicians Pathology, Greenville, NC 27834-4300 | 2005-08-18 |
| 1679573570 | John Thomas Fallon IIi | Pathology | 600 Moye Blvd, Greenville, NC 27834-4300 | 2005-07-21 |
| 1073519393 | Joseph Geradts | Pathology | 600 Moye Blvd, Greenville, NC 27834-4300 | 2005-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851787162 | Jaime Singh | Pathology | 171 Ashley Ave # Msc908, Charleston, SC 29425-5051 | 2015-04-13 |
| 1093803553 | Jerry P Huey | Pathology | 672 Hwy 9 West, Bennettsville, SC 29512 | 2006-10-10 |
| 1902864192 | Gist Henry Farr Jr. | Pathology | 410 S Pine St Apt E, Spartanburg, SC 29302-2712 | 2006-05-04 |
| 1225000391 | Cyto Lab Inc. | Pathology | 4017 Highway 17, Suite 203, Murrells Inlet, SC 29576-5032 | 2006-02-03 |
| 1194704536 | James Alan Boylston | Pathology | 303k West Alexander Ave, Greenwood, SC 29646 | 2006-01-13 |
| 1790762417 | Ricky David Wolfe | Pathology | 1530 N Limestone St, Gaffney, SC 29340 | 2005-12-22 |
| 1902252240 | Ashish Kurundkar | Pathology | 171 Ashley Ave, Charleston, SC 29425-8908 | 2016-05-05 |
| 1003105685 | Angelina Indira Phillips | Pathology | 171 Ashley Ave, Charleston, SC 29425-8908 | 2011-04-04 |
| 1073660874 | Jason Barnes | Pathology | 171 Ashley Ave, Charleston, SC 29425-0100 | 2007-01-04 |
| 1538230834 | Jack Yang | Pathology | 171 Ashley Ave, Charleston, SC 29425-0100 | 2006-11-10 |
| Find all providers with the same taxonomy | ||||
| City | GREENVILLE |
| Zip Code | 29605 |
Please comment or provide details below to improve the information on ANDREA T. DEYRUP.
| 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.