MAULDIN MEDICAL ASSOCIATES (NPI# 1588835243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588835243 |
Entity Type | Organization |
Organization Name | MAULDIN MEDICAL ASSOCIATES |
Practice Address |
3443 Pelham Rd Suite 200 Greenville SC 29615-4178 |
Mailing Address |
545 W Butler Rd Greenville SC 29607-4833 |
Practice Telephone | 8642369555 |
Practice Fax Number | 8642349029 |
Mailing Telephone | 8642369555 |
Mailing Fax Number | 8642369551 |
Enumeration Date | 2008-03-20 |
Last Update Date | 2008-03-20 |
Authorized Official Name | NAKEIA M WHARTON (OFFICE MANAGER) |
Authorized Official Telephone | 8642369555 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
SC | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | GP3769 | 05 |
Street Address |
3443 PELHAM RD SUITE 200 |
City | GREENVILLE |
State | SC |
Zip Code | 29615-4178 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013321876 | Mary Jeannette Leonardi | Physician Assistant | 3443 Pelham Rd, Suite 200, Greenville, SC 29615-4178 | 2014-06-19 |
1578880043 | Alliance Inpatient Medicine | Internal Medicine | 3443 Pelham Rd, Suite 200, Greenville, SC 29615-4178 | 2010-04-23 |
1679735047 | Omar Boston Alexander | Internal Medicine | 3443 Pelham Rd, Suite 200, Greenville, SC 29615-4178 | 2008-06-27 |
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 | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
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1144669375 | Delta Wellness Clinic for Families LLC | Clinic/Center | 1585 S Main St, Greenville, MS 38701-7008 | 2013-06-20 |
1326353798 | Blaylock Medical Clinic Pa | Clinic/Center | 130 E Walker St, Greenville, MS 38701-4766 | 2010-08-10 |
1871826743 | Ambulatory Medicine Associates, LLC | Clinic/Center | 532 Sulphur Springs Rd, Greenville, SC 29617-6206 | 2009-09-10 |
1376798546 | Greenville Specialty Clinic | Clinic/Center | 1508 Hospital St, Greenville, MS 38703-3219 | 2008-12-01 |
1831172279 | Mauldin Medical Associates, Pa | Clinic/Center | 545 W Butler Rd, Greenville, SC 29607-4833 | 2005-11-21 |
1679171995 | New Hope Medical Primary & Urgent Care Clinic, LLC | Clinic/Center | 585 Tennessee Gas Rd, Greenville, MS 38701-8143 | 2020-10-09 |
1417481474 | The Downtown Family Clinic, LLC | Clinic/Center | 345 Washington Ave, Greenville, MS 38701-3615 | 2017-04-17 |
1710410816 | Fayette County Hospital District | Clinic/Center | 308 W College Ave, Greenville, IL 62246 | 2017-04-05 |
1124481791 | Family Care Clinic, Pllc | Clinic/Center | 1440 Highway 1 S, Greenville, MS 38701-7140 | 2016-04-01 |
Find all providers in GREENVILLE |
City | GREENVILLE |
Zip Code | 29615 |
Please comment or provide details below to improve the information on MAULDIN MEDICAL ASSOCIATES.
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.