GREENVILLE GASTROENTEROLOGY, S.C. (NPI# 1326097924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326097924 |
| Entity Type | Organization |
| Organization Name | GREENVILLE GASTROENTEROLOGY, S.C. |
| Practice Address |
150 Health Care Dr Suite B Greenville IL 62246-1161 |
| Practice Telephone | 6186649002 |
| Practice Fax Number | 6186649003 |
| Mailing Telephone | 6186649002 |
| Mailing Fax Number | 6186649003 |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. PETER S. KIM (PHYSICIAN/OWNER) |
| Authorized Official Telephone | 6186649002 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
IL | Allopathic & Osteopathic Physicians |
| Street Address |
150 HEALTH CARE DR SUITE B |
| City | GREENVILLE |
| State | IL |
| Zip Code | 62246-1161 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194711507 | Michael David Schultheis | Obstetrics & Gynecology | 150 Health Care Dr, Greenville, IL 62246-1161 | 2005-09-21 |
| 1922665702 | Heartland Women's Healthcare Ltd | Clinic/Center | 150 Health Care Dr, Greenville, IL 62246-1161 | 2019-05-28 |
| 1639370901 | Stacy Neff | Psychiatry & Neurology | 150 Health Care Dr, Greenville, IL 62246-1161 | 2007-05-31 |
| 1518008184 | Jeanie Marie Thompson | Specialist | 150 Health Care Dr, Greenville, IL 62246-1161 | 2007-02-08 |
| 1598754665 | Ramon Guzman Lopez | Obstetrics & Gynecology | 150 Health Care Dr, Greenville, IL 62246-1161 | 2005-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245759331 | Barbara T Goodson | Speech-Language Pathologist | 1004 Savannah Way, Greenville, IL 62246 | 2017-09-11 |
| 1023542982 | Patrick Sears, Psy.d. | Psychologist | 100 Us Highway 40, Fci Greenville, Federal Bureau of Prisons, Greenville, IL 62246 | 2017-04-18 |
| 1760658926 | Bond County Senior Citizens Center | Non-emergency Medical Transport (VAN) | 305 S Third St, Greenville, IL 62246 | 2008-05-07 |
| 1649463563 | Billy Lee Viviano | Chiropractor | 218 A North Second St, Greenville, IL 62246 | 2007-08-23 |
| 1265658579 | Debra Ann Morris | Advanced Practice Midwife | 150 Healthcare Dr., Suite A, Greenville, IL 62246 | 2007-04-17 |
| 1073642294 | Gregory E Pennington | Social Worker | 200 Health Care Drive, Wellness Link Greenville Regional Hospital, Greenville, IL 62246 | 2007-03-05 |
| 1013925718 | Raymond J Ryan Jr. | Specialist | 200 Healthcare Drive, Ste 1559, Greenville, IL 62246 | 2006-08-04 |
| 1174508477 | James R Goggin | Family Medicine | 308 West College Avenue, Greenville, IL 62246 | 2005-12-08 |
| 1336123165 | Andrew S Goggin | Emergency Medicine | 308 W College Ave, Greenville, IL 62246 | 2005-12-05 |
| 1710410816 | Fayette County Hospital District | Clinic/Center | 308 W College Ave, Greenville, IL 62246 | 2017-04-05 |
| Find all providers in zip 62246 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| 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 |
|---|---|---|---|---|
| 1023257300 | Carolina Digestive Diseases, Pa | Internal Medicine | 704 W H Smith Blvd, Greenville, NC 27834-3761 | 2009-02-11 |
| 1386733558 | Glenn Knoell Harvin | Internal Medicine | 521 Moye Blvd Fl 3, Ecu Physicians Gastroenterology, Greenville, NC 27834-2849 | 2006-10-12 |
| 1124070594 | Joseph William Beets | Internal Medicine | 31 Medical Ridge Dr, Greenville, SC 29605 | 2006-05-16 |
| 1740238435 | Atlantic Gastroenterology Pa | Internal Medicine | 2465 Emerald Pl, Greenville, NC 27834-5785 | 2006-05-04 |
| 1548245202 | Stefano Pablo Marcuard | Internal Medicine | 428 Forrest Park, Greenville, NC 27858-6612 | 2005-12-14 |
| 1487643854 | Raetta B Fountain | Internal Medicine | 2465 Emerald Place, Greenville, NC 27834-5785 | 2005-10-19 |
| 1477549376 | Jack Cecil Cole | Internal Medicine | 2210 Hemby Lane, Greenville, NC 27834-3777 | 2005-09-26 |
| 1063404911 | Mahfuzul Haque | Internal Medicine | 1800 W 5th St, Suite 5, Greenville, NC 27834-2888 | 2005-08-17 |
| 1679190284 | Meredith Todd Rivenbark | Internal Medicine | 890 W Faris Rd Ste 100, Greenville, SC 29605-4285 | 2020-06-30 |
| 1649684077 | Kalpit Himmatbhai Devani | Internal Medicine | 890 W Faris Rd Ste 100, Greenville, SC 29605-4285 | 2014-06-13 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 62246 |
Please comment or provide details below to improve the information on GREENVILLE GASTROENTEROLOGY, S.C..
| 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.