DR. GROVER CLEVELAND HENDERSON III (NPI# 1194775999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194775999 |
Entity Type | Individual |
Full Name | DR. GROVER CLEVELAND HENDERSON III |
Credential | M.D. |
Practice Address |
303 W Alexander Ave Suite F Greenwood SC 29646-4078 |
Mailing Address |
139 Gatewood Dr Greenwood SC 29646-8516 |
Practice Telephone | 8642271144 |
Practice Fax Number | 8649434337 |
Mailing Telephone | 8642234477 |
Mailing Fax Number | 8649434337 |
Enumeration Date | 2006-05-11 |
Last Update Date | 2010-08-17 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | 008527 | SC | Other Service Providers |
Street Address |
303 W ALEXANDER AVE SUITE F |
City | GREENWOOD |
State | SC |
Zip Code | 29646-4078 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750388013 | Faith Prostheitc-orthotic Services | Prosthetic/Orthotic Supplier | 303 W Alexander Ave, Ste I, Greenwood, SC 29646-4078 | 2005-07-01 |
1932345642 | Francis Wates Adams Jr. | Dentist | 303 W Alexander Ave, Suite D-1, Greenwood, SC 29646-4078 | 2008-12-30 |
1487890299 | Cambridge Dental Associates, LLC | Dentist | 303 W Alexander Ave, Suite D-1, Greenwood, SC 29646-4078 | 2008-12-29 |
1528123080 | Francis W Adams Jr Dmd Pa | Dentist | 303 W Alexander Ave, Suite D-1, Greenwood, SC 29646-4078 | 2006-12-26 |
1235248824 | Robert Joseph Hanlin | Physician Assistant | 303 W Alexander Ave, Suite E, Greenwood, SC 29646-4078 | 2006-08-29 |
1558375212 | Kenneth L Franco | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 303 W Alexander Ave, Suite E, Greenwood, SC 29646-4078 | 2006-07-28 |
1265453831 | Aaron L Egbert | Physician Assistant | 303 W Alexander Ave, Suite E, Greenwood, SC 29646-4078 | 2006-07-21 |
1639106990 | Claudio Guareschi | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 303 W Alexander Ave, Suite E, Greenwood, SC 29646-4078 | 2006-06-26 |
1902843329 | Francis Gregory Mappin | Surgery | 303 W Alexander Ave, Suite E, Greenwood, SC 29646-4078 | 2006-06-02 |
1124070974 | William Thomas Mccrea | Orthotist | 303 W Alexander Ave, Suite H, Greenwood, SC 29646-4078 | 2006-05-17 |
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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 |
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Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194354274 | Center for Vascular Medicine In LLC | Specialist | 33 E County Line Rd Ste D, Greenwood, IN 46143-1078 | 2020-04-02 |
1114265238 | Joseph A Beardsley Md Professional Corp | Specialist | 1777 W Stones Crossing Rd Ste 1, Greenwood, IN 46143-7899 | 2013-01-24 |
1710210653 | Carolina Health Centers/piedmont Physicians for Women | Specialist | 102 Katie Court, Piedmont Physicians for Women, Greenwood, SC 29646-9059 | 2009-09-10 |
1518120856 | Christine Adefuin Murakami | Specialist | 1123 Spring St, Greenwood, SC 29646-3833 | 2008-07-07 |
1124208400 | Barbara R. Sturm, M.d.,p.c. | Specialist | 1777 W Stones Crossing Rd Ste 4, Greenwood, IN 46143-7899 | 2007-11-05 |
1275725590 | Central Mississippi Radiology | Specialist | 1803 Strong Ave, Greenwood, MS 38930-3913 | 2007-08-10 |
1881787687 | Edwin M Meek Jr. | Specialist | 1313 River Rd, Greenwood, MS 38930-4029 | 2006-10-02 |
1235246737 | Joseph A Beardsley | Specialist | 1777 W Stones Crossing Rd, Ste 1, Greenwood, IN 46143-7899 | 2006-08-23 |
1871607598 | Syed S Rafique | Specialist | 333 Highway 82 W, Greenwood, MS 38930-6538 | 2006-08-18 |
1457327066 | Jason Travis Reed | Specialist | 203 Janeway, Greenwood, SC 29649-1539 | 2006-02-23 |
Find all providers in GREENWOOD |
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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.