OAKTREE MEDICAL CENTRE, PC (NPI# 1487794319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487794319 |
| Entity Type | Organization |
| Organization Name | OAKTREE MEDICAL CENTRE, PC |
| Other Organization Name | CAROLINA NEUROLOGY ASSOCIATES |
| Practice Address |
138 Milestone Way Suite A Greenville SC 29615-6617 |
| Mailing Address |
Po Box 484 Easley SC 29641-0484 |
| Practice Telephone | 8642889936 |
| Practice Fax Number | 8642889937 |
| Mailing Telephone | 8648551633 |
| Mailing Fax Number | 8648551323 |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2007-10-30 |
| Authorized Official Name | DR. DANIEL A. MCCOLLUM (PRESIDENT) |
| Authorized Official Telephone | 8648551633 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians | ||
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP2763 | 05 |
| Other Name | Type Code |
|---|---|
| Carolina Neurology Associates | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104157718 | Oaktree Medical Centre, PC | Clinic/Center | 108 Montgomery Drive, Anderson, SC 29621-3334 | 2010-01-21 |
| 1700069325 | Oaktree Medical Centre, PC | Clinic/Center | 205 Central Park Ln, Suite 7a, Seneca, SC 29678 | 2007-12-06 |
| 1235116708 | Oaktree Medical Centre, PC | Clinic/Center | 1 Caledon Ct, Ste. B, Greenville, SC 29615-3192 | 2005-12-27 |
| 1548247018 | Oaktree Medical Centre, PC | Chiropractor | 3505 Pelham Rd, Greenville, SC 29615-4114 | 2005-12-27 |
| 1922085489 | Oaktree Medical Centre, PC | Clinic/Center | 501b Memorial Drive Ext, Greer, SC 29651-1123 | 2005-12-27 |
| 1083814438 | Oaktree Medical Centre, PC | Clinic/Center | 1005 Grove Rd, Greenville, SC 29605-4630 | 2007-07-24 |
| 1154308617 | Oaktree Medical Centre, PC | Clinic/Center | 115 Brushy Creek Rd, Easley, SC 29642-1120 | 2005-12-27 |
| 1134106693 | Oaktree Medical Centre, PC | Clinic/Center | 200 Patewood Dr, Suite A 350, Greenville, SC 29615-3593 | 2005-12-27 |
| Street Address |
138 MILESTONE WAY SUITE A |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29615-6617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427463306 | Matrix Rehabilitation South Carolina, Inc. | Clinic/Center | 138 Milestone Way, Suite A, Greenville, SC 29615-6618 | 2014-06-30 |
| 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 | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780164541 | Suval Psychiatric Services, Pa | Clinic/Center | 33 Market Point Dr Ste 2023, Greenville, SC 29607 | 2018-08-20 |
| 1730225178 | Caroline R. Price Md Pa | Clinic/Center | 10 Enterprise Blvd Ste 107, Greenville, SC 29615-3534 | 2007-01-30 |
| 1558426007 | Eastern Psychiatric & Behavioral Specialists, Pllc | Clinic/Center | 1704 E Arlington Blvd Ste A, Greenville, NC 27858-7828 | 2006-12-26 |
| 1578650792 | Internal Medicine & Diagnostics Group | Clinic/Center | 17 Memorial Medical Dr, Greenville, SC 29605-4407 | 2006-10-09 |
| 1851403877 | John D. Coble | Clinic/Center | 4501 Joe Ramsey Blvd E Ste 110, Greenville, TX 75401-7838 | 2006-08-31 |
| 1104843119 | Smith Center for Cardiovascular Wellness, P.a. | Clinic/Center | 45 Creekview Ct, Greenville, SC 29615-4800 | 2006-07-16 |
| 1023563459 | Aid Upstate | Clinic/Center | 811 Pendleton St, Suite 11, Greenville, SC 29601-3209 | 2016-08-15 |
| 1780034470 | Fulcrum Osteopathic Wellness, LLC | Clinic/Center | 4006 E North St, Suite C, Greenville, SC 29615-2347 | 2016-06-14 |
| 1942670849 | Pain and Spine Consultants, Pa | Clinic/Center | 2076 Woodruff Rd, Greenville, SC 29607-5939 | 2015-10-05 |
| 1912348699 | Chris M. Peterson, Md, Pa | Clinic/Center | 7a Cleveland Ct, Greenville, SC 29607-2414 | 2013-07-10 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 29615 |
Please comment or provide details below to improve the information on OAKTREE MEDICAL CENTRE, PC.
| 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.