GREENVILLE ASC LLC (NPI# 1316910086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316910086 |
Entity Type | Organization |
Organization Name | GREENVILLE ASC LLC |
Other Organization Name | ENDOSCOPY CENTER OF THE UPSTATE |
Practice Address |
14 Hawthorne Park Ct Greenville SC 29615-3194 |
Mailing Address |
1a Burton Hills Blvd Attn: L&c Nashville TN 37215-6103 |
Practice Telephone | 8643310364 |
Practice Fax Number | 8643310370 |
Mailing Telephone | 8643310364 |
Mailing Fax Number | 8643310370 |
Enumeration Date | 2006-02-10 |
Last Update Date | 2014-12-02 |
Authorized Official Name | MR. PHILLIP CLENDENIN (PRESIDENT) |
Authorized Official Telephone | 6156651283 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
ASF086 | SC | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | ASC 053 | 05 |
Other Name | Type Code |
---|---|
Endoscopy Center Of The Upstate | Doing Business As Name - Organization |
Street Address |
14 HAWTHORNE PARK CT |
City | GREENVILLE |
State | SC |
Zip Code | 29615-3194 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619317138 | April Gilbert Klein | Nurse Anesthetist, Certified Registered | 14 Hawthorne Park Ct, Greenville, SC 29615-3194 | 2013-06-28 |
1386918795 | Amsurg Greenville Anesthesia LLC | Nurse Anesthetist, Certified Registered | 14 Hawthorne Park Ct, Greenville, SC 29615-3194 | 2012-03-02 |
1316965874 | Debra Jo Bauer Smith | Nurse Anesthetist, Certified Registered | 14 Hawthorne Park Ct, Greenville, SC 29615-3194 | 2006-07-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194358051 | Adenike Orogade | Behavior Technician | 17 Caldedon Ct, Suite B, Greenville, SC 29615 | 2020-02-19 |
1629608369 | Jennifer Jacobsen | Behavior Technician | 17 Caldedon Court, Suite B, Greenville, SC 29615 | 2020-01-22 |
1932668217 | Carolina Orthopaedic and Neurosurgical Associates | Orthopaedic Surgery | Carolina Orthopaedic and Neurosurgical Associates, 220 Roper Mountain Road Extension, Greenville, SC 29615 | 2019-03-18 |
1255816070 | Trevis L Cureton | Pharmacist | 2401 East North St, Greenville, SC 29615 | 2018-09-27 |
1497232565 | Jacob J Fountain | Nurse Practitioner | 225 Enterprise Blvd, Suite 101, Greenville, SC 29615 | 2018-07-23 |
1346726924 | St. Francis Physician Services, Inc | Internal Medicine | 5 Hoke Smith Blvd, Greenville, SC 29615 | 2018-07-17 |
1558853101 | Alexandra Michelle Taylor | Audiologist | 200 Patewood Dr Ste 400, Greenville, SC 29615 | 2018-05-30 |
1316466543 | Mariah Hope Mosher | Behavioral Analyst | 7 Mckenna Commons Court, Greenvilee, SC 29615 | 2017-09-19 |
1326400896 | Karen L Heaps | Counselor | 3150 S. Hwy 14, The Pelham Center, Greenville, SC 29615 | 2016-03-24 |
1134589013 | Sharon Erk | Technician, Other | 2950 E.norths St, Greenville, OH 29615 | 2016-03-04 |
Find all providers in zip 29615 |
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 |
1174733927 | Greenville Anesthesia & Pain Management, Pllc | Clinic/Center | 4724 Wellington St, Greenville, TX 75401-4944 | 2007-05-23 |
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 |
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 | 29615 |
Please comment or provide details below to improve the information on GREENVILLE ASC LLC.
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.