GREENVILLE ANESTHESIA & PAIN MANAGEMENT, PLLC (NPI# 1174733927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174733927 |
Entity Type | Organization |
Organization Name | GREENVILLE ANESTHESIA & PAIN MANAGEMENT, PLLC |
Practice Address |
4724 Wellington St Greenville TX 75401-4944 |
Mailing Address |
Po Box 504519 Saint Louis MO 63150-0001 |
Practice Telephone | 9034504300 |
Practice Fax Number | 9728621085 |
Mailing Telephone | 9722766300 |
Mailing Fax Number | 9728621085 |
Enumeration Date | 2007-05-23 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MRS. KRISIE WHISENANT (OPERATIONS OFFICER) |
Authorized Official Telephone | 2145373451 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
TX | Ambulatory Health Care Facilities |
Street Address |
4724 WELLINGTON ST |
City | GREENVILLE |
State | TX |
Zip Code | 75401-4944 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558793992 | Leonard Matthew Acevedo | Physician Assistant | 4724 Wellington St, Greenville, TX 75401-4944 | 2013-08-08 |
1568749299 | Dallas Dermatology | Dermatology | 4724 Wellington St, Greenville, TX 75401-4944 | 2011-11-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639653512 | Steven Wolanski | Occupational Therapy Assistant | Greenville Gardens Snf 3500 Park St., Greenville, TX 75401 | 2018-09-18 |
1184125460 | Heather Rae Hudson | Registered Nurse | 4911 Henry St, Greenville, TX 75401 | 2018-02-22 |
1154864742 | Kimberly Elaine Middleton | Nurse Practitioner | 4211 Joe Ramsey Blvd E Ste 105, Greenville, TX 75401 | 2016-11-30 |
1013373885 | Paul Brancheau | Podiatrist | 3900 Joe Ramsey Blvd E Bldg 5, Greenville, TX 75401 | 2016-01-11 |
1982079331 | Foresight Home Healthcare Incorporated | Home Health | 2102 Frazier Street, Greenville, TX 75401 | 2015-12-10 |
1083018451 | Johnny Sanders Jr. | Nurse's Aide | 1705 Northwest Hwy, Garland, TX 75401 | 2014-10-14 |
1942620299 | Robert Chandler Duckworth | Counselor | 4216 Wesley Street, Suite 700, Greenville, TX 75401 | 2014-04-24 |
1164843645 | Erica Rae Crawford | Psychologist | 3101 Joe Ramsey Boulevard, Suite 103a, Greenville, TX 75401 | 2013-12-30 |
1215225057 | Jordan Kelsi Mahan | Nurse Practitioner | 4101 Wesley St Ste D, Greenville, TX 75401 | 2011-07-14 |
1477888196 | Johnny Johnson | Physician Assistant | 4211 Joe Ramsey Blvd, Suite 100, Greenville, TX 75401 | 2009-10-14 |
Find all providers in zip 75401 |
Taxonomy Code | 261QA1903X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Ambulatory Surgical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861038606 | Southern Surgical Outpatient Surgery Center, Pa | Clinic/Center | 2457 Emerald Place, Greenville, NC 27834 | 2019-11-26 |
1508041666 | Moye Medical Endoscopy Center LLC | Clinic/Center | 521-c Moye Blvd, Greenville, NC 27834-2849 | 2008-01-08 |
1184727398 | Hurst Ambulatory Surgical Center | Clinic/Center | 3900 Joe Ramsey Blvd E # 10, Greenville, TX 75401-7727 | 2006-09-06 |
1427013382 | Greenville Surgery Center Limited Partnership | Clinic/Center | 5 Memorial Medical Ct, Greenville, SC 29605-4449 | 2006-04-20 |
1275595746 | Regional Surgical Centre, Inc. | Clinic/Center | 2525 Highway 1 S, Suite C, Greenville, MS 38701-8354 | 2006-04-03 |
1316910086 | Greenville Asc LLC | Clinic/Center | 14 Hawthorne Park Ct, Greenville, SC 29615-3194 | 2006-02-10 |
1275503906 | Jervey Eye Center,llc | Clinic/Center | 5 Stevens St # 200, Greenville, SC 29605-4528 | 2006-01-25 |
1124000260 | Surgicenter Services of Pitt Inc. | Clinic/Center | 102 Bethesda Dr, Greenville, NC 27834-7201 | 2005-11-15 |
1578558763 | Hunt Memorial Hospital District | Clinic/Center | 4215 Joe Ramsey Blvd, Po Drawer 1059, Greenville, TX 75403-1059 | 2005-09-14 |
1780128553 | Carolinas Endoscopy Center LLC | Clinic/Center | 2210 Hemby Ln, Greenville, NC 27834-3789 | 2016-12-13 |
Find all providers in GREENVILLE |
City | GREENVILLE |
Zip Code | 75401 |
Please comment or provide details below to improve the information on GREENVILLE ANESTHESIA & PAIN MANAGEMENT, PLLC.
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.