BON SECOURS DIAGNOSTIC IMAGING (NPI# 1417423088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417423088 |
| Entity Type | Organization |
| Organization Name | BON SECOURS DIAGNOSTIC IMAGING |
| Other Organization Name | INNERVISION MEDICAL IMAGING CENTER |
| Practice Address |
1 Marcus Dr Ste 100 Greenville SC 29615-4818 |
| Mailing Address |
3480 Preston Ridge Rd Ste 600 Alpharetta GA 30005-5462 |
| Practice Telephone | 8647512051 |
| Practice Fax Number | 8647512050 |
| Mailing Telephone | 6789927255 |
| Mailing Fax Number | 6789927455 |
| Enumeration Date | 2018-10-22 |
| Last Update Date | 2019-03-07 |
| Authorized Official Name | CRAIG MCCOY (CEO) |
| Authorized Official Telephone | 8642551121 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Innervision Medical Imaging Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700352374 | Bon Secours Diagnostic Imaging | Radiology | 2 Innovation Dr Ste 350, Greenville, SC 29607-5269 | 2018-10-22 |
| 1942776521 | Bon Secours Diagnostic Imaging | Radiology | 1 Cannon Dr, Greenville, SC 29605-4201 | 2018-10-22 |
| Street Address |
1 MARCUS DR STE 100 |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29615-4818 |
| 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 | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700352374 | Bon Secours Diagnostic Imaging | Radiology | 2 Innovation Dr Ste 350, Greenville, SC 29607-5269 | 2018-10-22 |
| 1710292313 | Eastern Radiologist Inc | Radiology | 2090a W Arlington Blvd, Greenville, NC 27834-5727 | 2010-08-09 |
| 1790002822 | Gd Radiology Pa | Radiology | 4215 Joe Ramsy Blvd, Greenville, TX 75401-7852 | 2010-04-29 |
| 1497998934 | Comanche County Hospital Authority Southwest Radiology | Radiology | 101 Babbs Holw, Greenville, SC 29607-3745 | 2009-04-14 |
| 1235324476 | Mchenry Peters Jr. | Radiology | 110 Windward Rd, Greenville, DE 19807-2436 | 2007-09-11 |
| 1679775001 | Molecular Imaging Assoc Pllc | Radiology | 136 Fioranelli Dr, Greenville, MS 38701-7313 | 2007-06-05 |
| 1730258831 | Robert P Oliver | Radiology | 5 Orchard Pl, Greenville, MS 38701-8079 | 2006-11-06 |
| 1043321920 | Donald S Prior | Radiology | 1654 S Colorado St, Greenville, MS 38703-7216 | 2006-08-31 |
| 1295759223 | Charles E Parke | Radiology | 105 Holbrook Trail, Greenville, SC 29605-3164 | 2006-07-26 |
| 1851325971 | John Anthony Merchun | Radiology | 615 South Bower Street, Greenville, MI 48838 | 2006-07-11 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 29615 |
Please comment or provide details below to improve the information on BON SECOURS DIAGNOSTIC IMAGING.
| 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.