JACK ROUTE


Address: 200 Patewood Dr Ste C300, Greenville, SC 29615-6324
Phone: 8644548272

JACK ROUTE (NPI# 1326400664) 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) 1326400664
Entity Type Individual
Full Name JACK ROUTE
Credential DPM
Practice Address 200 Patewood Dr Ste C300
Greenville
SC 29615-6324
Mailing Address 300 E Mcbee Ave Fl 4
Greenville
SC 29601-2842
Practice Telephone 8644548272
Mailing Telephone 8645228617
Enumeration Date 2016-03-25
Last Update Date 2020-08-14
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213ES0103X Podiatrist
Specialization: Foot & Ankle Surgery
705 SC Podiatric Medicine & Surgery Service Providers
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Provider Secondary Practice Location

Address Telephone Number Fax Number
2157 Main St, Buffalo, NY 142142648 7168621475

Office Location

Street Address 200 PATEWOOD DR STE C300
City GREENVILLE
State SC
Zip Code 29615-6324

Providers in the same location

NPI Name Taxonomy Address Enumeration
1215935853 Steven Carol Cox Surgery 200 Patewood Dr Ste C300, Greenville, SC 29615-6324 2005-07-08
1700429701 Nancy Whaley Allen Nurse Practitioner 200 Patewood Dr Ste C300, Greenville, SC 29615-6324 2019-10-22
1144755539 Kristina Vizcaino Pharmacist 200 Patewood Dr Ste C300, Greenville, SC 29615-6324 2017-04-24
1922499508 Elie Moussallem Internal Medicine 200 Patewood Dr Ste C300, Greenville, SC 29615 2015-02-18
1376943100 Jennifer Walpole Cox Physician Assistant 200 Patewood Dr Ste C300, Greenville, SC 29615-6324 2014-08-29
1023459682 Arian John Moshref Internal Medicine 200 Patewood Dr Ste C300, Greenville, SC 29615-6324 2013-07-11
1730406000 Blair Jones Wade Physician Assistant 200 Patewood Dr Ste C300, Greenville, SC 29615-6324 2010-04-27
1952531386 Emilia Maria Krol Surgery 200 Patewood Dr Ste C300, Greenville, SC 29615-6324 2009-07-20
1720018138 Robert M Patton Surgery 200 Patewood Dr Ste C300, Greenville, SC 29615-6324 2006-07-03
1376543686 Robert J Klein Podiatrist 200 Patewood Dr Ste C300, Greenville, SC 29615 2005-07-28
Find all providers in the same location

Providers in the same zip code

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 Information

Taxonomy Code 213ES0103X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist
Specialization Foot & Ankle Surgery

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740575653 Harpreet S Minhas Podiatrist 420 Hopkinsville St, Greenville, KY 42345-1102 2011-06-20
1386823466 Julie Ann Abboud Podiatrist N1697 Municipal Dr, Suite 3, Greenville, WI 54942-7700 2007-10-25
1730202870 North Texas Family Foot Care Center Pa Podiatrist 3900 Joe Ramsey Blvd Bldg 5, Greenville, TX 75401-7727 2007-04-06
1053404798 Eastern Podiatry Pa Podiatrist 2100 Hemby Lane, Greenville, NC 27834-3996 2006-10-02
1063401164 William David Respess Podiatrist 1020 Red Banks Rd, Greenville, NC 27858-5466 2005-10-20
1790773406 Kenneth Y Rosenthal Podiatrist 2140 W Arlington Blvd Ste D, Greenville, NC 27834-5709 2005-10-07
1437144896 Greenville Foot & Ankle Center Pllc Podiatrist 2409 S Charles Blvd, Greenville, NC 27858-5925 2005-09-13
1275525099 Whitney R. Holsopple Podiatrist 828 Central Ave, Greenville, OH 45331-1206 2005-08-18
1447877717 Eric Eugene Duffin Podiatrist 4215 Joe Ramsey Blvd E, Greenville, TX 75401-7852 2020-07-02
1003468398 Christine Joshua Podiatrist 4215 Joe Ramsey Blvd E, Greenville, TX 75401-7852 2019-07-16
Find all providers in GREENVILLE

Competitor

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City GREENVILLE
Zip Code 29615

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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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