ST FRANCIS PHYSICIAN SERVICES INC (NPI# 1477621266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477621266 |
| Entity Type | Organization |
| Organization Name | ST FRANCIS PHYSICIAN SERVICES INC |
| Other Organization Name | EASTSIDE MEDICAL GROUP |
| Practice Address |
4501 Old Spartanburg Rd Taylors SC 29687-4105 |
| Mailing Address |
Po Box 743294 Atlanta GA 30374-3294 |
| Practice Telephone | 8642681119 |
| Practice Fax Number | 8642681714 |
| Mailing Telephone | 8642681119 |
| Mailing Fax Number | 8642681714 |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2019-07-02 |
| Authorized Official Name | WILBUR R GAY III (CFO) |
| Authorized Official Telephone | 8646053762 |
| Is Organization Subpart | Y |
| Parent Organization Name | ST FRANCIS PHYSICIAN SERVICES INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207Q00000X | Family Medicine | 149672 | SC | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP4797 | 05 |
| Other Name | Type Code |
|---|---|
| Eastside Medical Group | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205214202 | St Francis Physician Services Inc | Internal Medicine | 2 Innovation Dr Ste 300b, Greenville, SC 29607-5268 | 2015-05-11 |
| 1497040224 | St Francis Physician Services Inc | Colon & Rectal Surgery | 131 Commonwealth Dr Ste 350, Greenville, SC 29615-4870 | 2011-06-09 |
| 1588959316 | St Francis Physician Services Inc | Internal Medicine | 135 Commonwealth Dr Ste 210, Greenville, SC 29615-4850 | 2011-06-09 |
| 1588955652 | St Francis Physician Services Inc | Urology | 200 Andrews St Ste 100, Greenville, SC 29601-3974 | 2011-04-25 |
| 1093013559 | St Francis Physician Services Inc | Family Medicine | 135 Commonwealth Dr Ste 100, Greenville, SC 29615-4831 | 2011-03-08 |
| 1366750291 | St Francis Physician Services Inc | Physical Medicine & Rehabilitation | 131 Commonwealth Dr Ste 110, Greenville, SC 29615-4838 | 2010-09-14 |
| 1821310301 | St Francis Physician Services Inc | Family Medicine | 801 E. Greenville St., Anderson, SC 29621 | 2010-02-24 |
| 1780912881 | St Francis Physician Services Inc | Family Medicine | 2 Innovation Dr Ste 120, Greenville, SC 29607-5262 | 2009-12-01 |
| 1700013216 | St Francis Physician Services Inc | Family Medicine | 5 South Lewis Plaza, Greenville, SC 29605 | 2009-06-11 |
| 1073770624 | St Francis Physician Services Inc | Internal Medicine | 2 Innovation Dr Ste 400, Greenville, SC 29607-5270 | 2008-05-21 |
| Street Address |
4501 OLD SPARTANBURG RD |
| City | TAYLORS |
| State | SC |
| Zip Code | 29687-4105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093719320 | John B Eberly | Family Medicine | 4501 Old Spartanburg Rd, Taylors, SC 29687-4105 | 2005-05-27 |
| 1992358535 | Jillian Reynolds | Speech-Language Pathologist | 4501 Old Spartanburg Rd, Taylors, SC 29687-4105 | 2019-07-23 |
| 1184932725 | Katherine L Burnett | Occupational Therapist | 4501 Old Spartanburg Rd, Suite 15, Taylors, SC 29687-4105 | 2010-09-16 |
| 1366678617 | Cheryl Davis Rigdon | Speech-Language Pathologist | 4501 Old Spartanburg Rd, Taylors, SC 29687-4105 | 2009-06-01 |
| 1326252024 | Wendy Torres Arnold | Family Medicine | 4501 Old Spartanburg Rd, Suite 14, Taylors, SC 29687-4105 | 2007-05-10 |
| 1912124025 | Heather M Cirelli | Counselor | 4501 Old Spartanburg Rd, Taylors, SC 29687-4105 | 2007-04-19 |
| 1073548913 | Tabitha Randol | Pediatrics | 4501 Old Spartanburg Rd, Suite 9, Taylors, SC 29687-4105 | 2006-07-11 |
| 1942263751 | Eastside Pediatrics Pa | Pediatrics | 4501 Old Spartanburg Rd, Suite 9, Taylors, SC 29687-4105 | 2006-04-11 |
| 1588623029 | Carolyn G Schultz | Pediatrics | 4501 Old Spartanburg Rd, Suite 9, Taylors, SC 29687-4105 | 2006-03-22 |
| 1730148289 | Roy A Mages | Pediatrics | 4501 Old Spartanburg Rd, Suite 9, Taylors, SC 29687-4105 | 2006-03-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467070862 | Allison Brooke Leach | Registered Nurse | 505 Dewy Meadows Drive, Taylors, SC 29687 | 2020-07-12 |
| 1437500832 | Andrew Hunter Denardo | Dentist | 2801 Wade Hampton Blvd Ste 118, Taylors, SC 29687 | 2016-06-27 |
| 1629163951 | Patricia Sue Rowe | Chiropractor | 3575 Rutherford Rd Ext Suite C, Taylors, SC 29687 | 2006-10-03 |
| 1265547889 | Diabetic Services Inc | Durable Medical Equipment & Medical Supplies | 202 Bendingwood Circle, Taylors, SC 29687 | 2006-08-21 |
| 1336608033 | Taylors Free Medical Clinic, Inc. | Clinic/Center | 400 West Main Street, Taylors, SC 29687 | 2019-03-13 |
| 1528544368 | Allison F Doot | Pharmacist | 3300 Wade Hampton Blvd, Taylors, SC 29687 | 2018-07-16 |
| 1518330323 | Kelsey Mariah Matthews | Physician Assistant | 3551a Rutherford Rd, Taylors, SC 29687 | 2015-11-03 |
| 1619378478 | Justin Jennings | Pharmacist | 3027 Wade Hampton Blvd, Taylors, SC 29687 | 2014-09-11 |
| 1770839219 | Emily Gilstrap Colao | Dentist | 2801 Wade Hampton Blvd, Suite 118, Taylors, SC 29687 | 2012-08-02 |
| 1730479288 | Christopher Lee Howlett | Dentist | 2 E Lee Rd, Taylors, SC 29687 | 2011-04-17 |
| Find all providers in zip 29687 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, 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 Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659303014 | Doris Best | Family Medicine | 3551 A Rutherford Road, Taylors, SC 29687-2195 | 2006-07-07 |
| 1356398424 | Michael E Zeager | Family Medicine | 3551a Rutherford Rd, Taylors, SC 29687-2195 | 2006-05-27 |
| 1093719320 | John B Eberly | Family Medicine | 4501 Old Spartanburg Rd, Taylors, SC 29687-4105 | 2005-05-27 |
| 1326252024 | Wendy Torres Arnold | Family Medicine | 4501 Old Spartanburg Rd, Suite 14, Taylors, SC 29687-4105 | 2007-05-10 |
| 1740376052 | Palmetto Family Medicine | Family Medicine | 3551a Rutherford Rd, Taylors, SC 29687-2195 | 2006-10-05 |
| 1245268143 | Roslyn Hayes Foster | Family Medicine | 3551a Rutherford Rd, Taylors, SC 29687-2195 | 2006-06-29 |
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|---|---|---|---|---|
| 1801495841 | Neuro Health Sc LLC | Family Medicine | 108 Commons Blvd Ste A, Piedmont, SC 29673-7766 | 2020-10-21 |
| 1811595499 | Laura Coolidge | Family Medicine | 1528 Seacroft Rd, Charleston, SC 29412-8113 | 2020-10-15 |
| 1154928570 | Lexington Health Inc | Family Medicine | 146 E Hospital Dr Ste 500, West Columbia, SC 29169-4842 | 2020-10-08 |
| 1477150340 | Meghan Hodapp | Family Medicine | 623 Awendaw Lakes Blvd, Awendaw, SC 29429-6407 | 2020-10-05 |
| 1033716253 | Proactive Md Tindall Spartanburg Health Center | Family Medicine | 2273 Hayne St., Spartanburg, SC 29301 | 2020-10-01 |
| 1851906267 | Avneet Nagra | Family Medicine | 162 Montauk Dr, Lexington, SC 29072-6776 | 2020-09-11 |
| 1134732753 | Ovp Health Care, Inc. | Family Medicine | 101 S Catawba St, Lancaster, SC 29720-2411 | 2020-08-24 |
| 1063024578 | Beaufort County Memorial Hospital | Family Medicine | Beaufort Memorial Preoperative Assessment Clinic, 989 Ribaut Road Suite 370, Beaufort, SC 29902 | 2020-08-18 |
| 1841801149 | Palmetto Primary Care Physicians, LLC | Family Medicine | 1200 Two Island Ct Unit E, Mt Pleasant, SC 29466-7418 | 2020-08-11 |
| 1922617950 | Fred E Hill | Family Medicine | 1033 Jervey Point Rd, Charleston, SC 29492-8372 | 2020-07-27 |
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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.