GREENWOOD SURGICAL ASSOC. (NPI# 1154437515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154437515 |
| Entity Type | Organization |
| Organization Name | GREENWOOD SURGICAL ASSOC. |
| Practice Address |
160 Academy Ave Greenwood SC 29646-3808 |
| Practice Telephone | 8642238090 |
| Practice Fax Number | 8642234026 |
| Mailing Telephone | 8642238090 |
| Mailing Fax Number | 8642234026 |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2015-04-03 |
| Authorized Official Name | HOPE A PRUITT (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 8642238090 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians | ||
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | PA7037 | 05 |
| Street Address |
160 ACADEMY AVE |
| City | GREENWOOD |
| State | SC |
| Zip Code | 29646-3808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780679241 | Jeffrey Bernard Thomas | Surgery | 160 Academy Ave, Greenwood, SC 29646-3808 | 2005-09-12 |
| 1578123840 | Victoria Ghahhari | Physician Assistant | 160 Academy Ave, Greenwood, SC 29646-3808 | 2019-06-18 |
| 1801454046 | Michael Phelps | Nurse Practitioner | 160 Academy Ave, Greenwood, SC 29646-3808 | 2019-06-03 |
| 1124488895 | Self Medical Group | Surgery | 160 Academy Ave, Greenwood, SC 29646-3808 | 2016-02-24 |
| 1184098832 | Dixie L Timms | Physician Assistant | 160 Academy Ave, Greenwood, SC 29646-3808 | 2015-11-18 |
| 1497049811 | Debbie Harling | Registered Nurse | 160 Academy Ave, Greenwood, SC 29646-3808 | 2011-06-02 |
| 1104131143 | Anas Abdel Azim | Surgery | 160 Academy Ave, Greenwood, SC 29646-3808 | 2010-08-14 |
| 1487894069 | Anit S Vettukattil | Surgery | 160 Academy Ave, Greenwood, SC 29646-3808 | 2009-02-23 |
| 1134380678 | Kevin L. Morton | Nurse Practitioner | 160 Academy Ave, Greenwood, SC 29646-3808 | 2008-06-18 |
| 1720194178 | Angelia Graham Bell | Registered Nurse | 160 Academy Ave, Greenwood, SC 29646-3808 | 2006-08-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114535416 | Supriya Lal | Dietitian, Registered | 303 Parkwood Rd, Greenwood, SC 29646 | 2020-07-22 |
| 1174158406 | Mara L Schwartz | Registered Nurse | 1226 Spring St., Diabtes Education Department, Greenwood, SC 29646 | 2020-03-06 |
| 1487213724 | Greater Greenwood United Ministry | Family Medicine | 1404 Edgefield Street, Greenwood, SC 29646 | 2019-06-11 |
| 1346747995 | Kelli Diane Clune | Nurse Practitioner | 115 E Alexander Ave, Greenwood, SC 29646 | 2018-04-10 |
| 1184150112 | Sanquinette Sanders Brownlee | Nurse Practitioner | 929 Phoenix Stret, Clinica Gratis, Greenwood, SC 29646 | 2017-05-11 |
| 1194258426 | Kimberley Lovejoy | Assistant Behavior Analyst | 210a Birchtree, Greenwood, SC 29646 | 2017-04-04 |
| 1427590900 | Rejuvenation Massage By Frances | Clinic/Center | 610 Chace Avenue, Greenwood, SC 29646 | 2016-11-15 |
| 1932651643 | Hayley Smith | Counselor | 110 Court Ave W, Greenwood, SC 29646 | 2016-10-28 |
| 1942757927 | Towanda Morton | Community Health Worker | 303 Suite B South Main Street, Greenwood, SC 29646 | 2016-09-07 |
| 1770039976 | Bragan Mace | Pharmacist | 1376 South Main St., Greenwood, SC 29646 | 2016-08-28 |
| Find all providers in zip 29646 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568912228 | Capel Surgical Clinic, LLC | Surgery | 406 E. Washington St., Greenwood, MS 38930 | 2016-10-06 |
| 1891189171 | Werner Heinrich Henning | Surgery | 1230 Colinbrook Cir, Greenwood, IN 46143-3608 | 2015-03-24 |
| 1457685570 | Self Medical Group | Surgery | 160 Academy Avenue, Greenwood, SC 29646-3808 | 2009-09-22 |
| 1982836847 | Self Medical Group | Surgery | 1325 Spring Street, Greenwood, SC 29646-3860 | 2009-08-11 |
| 1114161817 | Community Hospitals of Indiana Inc | Surgery | 533 E County Line Road, Suite 101, Greenwood, IN 46143-1074 | 2009-04-24 |
| 1558380477 | Douglas Edward Bowden | Surgery | 501 W Washington St, Greenwood, MS 38930-4237 | 2006-07-19 |
| 1629009956 | Stephen J O'neil | Surgery | 701 East County Line Road, Suite 201, Greenwood, IN 46143-1071 | 2006-07-05 |
| 1598794364 | Edward Joseph Rapp II | Surgery | 105 Vinecrest Ct, Ste 500, Greenwood, SC 29646-8031 | 2006-07-02 |
| 1114956919 | Premier Surgical Services, Pa | Surgery | 105 Vine Crest Ct, Ste 500, Greenwood, SC 29646-8031 | 2006-07-02 |
| 1578522934 | Raymond Girnys | Surgery | 302 8th St, Greenwood, MS 38930-4014 | 2006-03-22 |
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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.