TRIBE513, P.A. (NPI# 1154438075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154438075 |
| Entity Type | Organization |
| Organization Name | TRIBE513, P.A. |
| Other Organization Name | PARKSIDE OB-GYN |
| Practice Address |
525 Verdae Blvd Suite 200 Greenville SC 29607-4021 |
| Practice Telephone | 8642720388 |
| Practice Fax Number | 8642139237 |
| Mailing Telephone | 8642720388 |
| Mailing Fax Number | 8642139237 |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2020-03-02 |
| Authorized Official Name | MELISSA OOSTDYK (COORDINATOR, PROVIDER RELATIONS) |
| Authorized Official Telephone | 8642720388 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | SC | Allopathic & Osteopathic Physicians | |
| N | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
Allopathic & Osteopathic Physicians | ||
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP4514 | 05 |
| Other Name | Type Code |
|---|---|
| Brio Internal Medicine | Doing Business As Name - Organization |
| Parkside OB-GYN | Doing Business As Name - Organization |
| Parkside Pediatrics | Doing Business As Name - Organization |
| Tribe513, P.A. | Other Name - Individual/Organization |
| Vida Gynecology | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 312 Harrison Bridge Rd, Simpsonville, SC 296807133 | 8642720388 | 8642139237 |
| 211 Batesville Rd, Simpsonville, SC 296814816 | 8642720388 | 8642139237 |
| 201 N Main St, Greenville, SC 296012197 | 8646035600 | 8646035601 |
| 9 Hawthorne Park Ct, Greenville, SC 296153194 | 8646035600 | 8646035601 |
| 312 Harrison Bridge Rd, Simpsonville, SC 296807133 | 8646035600 | 8646035601 |
| 3020 Reidville Rd Ste B, Spartanburg, SC 293015641 | 8642720377 | 8642139237 |
| 145 E Poinsett St, Greer, SC 296513405 | 8642720388 | 8642139237 |
| 30 Halter Dr, Piedmont, SC 296736741 | 8642720388 | 8642139237 |
| 274 Commonwealth Dr Ste A, Greenville, SC 296154872 | 8647201299 | 8647201300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366983637 | Tribe513, P.a. | Pediatrics | 312 Harrison Bridge Rd, Simpsonville, SC 29680-7133 | 2017-03-20 |
| 1649721119 | Tribe513, P.a. | Internal Medicine | 9 Hawthorne Park Ct, Greenville, SC 29615-3194 | 2016-10-20 |
| 1548710833 | Tribe513, P.a. | Internal Medicine | 201 N Main St, Greenville, SC 29601-2197 | 2016-10-11 |
| Street Address |
525 VERDAE BLVD SUITE 200 |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29607-4021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770920449 | Sarah Mcnemar | Pediatrics | 525 Verdae Blvd, Suite 200, Greenville, SC 29607-4021 | 2013-06-04 |
| 1306283122 | Garrison Hunter Moore | Pediatrics | 525 Verdae Blvd, Suite 200, Greenville, SC 29607-4021 | 2013-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245846138 | Personalized Home Care Services | Technician | 1200 Woodruff Rd A3 Ste 150, Greenville, SC 29607 | 2020-09-16 |
| 1396361960 | Complete Homecare of America, Inc. | In Home Supportive Care | 128 Millport Circle, Suite 200, Greenville, SC 29607 | 2020-06-19 |
| 1275175093 | Carrie Laxton Ballenger | Nurse Practitioner | 2094 Woodruff Road, Greenville, SC 29607 | 2019-10-14 |
| 1861047037 | Susannah Long | Marriage & Family Therapist | 109 Laurens Road, Building 4 Ste D, Greenville, SC 29607 | 2019-08-05 |
| 1043872369 | Cheryl Craig Rosemond | Case Manager/Care Coordinator | 5 Century Drive, Suite 130, Greenville, SC 29607 | 2019-07-08 |
| 1457916561 | After Hours Chiropractic LLC | Chiropractor | 1200 Woodruff Rd Blg A-3, Simpsonville, SC 29607 | 2019-05-03 |
| 1952865289 | Orthodontic Specialists of Carolina, PC | Dentist | 611 Haywood Road, Greenville, SC 29607 | 2019-01-31 |
| 1124502307 | Martha Irby | Home Health Aide | 2320 E North St Rr 107, Greenville, SC 29607 | 2018-09-24 |
| 1780164541 | Suval Psychiatric Services, Pa | Clinic/Center | 33 Market Point Dr Ste 2023, Greenville, SC 29607 | 2018-08-20 |
| 1083113963 | Caroline Graham | Nurse Practitioner | 850 S Pleasantburg Dr, Greenville, SC 29607 | 2018-02-06 |
| Find all providers in zip 29607 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| 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) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144289687 | Denise M Jacques | Pediatrics | 200 Patewood Dr, Suite A120, Greenville, SC 29615-3593 | 2006-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245486760 | Lisa E Hughes | Pediatrics | 900 Bowman Rd., Mt. Pleasant, SC 29464 | 2008-08-15 |
| 1780860205 | Herbert Lee Smyre | Pediatrics | 106 Sheffield Rd, Greer, SC 29651-1025 | 2008-01-15 |
| 1710181060 | Kudchadkar Clinic | Pediatrics | 880 West Moultrie St, Suite 100, Winnsboro, SC 29180 | 2007-06-12 |
| 1619182482 | Greer Pediatric Clinic LLC | Pediatrics | 554 Memorial Drive Ext Ste C, Greer, SC 29651-1155 | 2007-05-14 |
| 1730248220 | York Pediatrics | Pediatrics | 1538 Health Care Dr, Rock Hill, SC 29732-3857 | 2006-12-08 |
| 1407867351 | Deanne N Geurkink | Pediatrics | 11134 Broad River Rd, Suite D, Irmo, SC 29063-7616 | 2006-08-10 |
| 1114965936 | Christine K Chard | Pediatrics | 23265 Highway 76 E, Clinton, SC 29325-7532 | 2006-06-03 |
| 1164487955 | Mojibola Olayinka Solaja | Pediatrics | 120 Wildewood Park Dr, Suite B, Columbia, SC 29223-4300 | 2006-04-18 |
| 1669432779 | Linda J Crout Wingard | Pediatrics | 2525 Kinard Street, Newberry, SC 29108 | 2006-03-23 |
| 1831162387 | Monica E Silva | Pediatrics | 109 Omni Dr Ste A, Seneca, SC 29672-9448 | 2006-02-07 |
| Find all providers with the same taxonomy | ||||
| City | GREENVILLE |
| Zip Code | 29607 |
Please comment or provide details below to improve the information on TRIBE513, P.A..
| 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.