WESTSIDE MEDICAL CENTER (NPI# 1568480432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568480432 |
| Entity Type | Organization |
| Organization Name | WESTSIDE MEDICAL CENTER |
| Practice Address |
3204 White Horse Rd Ste D Greenville SC 29611-5916 |
| Practice Telephone | 8642951066 |
| Practice Fax Number | 8642950215 |
| Mailing Telephone | 8642951066 |
| Mailing Fax Number | 8642950215 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2008-10-07 |
| Authorized Official Name | DR. MELVIN E PORTER (DOCTOR) |
| Authorized Official Telephone | 8642951066 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
20-09427 | SC | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | PA8580 | 05 |
| Street Address |
3204 WHITE HORSE RD STE D |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29611-5916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760028393 | Kristina Diane Allred | Physician Assistant | 3613 Sc-153, Powdersville, SC 29611 | 2019-11-19 |
| 1790264497 | Prisma Health-upstate | General Acute Care Hospital | 11404 Anderson Rd, Greenville, SC 29611 | 2018-08-13 |
| 1053806380 | Hannah Jones | Registered Nurse | 111 Commons Way, Greenville, SC 29611 | 2018-06-28 |
| 1053813873 | Angelika Estefania Batres Navarro | Dentist | 6134 White Horse Rd Ste C, Greenville, SC 29611 | 2018-03-07 |
| 1356851398 | Vanessa Dickey Leverette | Doula | 802 Staunton Bridge Rd, Greenville, SC 29611 | 2017-10-04 |
| 1083084545 | Aegis Family Services, LLC | Counselor | 165 Staunton Bridge Rd., Greenville, SC 29611 | 2015-09-28 |
| 1417330226 | A Different World After School | Counselor | 165 Staunton Bridge Road, Greenville, SC 29611 | 2015-06-30 |
| 1568800415 | Shasta Dawn Vance | Occupational Therapist | : 21 Mcbeth Street Greenville, Greenville, SC 29611 | 2013-06-12 |
| 1013220391 | Tooth Zone - Zona Dientes | Dentist | 103 Commons Way, Greenville, SC 29611 | 2010-07-15 |
| 1689867400 | Christopher George Loubier | Specialist/Technologist | 201 Smythe St, #225, Greenville, SC 29611 | 2007-08-24 |
| Find all providers in zip 29611 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932612439 | Drumm Enterprises, Inc | Clinic/Center | 12 Waite St Ste A1, Greenville, SC 29607-3215 | 2017-11-07 |
| 1316301146 | Pediatric Hair Solutions Corporation | Clinic/Center | 319 Garlington Rd, Suite C-7, Greenville, SC 29615-4620 | 2016-04-07 |
| 1245651819 | Palmetto Hospitalist Services LLC | Clinic/Center | 2131 Woodruff Rd Ste 2100, #269, Greenville, SC 29607-5959 | 2013-12-26 |
| 1144529983 | Delta Family Medical Services Inc | Clinic/Center | 1554 S Colorado St, Greenville, MS 38703-7219 | 2011-03-18 |
| 1760555346 | Lawler and Associates, LLC | Clinic/Center | 38 Boland Ct, Greenville, SC 29615-5707 | 2006-11-15 |
| 1427010578 | Health Access Inc | Clinic/Center | 2610 Stantonsburg Rd, Greenville, NC 27834-5910 | 2006-04-04 |
| 1174506281 | Delta Heart & Vascular Center, P.a. | Clinic/Center | 1421 E Union St, Greenville, MS 38703-3247 | 2005-11-22 |
| 1821600677 | Ash and Ivy Ltd Co | Clinic/Center | 880 S Pleasantburg Dr Ste 4d, Greenville, SC 29607-2453 | 2020-08-21 |
| 1801404058 | The Cagle Center of Wellness | Clinic/Center | 307 Rutherford St, Greenville, SC 29609-5309 | 2020-07-14 |
| 1962807560 | Abundant Life Chiropractic Inc | Clinic/Center | 1615 Wade Hampton Blvd, Suite B, Greenville, SC 29609-5062 | 2014-10-27 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 29611 |
Please comment or provide details below to improve the information on WESTSIDE MEDICAL CENTER.
| 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.