JOHN S SPROUSE (NPI# 1568448348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568448348 |
| Entity Type | Individual |
| Full Name | JOHN S SPROUSE |
| Practice Address |
1513 Montague Avenue Ext Greenwood SC 29649-9030 |
| Practice Telephone | 8642293997 |
| Practice Fax Number | 8643889419 |
| Mailing Telephone | 8642293997 |
| Mailing Fax Number | 8643889419 |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2008-04-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1744P3200X |
Specialist Specialization: Prosthetics Case Management |
SC | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | DM0613 | 05 |
| Street Address |
1513 MONTAGUE AVENUE EXT |
| City | GREENWOOD |
| State | SC |
| Zip Code | 29649-9030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245536424 | Advanced Biomechanical Solutions | Prosthetic/Orthotic Supplier | 1513 Montague Avenue Ext, Greenwood, SC 29649-9030 | 2011-02-04 |
| 1043471006 | John Sprouse | Prosthetic/Orthotic Supplier | 1513 Montague Avenue Ext, Greenwood, SC 29649-9030 | 2008-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346895455 | Prathamkumar Rakeshkumar Patel | Pharmacist | 508 By-pass 72 Northwest, Greenwood, SC 29649 | 2019-08-06 |
| 1821650284 | Lindsay Kay Fuqua | Dentist | 1302 Sc-72 Business, Greenwood, SC 29649 | 2019-07-05 |
| 1457830291 | Stephanie Dixon | Speech-Language Pathologist | 1075 Bypass 25 Ne, Greenwood, SC 29649 | 2018-08-13 |
| 1891286613 | Tylan Creek Family Dentistry Greenwood | Clinic/Center | 3710 Highway 221- 72e, Greenwood, SC 29649 | 2018-05-29 |
| 1225549090 | Tekola Moore | Registered Nurse | 150 By-pass 225, Greenwood, SC 29649 | 2017-10-19 |
| 1629588520 | Adrienne Jackson | Prosthetist | 2005 Old Laurens Rd, Greenwood, SC 29649 | 2017-10-05 |
| 1982141115 | Debras Hair Studio LLC | Prosthetic/Orthotic Supplier | 1516 Bypass 72 Ne Ste D, Greenwood, SC 29649 | 2017-01-25 |
| 1225406960 | Jim Nasim | Dentist | 101 West Durst Avenue, Greenwood, SC 29649 | 2015-09-11 |
| 1174905806 | Social Change Initiative | Case Management | 1402 C Hwy 72 West, Greenwood, SC 29649 | 2015-06-18 |
| 1346661683 | Cambridge Dental of Greenwood, LLC | Clinic/Center | 1302 Sc Hwy 72 W Business, Greenwood, SC 29649 | 2014-01-03 |
| Find all providers in zip 29649 | ||||
| Taxonomy Code | 1744P3200X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| Specialization | Prosthetics Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083212583 | Morcia K Bradley | Specialist | 6800 Shakespeare Rd Ste D, Columbia, SC 29223-7512 | 2020-10-16 |
| 1144839101 | Tierra S Green | Specialist | 2702 W Surrey Dr, North Charleston, SC 29405-5513 | 2020-07-27 |
| 1306464532 | Joanna Allen-gibbs II | Specialist | 6340 Nakia Dr, Rembert, SC 29128-8820 | 2020-07-14 |
| 1316563877 | Stephanie D. Hamilton | Specialist | 37 Willis St S, Yemassee, SC 29945-2420 | 2020-06-21 |
| 1851927750 | Sharika D Harley | Specialist | 1572 Sam Rittenberg Blvd, Charleston, SC 29407-4105 | 2020-03-23 |
| 1629618251 | Keatley Miller | Specialist | 800 John B White Blvd, Spartanburg, SC 29306-4043 | 2020-01-12 |
| 1821636184 | Arkeem Green | Specialist | 215 Pine Shadow Dr, Goose Creek, SC 29445-4662 | 2019-12-18 |
| 1942848643 | Tamara Lynette Waters | Specialist | 10050 Two Notch Rd Ste 7, Columbia, SC 29223-4302 | 2019-12-13 |
| 1871130690 | Tonya Haynes Brown | Specialist | 1224 Broad River Rd, Columbia, SC 29210-7619 | 2019-12-01 |
| 1043855976 | Changes Styling Salon | Specialist | 1256 W Main St, Dillon, SC 29536-7926 | 2019-11-14 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on JOHN S SPROUSE.
| 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.