ANDREW J GRESKO


Address: 2376 Cypress Cir, Suite 102, Conway, SC 29526-8964
Phone: 8433478953

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
SC RAILROAD MEDICARE P01204804 01
SC 161746 05

Office Location

Street Address 2376 CYPRESS CIR
SUITE 102
City CONWAY
State SC
Zip Code 29526-8964

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207RC0001X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Clinical Cardiac Electrophysiology

Taxonomy Definition

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.

Providers in the same taxonomy and state

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
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Competitor

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City CONWAY
Zip Code 29526

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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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