LAWRENCE JUSTIN HARTLEY JR. (NPI# 1578548954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578548954 |
| Entity Type | Individual |
| Full Name | LAWRENCE JUSTIN HARTLEY JR. |
| Credential | MD |
| Practice Address |
1025 Verdae Blvd Suite A Greenville SC 29607-4032 |
| Mailing Address |
1 Independence Pt Suite 212 Greenville SC 29615-4545 |
| Practice Telephone | 8642424683 |
| Practice Fax Number | 8642408104 |
| Mailing Telephone | 8647976044 |
| Enumeration Date | 2005-12-08 |
| Last Update Date | 2016-02-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
13109 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | RR MEDICARE | P00089435 | 01 |
| SC | 131093 | 05 |
| Street Address |
1025 VERDAE BLVD SUITE A |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29607-4032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609860394 | Don F. Mcneel | Family Medicine | 1025 Verdae Blvd, Suite B, Greenville, SC 29607-4032 | 2005-09-08 |
| 1841749561 | Sandra Holmes Brewer | Physician Assistant | 1025 Verdae Blvd, Suite B, Greenville, SC 29607-4032 | 2016-09-22 |
| 1275086969 | Thomas Wilbur Lenz IIi | Internal Medicine | 1025 Verdae Blvd, Greenville, SC 29607-4032 | 2016-07-28 |
| 1275086431 | Prisma Health-upstate | Clinic/Center | 1025 Verdae Blvd, Suite D, Greenville, SC 29607-4032 | 2016-07-25 |
| 1669851010 | Jill Bagwell Mccreight | Nurse Practitioner | 1025 Verdae Blvd, Suite A, Greenville, SC 29607-4032 | 2015-05-19 |
| 1972994085 | Emily Merritt Tretinik | Physical Therapist | 1025 Verdae Blvd, Ste E, Greenville, SC 29607-4032 | 2015-02-11 |
| 1801203708 | Sarah Kathleen Hernstrom Bramon | Nurse Practitioner | 1025 Verdae Blvd, Suite A, Greenville, SC 29607-4032 | 2014-07-13 |
| 1851725402 | Heather Kristina Williams | Nurse Practitioner | 1025 Verdae Blvd, Suite A, Greenville, SC 29607-4032 | 2013-08-30 |
| 1295177350 | Theresa Ann Whitright | Nurse Practitioner | 1025 Verdae Blvd, Internal Medicine Associates Suite A, Greenville, SC 29607-4032 | 2013-07-17 |
| 1619269651 | Margaret T Harkins | Registered Nurse | 1025 Verdae Blvd, Suite A, Greenville, SC 29607-4032 | 2011-05-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245846138 | Personalized Home Care Services | Technician | 1200 Woodruff Rd A3 Ste 150, Greenville, SC 29607 | 2020-09-16 |
| 1396361960 | Complete Homecare of America, Inc. | In Home Supportive Care | 128 Millport Circle, Suite 200, Greenville, SC 29607 | 2020-06-19 |
| 1275175093 | Carrie Laxton Ballenger | Nurse Practitioner | 2094 Woodruff Road, Greenville, SC 29607 | 2019-10-14 |
| 1861047037 | Susannah Long | Marriage & Family Therapist | 109 Laurens Road, Building 4 Ste D, Greenville, SC 29607 | 2019-08-05 |
| 1043872369 | Cheryl Craig Rosemond | Case Manager/Care Coordinator | 5 Century Drive, Suite 130, Greenville, SC 29607 | 2019-07-08 |
| 1457916561 | After Hours Chiropractic LLC | Chiropractor | 1200 Woodruff Rd Blg A-3, Simpsonville, SC 29607 | 2019-05-03 |
| 1952865289 | Orthodontic Specialists of Carolina, PC | Dentist | 611 Haywood Road, Greenville, SC 29607 | 2019-01-31 |
| 1124502307 | Martha Irby | Home Health Aide | 2320 E North St Rr 107, Greenville, SC 29607 | 2018-09-24 |
| 1780164541 | Suval Psychiatric Services, Pa | Clinic/Center | 33 Market Point Dr Ste 2023, Greenville, SC 29607 | 2018-08-20 |
| 1083113963 | Caroline Graham | Nurse Practitioner | 850 S Pleasantburg Dr, Greenville, SC 29607 | 2018-02-06 |
| Find all providers in zip 29607 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023257300 | Carolina Digestive Diseases, Pa | Internal Medicine | 704 W H Smith Blvd, Greenville, NC 27834-3761 | 2009-02-11 |
| 1386733558 | Glenn Knoell Harvin | Internal Medicine | 521 Moye Blvd Fl 3, Ecu Physicians Gastroenterology, Greenville, NC 27834-2849 | 2006-10-12 |
| 1124070594 | Joseph William Beets | Internal Medicine | 31 Medical Ridge Dr, Greenville, SC 29605 | 2006-05-16 |
| 1740238435 | Atlantic Gastroenterology Pa | Internal Medicine | 2465 Emerald Pl, Greenville, NC 27834-5785 | 2006-05-04 |
| 1548245202 | Stefano Pablo Marcuard | Internal Medicine | 428 Forrest Park, Greenville, NC 27858-6612 | 2005-12-14 |
| 1487643854 | Raetta B Fountain | Internal Medicine | 2465 Emerald Place, Greenville, NC 27834-5785 | 2005-10-19 |
| 1477549376 | Jack Cecil Cole | Internal Medicine | 2210 Hemby Lane, Greenville, NC 27834-3777 | 2005-09-26 |
| 1063404911 | Mahfuzul Haque | Internal Medicine | 1800 W 5th St, Suite 5, Greenville, NC 27834-2888 | 2005-08-17 |
| 1679190284 | Meredith Todd Rivenbark | Internal Medicine | 890 W Faris Rd Ste 100, Greenville, SC 29605-4285 | 2020-06-30 |
| 1649684077 | Kalpit Himmatbhai Devani | Internal Medicine | 890 W Faris Rd Ste 100, Greenville, SC 29605-4285 | 2014-06-13 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 29607 |
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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.