ANDREW WALTER ALBANO JR. (NPI# 1376868034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376868034 |
| Entity Type | Individual |
| Full Name | ANDREW WALTER ALBANO JR. |
| Credential | D.O. |
| Practice Address |
877 W Faris Rd Suite A Greenville SC 29605-4289 |
| Mailing Address |
1 Independence Pt Suite 212 Greenville SC 29615-4545 |
| Practice Telephone | 8647976328 |
| Mailing Telephone | 8647976328 |
| Enumeration Date | 2010-04-06 |
| Last Update Date | 2015-09-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 37729 | SC | Allopathic & Osteopathic Physicians |
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
37729 | SC | Allopathic & Osteopathic Physicians |
| N | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
OS017133 | PA | Allopathic & Osteopathic Physicians |
| N | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
25MB09504600 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 377292 | 05 |
| Street Address |
877 W FARIS RD SUITE A |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29605-4289 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831175983 | H Graham Parker II | Internal Medicine | 877 W Faris Rd, Ste B, Greenville, SC 29605-4289 | 2005-12-21 |
| 1861048688 | Anna Pepin Ott | Nurse Practitioner | 877 W Faris Rd, Greenville, SC 29605 | 2019-08-16 |
| 1447811591 | Perasanth Sovunthararajan | Student in an Organized Health Care Education/Training Program | 877 W Faris Rd, Greenville, SC 29605-4289 | 2019-06-27 |
| 1982261434 | Megan David | Student in an Organized Health Care Education/Training Program | 877 W Faris Rd, Greenville, SC 29605-4289 | 2019-05-21 |
| 1235796848 | Kirsten Barnes | Student in an Organized Health Care Education/Training Program | 877 W Faris Rd, Greenville, SC 29605-4289 | 2019-05-20 |
| 1407412281 | Megan Lee Wai-ling Hanna | Student in an Organized Health Care Education/Training Program | 877 W Faris Rd, Greenville, SC 29605-4289 | 2019-05-16 |
| 1699331165 | Amanda Beth Alldredge | Student in an Organized Health Care Education/Training Program | 877 W Faris Rd, Greenville, SC 29605-4289 | 2019-05-10 |
| 1962068387 | Geoffrey Ellis Pittman | Student in an Organized Health Care Education/Training Program | 877 W Faris Rd, Greenville, SC 29605-4289 | 2019-05-10 |
| 1033774633 | Bruce Palmer Freshley Jr. | Student in an Organized Health Care Education/Training Program | 877 W Faris Rd, Greenville, SC 29605-4289 | 2019-05-08 |
| 1982190914 | Brynlynn Daniel Pitt | Student in an Organized Health Care Education/Training Program | 877 W Faris Rd, Greenville, SC 29605 | 2018-07-02 |
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|---|---|---|---|---|
| 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 | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| 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 Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
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| 1932298825 | Joseph Armen | Family Medicine | 1001 East 5th St., Greenville, NC 27858-4353 | 2006-10-11 |
| 1720039241 | East Carolina University | Family Medicine | Viquest, 2610 Stantonsburg Road, Greenville, NC 27835 | 2006-05-12 |
| 1114978517 | East Carolina University | Family Medicine | Human Performance Lab, 363 Ward Sports Medicine Building, Greenville, NC 27858 | 2006-05-12 |
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| 1669517967 | Wesley G Merriwether | Family Medicine | 131 Commonwealth Dr, Suite 200, Greenville, SC 29615-4883 | 2007-02-21 |
| 1699864488 | Kirtida Patel | Family Medicine | 1913 E Fire Tower Rd, Greenville, NC 27858-4126 | 2006-10-12 |
| 1598718934 | Kyle James Cassas | Family Medicine | 200 Patewood Dr, Suite C 100, Greenville, SC 29615-3593 | 2006-05-18 |
| 1659366102 | Tracy L Hall | Family Medicine | 201 Health Care Dr, Greenville, IL 62246-1155 | 2005-09-12 |
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| 1225331119 | Mona Med Group Inc | Family Medicine | 8484 Dorchester Rd, Charleston, SC 29420-7319 | 2010-12-14 |
| 1376742411 | Jeffrey P Holloway | Family Medicine | 9 Medical Park, Suite 200-a, Columbia, SC 29203-6878 | 2007-07-17 |
| 1629138698 | Andrew William Torrance | Family Medicine | 211 High Gate Loop, Aiken, SC 29803-3921 | 2006-12-11 |
| 1508876434 | Andrew Thomas Mcgown | Family Medicine | 2 Medical Park Rd Ste 104, Columbia, SC 29203-6839 | 2006-08-09 |
| 1619945615 | Brian N. Anderson | Family Medicine | 81 Main Street, Hilton Head, SC 29926 | 2006-03-08 |
| 1629041009 | Mcleod Physician Associates II | Family Medicine | 2437 Willwood Dr, Florence, SC 29501-3904 | 2006-02-08 |
| 1821089434 | Hilton Head Sports Medicine | Family Medicine | 22 Bethea Dr, Hilton Head Island, SC 29926-4702 | 2005-11-02 |
| 1104812874 | David M. Jenkinson | Family Medicine | 935 W 2nd St, Swansea, SC 29160-8665 | 2005-09-27 |
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| 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.