ROSHAN KUZHIVELI MATHEW (NPI# 1346275633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346275633 |
| Entity Type | Individual |
| Full Name | ROSHAN KUZHIVELI MATHEW |
| Credential | MD |
| Practice Address |
701 Grove Rd Gmh Er Administration Greenville SC 29605-5611 |
| Mailing Address |
1 Independence Pt Ste 212 Greenville SC 29615-4536 |
| Practice Telephone | 8644556372 |
| Mailing Telephone | 8647976174 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2018-11-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 24200 | SC | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 24200 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | ECFMG | 0-618-090-5 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093820953 | Roshan K. Mathew | Internal Medicine | 3110 Fairview Dr, Owensboro, KY 42303-2175 | 2006-08-20 |
| 1598243701 | Roshan Mathew | Physician Assistant | 535 E 70th St, New York, NY 10021-4823 | 2018-07-31 |
| 1396174322 | Roshan Mathew | Physical Therapist | 2200 W White River Blvd, Muncie, IN 47303-8943 | 2013-11-12 |
| Street Address |
701 GROVE RD GMH ER ADMINISTRATION |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29605-5611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922002807 | Patricia A Stawaisz | Nurse Anesthetist, Certified Registered | 701 Grove Rd, Greenville, SC 29605-5611 | 2005-06-09 |
| 1851992648 | Sarah Sosebee | Pharmacist | 701 Grove Rd, Greenville, SC 29605-4210 | 2020-11-06 |
| 1942801097 | Kristin Cherie Davis | Pharmacist | 701 Grove Rd, Greenville, SC 29605-4210 | 2020-11-05 |
| 1679174650 | Kristin Welborn | Pharmacist | 701 Grove Rd, Greenville, SC 29605-4210 | 2020-11-05 |
| 1407457666 | Carmen Michele Faulkner-fennell | Pharmacist | 701 Grove Rd, Greenville, SC 29605-4210 | 2020-11-04 |
| 1134720568 | Amanda Parker | Pharmacist | 701 Grove Rd, Greenville, SC 29605-4210 | 2020-11-03 |
| 1053911693 | Ryan Walter Ridgeway | Pharmacist | 701 Grove Rd, Greenville, SC 29605-4210 | 2020-10-30 |
| 1891395083 | Tyler Kraft | Pharmacist | 701 Grove Rd, Greenville, SC 29605-4210 | 2020-10-28 |
| 1912507062 | Courtney Danielle Reddig | Pharmacist | 701 Grove Rd, Greenville, SC 29605-4210 | 2020-10-28 |
| 1063012128 | Adrienne Eubanks Bundrick | Pharmacist | 701 Grove Rd, Greenville, SC 29605-4210 | 2020-10-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205306099 | Prisma Health University Medical Group | Family Medicine | 110 Osage Drive, Greenville, SC 29605 | 2018-12-05 |
| 1306325626 | Lauren Foster Fiscus | Occupational Therapist | 1900 Augusta Street, Suite 2500, Greenville, SC 29605 | 2018-08-08 |
| 1063914372 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 1720 Augusta St, Greenville, SC 29605 | 2018-03-02 |
| 1144748385 | Johanna Ruth Henry | Speech-Language Pathologist | 1900 Augusta St., Suite 2500, Greenville, SC 29605 | 2017-09-08 |
| 1477083483 | Alexis Dean Pedigo | Speech-Language Pathologist | 1900 Augusta St, Suite 2500, Greenville, SC 29605 | 2017-06-13 |
| 1134658420 | Trace Christopher Deighan | Obstetrics & Gynecology | 890 West Faris Road, Suite 470, Greenville, SC 29605 | 2017-06-08 |
| 1023569837 | Blessed With Goodness, LLC | In Home Supportive Care | 716 E. Fairfield Road, Unit 120 (mailbox # 14), Greenville, SC 29605 | 2016-10-17 |
| 1972050953 | Suha Umina | Pharmacist | 975 W. Faris Road, Greenville, SC 29605 | 2016-09-07 |
| 1124470976 | Meredith Laine Cavagrotti | Specialist/Technologist | 700 Grove Rd, Greenville, SC 29605 | 2016-07-05 |
| 1205286895 | Med-trans Corporation | Ambulance | 552 Perimeter Rd, Greenville, SC 29605 | 2016-06-15 |
| Find all providers in zip 29605 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043667629 | Judson Alderman | Emergency Medicine | 701 Grove Rd Fl 4, Greenville, SC 29605-4210 | 2016-05-24 |
| 1831573500 | Sydne Mckechnie | Emergency Medicine | 1 Independence Pointe, Suite 212, Greenville, SC 29615 | 2015-07-13 |
| 1457747552 | Brittany Walsh | Emergency Medicine | 1604b Brook Hollow Dr, Greenville, NC 27834-8590 | 2015-04-15 |
| 1780078907 | Joushua Bailey | Emergency Medicine | 1 Independence Pt Ste 212, Greenville, SC 29615 | 2015-03-25 |
| 1801169966 | Ob Hospitalist Services New Jersey, Pa | Emergency Medicine | 777 Lowndes Hill Rd # Builing1, Greenville, SC 29607-2131 | 2012-02-20 |
| 1194015685 | Justin Christopher Stowens | Emergency Medicine | 4136 Kittrell Farms Dr, Apt. #8, Greenville, NC 27858-8148 | 2011-04-18 |
| 1093026767 | Cassandra Kim Bradby | Emergency Medicine | 600 Moye Blvd # 3ed-333, Mailstop 625, Greenville, NC 27834-4300 | 2010-06-28 |
| 1023339017 | Coben David Thorn | Emergency Medicine | 701 Grove Rd., Emergency Dept., Greenville, SC 29605-4536 | 2010-06-14 |
| 1285875856 | James Madison Ellis | Emergency Medicine | 7 Independence Pt, Ste 100, Greenville, SC 29615-4566 | 2009-03-11 |
| 1528265774 | George Yerby Alsop Jr. | Emergency Medicine | 6506 Ashland Dr, Greenville, TX 75402-7628 | 2007-06-29 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 29605 |
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| 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.