AMANDA DANIELSON BRODIE (NPI# 1619251519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619251519 |
| Entity Type | Individual |
| Full Name | AMANDA DANIELSON BRODIE |
| Credential | PA |
| Practice Address |
9 Hawthorne Park Ct Greenville SC 29615 |
| Mailing Address |
525 Verdae Blvd Suite 200 Greenville SC 29607-4021 |
| Practice Telephone | 8646035600 |
| Practice Fax Number | 8646035601 |
| Mailing Telephone | 8646035600 |
| Mailing Fax Number | 8646035601 |
| Enumeration Date | 2011-10-11 |
| Last Update Date | 2018-06-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1693 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 1274PA | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 201 N. Main Street, Greenville, SC 29601 | 8646035600 | 8646035601 |
| 312 Harrison Bridge Rd, Simpsonville, SC 29680 | 8646035600 | 8646035601 |
| Street Address |
9 HAWTHORNE PARK CT |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528050101 | Kathryn M. Mcfadden | Physician Assistant | 9 Hawthorne Park Ct, Suite 212, Greenville, SC 29615-3194 | 2005-08-18 |
| 1306485792 | Elizabeth Chandler Miler Rackley | Internal Medicine | 9 Hawthorne Park Ct, Greenville, SC 29615-3194 | 2020-01-02 |
| 1962949289 | Vanessa Kanarr | Nurse Practitioner | 9 Hawthorne Park Ct, Greenville, SC 29615-3194 | 2017-01-24 |
| 1649721119 | Tribe513, P.a. | Internal Medicine | 9 Hawthorne Park Ct, Greenville, SC 29615-3194 | 2016-10-20 |
| 1710363668 | Brio Medical, PC | Internal Medicine | 9 Hawthorne Park Ct, Greenville, SC 29615-3194 | 2015-08-03 |
| 1912344201 | Grace Lott | Nurse Practitioner | 9 Hawthorne Park Ct, Greenville, SC 29615-3194 | 2013-05-28 |
| 1790957066 | Paige Mccown Rostin | Internal Medicine | 9 Hawthorne Park Ct, Greenville, SC 29615-3194 | 2008-03-27 |
| 1922056647 | Melanie Schnoor Greene | Internal Medicine | 9 Hawthorne Park Ct, Greenville, SC 29615 | 2006-05-05 |
| 1184693061 | Piedmont Gastroneterology Pa | Internal Medicine | 9 Hawthorne Park Ct, Greenville, SC 29615-3194 | 2006-03-14 |
| 1437136181 | Joseph Mcgowin | Internal Medicine | 9 Hawthorne Park Ct, Greenville, SC 29615-3194 | 2005-12-23 |
| Find all providers in the same location | ||||
| 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 | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053924977 | Caitlyn N Jetter | Physician Assistant | 7238 N State Route 49, Greenville, OH 45331-8302 | 2020-08-29 |
| 1720618291 | Kaitlin Stover | Physician Assistant | 3444 Briarcliff Dr Apt K, Greenville, NC 27834-5419 | 2020-01-23 |
| 1962044321 | Tyler Robert Tefft | Physician Assistant | 25 Draper St Apt 129, Greenville, SC 29611-4786 | 2019-10-17 |
| 1780157842 | Briana Welch Denton | Physician Assistant | 2101 W Arlington Blvd # 100, Greenville, NC 27834-5758 | 2019-01-10 |
| 1548732027 | Jennifer Pedersen | Physician Assistant | 14314 Canter Trl, Greenville, SC 29609-0964 | 2018-12-21 |
| 1972089092 | Sarah Eileen Mann | Physician Assistant | 315 Greenville Blvd Se Ste 100, Greenville, NC 27858-5733 | 2018-07-11 |
| 1134588478 | Sarah Roeser | Physician Assistant | 2090 W Arlington Blvd Ste B, Greenville, NC 27834-5727 | 2016-02-15 |
| 1992177760 | Robert Chapman | Physician Assistant | 126 Milestone Way, Greenville, SC 29615-5065 | 2015-10-20 |
| 1497137756 | Alexandra Brooks | Physician Assistant | 2706 Aileen St Ste B, Greenville, TX 75402-6486 | 2015-06-23 |
| 1558776633 | David Jonathan Cutter | Physician Assistant | 1202 W Oak St Ste 200, Greenville, MI 48838-2155 | 2014-06-26 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 29615 |
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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.