ALEJANDRA MEDINA JIMENEZ


Address: 890 W Faris Rd Ste 310, Greenville, SC 29605-4281
Phone: 8644558300

ALEJANDRA MEDINA JIMENEZ (NPI# 1205311693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205311693
Entity Type Individual
Full Name ALEJANDRA MEDINA JIMENEZ
Credential PA
Practice Address 890 W Faris Rd Ste 310
Greenville
SC 29605-4281
Mailing Address 300 E Mcbee Ave Fl 4
Greenville
SC 29601-2842
Practice Telephone 8644558300
Mailing Telephone 8645228617
Enumeration Date 2018-10-01
Last Update Date 2020-07-31
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 3034 SC Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
313 Main St Ste B, Greenwood, SC 296462757 8645478304 8649382881
22725 Highway 76 E, Clinton, SC 293257527 8645478304 8649382881

Office Location

Street Address 890 W FARIS RD STE 310
City GREENVILLE
State SC
Zip Code 29605-4281

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033428933 Nina Katherine Trent Jackson Physician Assistant 890 W Faris Rd Ste 310, Greenville, SC 29605-4281 2010-09-27
1558971820 Meghan Elizabeth Mcdonough Physician Assistant 890 W Faris Rd Ste 310, Greenville, SC 29605-4281 2020-08-03
1841818812 Bradley Lamar Sentell Nurse Practitioner 890 W Faris Rd Ste 310, Greenville, SC 29605-4281 2020-07-07
1134744220 Kaitlyn Holbrook Watford Physician Assistant 890 W Faris Rd Ste 310, Greenville, SC 29605-4281 2020-06-15
1902440753 Chassidy Balentine Nurse Practitioner 890 W Faris Rd Ste 310, Greenville, SC 29605-4281 2019-11-05
1700148590 Colin B Webb Surgery 890 W Faris Rd Ste 310, Greenville, SC 29605-4281 2012-06-08
1275893216 David Calhoun Jacobs Jr. Surgery 890 W Faris Rd Ste 310, Greenville, SC 29605 2012-05-24
1225304033 Kristen Anne Spoor Surgery 890 W Faris Rd Ste 310, Greenville, SC 29605 2012-03-26
1154609626 Ibnalwalid A Saad Surgery 890 W Faris Rd Ste 310, Greenville, SC 29605-4281 2011-08-01

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053924977 Caitlyn N Jetter Physician Assistant 7238 N State Route 49, Greenville, OH 45331-8302 2020-08-29
1720618291 Kaitlin Stover Physician Assistant 3444 Briarcliff Dr Apt K, Greenville, NC 27834-5419 2020-01-23
1962044321 Tyler Robert Tefft Physician Assistant 25 Draper St Apt 129, Greenville, SC 29611-4786 2019-10-17
1780157842 Briana Welch Denton Physician Assistant 2101 W Arlington Blvd # 100, Greenville, NC 27834-5758 2019-01-10
1548732027 Jennifer Pedersen Physician Assistant 14314 Canter Trl, Greenville, SC 29609-0964 2018-12-21
1972089092 Sarah Eileen Mann Physician Assistant 315 Greenville Blvd Se Ste 100, Greenville, NC 27858-5733 2018-07-11
1134588478 Sarah Roeser Physician Assistant 2090 W Arlington Blvd Ste B, Greenville, NC 27834-5727 2016-02-15
1992177760 Robert Chapman Physician Assistant 126 Milestone Way, Greenville, SC 29615-5065 2015-10-20
1497137756 Alexandra Brooks Physician Assistant 2706 Aileen St Ste B, Greenville, TX 75402-6486 2015-06-23
1558776633 David Jonathan Cutter Physician Assistant 1202 W Oak St Ste 200, Greenville, MI 48838-2155 2014-06-26
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Competitor

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City GREENVILLE
Zip Code 29605

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Dataset Information

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.

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