JACK ROUTE (NPI# 1326400664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
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 |
Address | Telephone Number | Fax Number |
---|---|---|
2157 Main St, Buffalo, NY 142142648 | 7168621475 |
Street Address |
200 PATEWOOD DR STE C300 |
City | GREENVILLE |
State | SC |
Zip Code | 29615-6324 |
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 |
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 | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
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 |
City | GREENVILLE |
Zip Code | 29615 |
Please comment or provide details below to improve the information on JACK ROUTE.
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.