ANDREW J GRESKO (NPI# 1245231372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245231372 |
Entity Type | Individual |
Full Name | ANDREW J GRESKO |
Credential | MD |
Practice Address |
2376 Cypress Cir Suite 102 Conway SC 29526-8964 |
Mailing Address |
300 Singleton Ridge Rd Conway SC 29526-9142 |
Practice Telephone | 8433478953 |
Practice Fax Number | 8433470226 |
Mailing Telephone | 8432346948 |
Mailing Fax Number | 8432346990 |
Enumeration Date | 2005-08-10 |
Last Update Date | 2019-02-21 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
16174 | SC | Allopathic & Osteopathic Physicians |
Y | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
16174 | SC | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | RAILROAD MEDICARE | P01204804 | 01 |
SC | 161746 | 05 |
Street Address |
2376 CYPRESS CIR SUITE 102 |
City | CONWAY |
State | SC |
Zip Code | 29526-8964 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417374992 | Tasha Lee | Registered Nurse | 2376 Cypress Cir, Suite 300, Conway, SC 29526-8964 | 2014-03-24 |
1033534300 | South Carolina Podiatric Physicians and Surgeons Group,llc | Podiatrist | 2376 Cypress Cir, Ste 201, Conway, SC 29526-8964 | 2014-02-24 |
1255622122 | Shan Fu | Physician Assistant | 2376 Cypress Cir, Suite 300, Conway, SC 29526-8964 | 2011-04-27 |
1518268317 | Conway Hospital Community Services | Surgery | 2376 Cypress Cir, Suite 103, Conway, SC 29526-8964 | 2010-11-10 |
1851600753 | Todd Tupis | Orthopaedic Surgery | 2376 Cypress Cir, Suite 300, Conway, SC 29526-8964 | 2010-09-27 |
1447497540 | Conway Hospital Inc | Internal Medicine | 2376 Cypress Cir, Suite 202, Conway, SC 29526-8964 | 2009-01-12 |
1053584888 | Hafez Hayek | Internal Medicine | 2376 Cypress Cir, Suite 100, Conway, SC 29526-8964 | 2008-04-13 |
1245402924 | Peter N Ramsey | Orthopaedic Surgery | 2376 Cypress Cir, Suite 300, Conway, SC 29526-8964 | 2008-04-02 |
1336327741 | Christopher A Kearney | Physician Assistant | 2376 Cypress Cir, Ste 300, Conway, SC 29526-8995 | 2008-02-07 |
1114139854 | Erin Watson | Specialist | 2376 Cypress Cir, Suite 300, Conway, SC 29526-8964 | 2007-05-04 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457975237 | Terri L Champion | Massage Therapist | 172 Waccamaw Medical Park Court, Conway, SC 29526 | 2020-06-08 |
1689204398 | Alayna Defalco | Clinical Exercise Physiologist | 1320 501 Business, Unit E, Conway, SC 29526 | 2020-01-22 |
1124672662 | Proxsys Rx - Sc, LLC | Pharmacy | 300 Singelton Ridge Road, Conway, SC 29526 | 2019-08-01 |
1598227431 | Surgery Center of Conway Inc | Clinic/Center | 1405 Main Street, Conway, SC 29526 | 2019-04-01 |
1801374962 | Trevor James Hess | Specialist/Technologist | 905 One Landon Loop, Conway, SC 29526 | 2018-08-01 |
1851800817 | Katherine Ann Nimphius | Behavioral Analyst | 105 Timberline Dr, Conway, SC 29526 | 2017-09-21 |
1922544253 | William Houck | Specialist/Technologist | 925 One Landon Loop, Conway, SC 29526 | 2017-01-10 |
1952857278 | Courtney Jeanette Smith | Counselor | 164 Waccamaw Medical Park Dr., Conway, SC 29526 | 2016-08-28 |
1336502632 | Jebediah S. Christy, D.d.s - Conway, Pllc | Dentist | 2756 Church St, Conway, SC 29526 | 2016-04-04 |
1447615208 | Abl Enterprises, LLC | Optometrist | 113 Citadel Drive, Conway, SC 29526 | 2015-12-22 |
Find all providers in zip 29526 |
Taxonomy Code | 207RC0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Clinical Cardiac Electrophysiology |
A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154934305 | Roper Saint Francis Physicians Network | Internal Medicine | 3508 S Live Oak Dr, Moncks Corner, SC 29461-8737 | 2020-08-27 |
1275800492 | Anmed Health | Internal Medicine | 107-2 Wall St, Clemson, SC 29631-2921 | 2011-11-17 |
1477708089 | Lorena Doctor | Internal Medicine | 5531 Savannah Hwy, Ravenel, Ravenel, SC 29470-5585 | 2008-11-24 |
1073770624 | St Francis Physician Services Inc | Internal Medicine | 2 Innovation Dr Ste 400, Greenville, SC 29607-5270 | 2008-05-21 |
1669538062 | Arrhythmia Consultants, P.a. | Internal Medicine | 712 Grove Rd, Greenville, SC 29605-4211 | 2006-12-29 |
1811097108 | Lawrence Tye Weston | Internal Medicine | 712 Grove Road, Greenville, SC 29605-4211 | 2006-09-25 |
1245266139 | Columbia Heart Clinic, Pa | Internal Medicine | 8 Richland Medical Park Drive., Suite 300, Columbia, SC 29203 | 2006-06-23 |
1972560225 | Cardiology Consultants Pa | Internal Medicine | 1083 Boiling Springs Rd, Spartanburg, SC 29303-2298 | 2006-04-28 |
1861458853 | Brett M Baker | Internal Medicine | 897 Von Kolnitz Rd Ste 101, Mt Pleasant, SC 29464-3630 | 2006-04-26 |
1053377507 | Bryan H Frain | Internal Medicine | 897 Von Kolnitz Road, Suite 101, Mt Pleasant, SC 29464-3630 | 2006-04-25 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on ANDREW J GRESKO.
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.