SELF MEDICAL GROUP (NPI# 1417348459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417348459 |
| Entity Type | Organization |
| Organization Name | SELF MEDICAL GROUP |
| Other Organization Name | ADVANCED PULMONOLOGY ASSOCIATES, A DIVISION OF SELF MEDICAL GROUP |
| Practice Address |
105 Vinecrest Ct # 1000 Greenwood SC 29646-8031 |
| Practice Telephone | 8647257491 |
| Enumeration Date | 2015-02-12 |
| Last Update Date | 2015-05-01 |
| Authorized Official Name | JAMES PFEIFFER (PRESIDENT AND CEO) |
| Authorized Official Telephone | 8647254253 |
| Is Organization Subpart | Y |
| Parent Organization Name | SELF MEDICAL GROUP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Advanced Pulmonology Associates, A Division of Self Medical Group | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487212130 | Self Medical Group | Family Medicine | 105 Vinecrest Ct # 510, Greenwood, SC 29646-8031 | 2019-05-29 |
| 1750800264 | Self Medical Group | Family Medicine | 110 Highway 246 N, Greenwood, SC 29649-8748 | 2017-09-15 |
| 1760808083 | Self Medical Group | Clinic/Center | 450 Old Brickyard Rd, Greenwood, SC 29649-8681 | 2014-03-11 |
| 1588969448 | Self Medical Group | Nurse Practitioner | 104 Liner Drive, Greenwood, SC 29646 | 2011-01-24 |
| 1417252636 | Self Medical Group | Family Medicine | 138 Wells Avenue, Greenwood, SC 29646-3837 | 2011-01-19 |
| 1376843037 | Self Medical Group | Obstetrics & Gynecology | 107 Venture Court, Greenwood, SC 29649-8558 | 2010-10-28 |
| 1629382056 | Self Medical Group | Family Medicine | 207 Holiday Road, Mccormick, SC 29835-3430 | 2010-07-27 |
| 1942528161 | Self Medical Group | Family Medicine | 167 Greenwood Ave S, Ware Shoals, SC 29692 | 2010-05-12 |
| 1134442890 | Self Medical Group | Physician Assistant | 115 Academy Avenue, Unit A, Greenwood, SC 29646 | 2010-03-10 |
| 1457685570 | Self Medical Group | Surgery | 160 Academy Avenue, Greenwood, SC 29646-3808 | 2009-09-22 |
| Street Address |
105 VINECREST CT # 1000 |
| City | GREENWOOD |
| State | SC |
| Zip Code | 29646-8031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497917405 | Jeffrey Grande Albores | Internal Medicine | 105 Vinecrest Ct # 1000, Greenwood, SC 29646-8031 | 2008-06-30 |
| 1801104559 | John Patrick Lim Tejada | Internal Medicine | 105 Vinecrest Ct # 1000, Greenwood, SC 29646-8031 | 2010-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114535416 | Supriya Lal | Dietitian, Registered | 303 Parkwood Rd, Greenwood, SC 29646 | 2020-07-22 |
| 1174158406 | Mara L Schwartz | Registered Nurse | 1226 Spring St., Diabtes Education Department, Greenwood, SC 29646 | 2020-03-06 |
| 1487213724 | Greater Greenwood United Ministry | Family Medicine | 1404 Edgefield Street, Greenwood, SC 29646 | 2019-06-11 |
| 1346747995 | Kelli Diane Clune | Nurse Practitioner | 115 E Alexander Ave, Greenwood, SC 29646 | 2018-04-10 |
| 1184150112 | Sanquinette Sanders Brownlee | Nurse Practitioner | 929 Phoenix Stret, Clinica Gratis, Greenwood, SC 29646 | 2017-05-11 |
| 1194258426 | Kimberley Lovejoy | Assistant Behavior Analyst | 210a Birchtree, Greenwood, SC 29646 | 2017-04-04 |
| 1427590900 | Rejuvenation Massage By Frances | Clinic/Center | 610 Chace Avenue, Greenwood, SC 29646 | 2016-11-15 |
| 1932651643 | Hayley Smith | Counselor | 110 Court Ave W, Greenwood, SC 29646 | 2016-10-28 |
| 1942757927 | Towanda Morton | Community Health Worker | 303 Suite B South Main Street, Greenwood, SC 29646 | 2016-09-07 |
| 1770039976 | Bragan Mace | Pharmacist | 1376 South Main St., Greenwood, SC 29646 | 2016-08-28 |
| Find all providers in zip 29646 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| 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 |
|---|---|---|---|---|
| 1770823098 | Emergency and Critical Care Services LLC | Internal Medicine | 8965 Highway 79, Greenwood, LA 71033-2721 | 2013-02-22 |
| 1740248863 | Charles E.n. Kinsella | Internal Medicine | 1040 Greenwood Springs Blvd, Greenwood, IN 46143-7975 | 2006-05-01 |
| 1861488538 | Raymond E Lewis | Internal Medicine | 105 Vine Crest Ct #1000, Greenwood, SC 29646-8031 | 2005-09-27 |
| 1376041798 | Self Medical Group | Internal Medicine | 1325 Spring St, Greenwood, SC 29646-3860 | 2018-01-31 |
| 1780007047 | Greenwood Leflore Hosptial | Internal Medicine | 1401 River Rd, 2 East, Greenwood, MS 38930 | 2014-01-22 |
| 1801104559 | John Patrick Lim Tejada | Internal Medicine | 105 Vinecrest Ct # 1000, Greenwood, SC 29646-8031 | 2010-09-15 |
| 1689850422 | Sarfraz R Ahmad | Internal Medicine | 701 E County Line Rd, Suite 101, Greenwood, IN 46143-1072 | 2008-01-10 |
| 1255311981 | Robert Stoke Daly | Internal Medicine | 701 E County Line Rd, Suite 101, Greenwood, IN 46143-1070 | 2006-01-19 |
| 1174503650 | Manfred Paul Mueller | Internal Medicine | 701 E County Line Road, Suite 101, Greenwood, IN 46143-1070 | 2006-01-19 |
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|---|---|---|---|---|
| 1922630912 | Medasic | Internal Medicine | 300 John St Ste 4b, Greer, SC 29651-1463 | 2020-02-07 |
| 1043759137 | Rober Albertini Sr. | Internal Medicine | 45 Wood Duck Rd, Hilton Head, SC 29928-7105 | 2017-02-22 |
| 1861863185 | Midlands Pulmonary and Critical Care Specialists, PC | Internal Medicine | 1403 E Greenville St Ste C, Anderson, SC 29621-2049 | 2015-10-13 |
| 1871905166 | Minuteman Medicine LLC | Internal Medicine | 8036 Hyannis Ct, North Charleston, SC 29420-8967 | 2014-05-21 |
| 1114355344 | Clarendon Memorial Hospital | Internal Medicine | 619 S Mill St, Manning, SC 29102-2806 | 2013-10-25 |
| 1699010983 | Gary B Anderson | Internal Medicine | 1892 Brigadoone Ln, Florence, SC 29505-3235 | 2012-11-28 |
| 1164789251 | Southeast Lung & Critical Care Specialists, PC | Internal Medicine | 8 Okatie Center Blvd S, Suite 101, Bluffton, SC 29909-7532 | 2012-04-13 |
| 1518259977 | Hina Chaudhry | Internal Medicine | 2750 Laurel St Ste 200a, Columbia, SC 29204-2038 | 2011-05-04 |
| 1104159110 | Conway Hospital Inc | Internal Medicine | 2376 Cypress Cir, Ste 100, Conway, SC 29526-8964 | 2009-09-09 |
| 1528203205 | Kershawhealth | Internal Medicine | 1218 Roberts St, Camden, SC 29020-3736 | 2008-12-09 |
| Find all providers with the same taxonomy | ||||
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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.