CHARLES SHIRLEY WEST JR. (NPI# 1619915980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619915980 |
| Entity Type | Individual |
| Full Name | CHARLES SHIRLEY WEST JR. |
| Credential | MD |
| Practice Address |
28 Medical Ridge Dr Greenville SC 29605-4267 |
| Practice Telephone | 8642717440 |
| Practice Fax Number | 8642716001 |
| Mailing Telephone | 8642717440 |
| Mailing Fax Number | 8642716001 |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2014-01-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 6683 | SC | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 068831 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114471448 | Charles West | Registered Nurse | 275 E Tami Cir Apt 103, Westland, MI 48186-5083 | 2016-08-03 |
| 1033520234 | Charles West Jr. | Massage Therapist | 318 Erin Dr Ste 5, Knoxville, TN 37919-6212 | 2014-05-12 |
| 1962728618 | Charles L'engle West | Psychologist | 95 Fountain St, Newton, MA 02465-3022 | 2010-04-20 |
| 1801006440 | Charles Keith West | Marriage & Family Therapist | 8941 Newton St, Lantana, TX 76226-6534 | 2007-05-23 |
| 1194932533 | Charles M. West | Dentist | 511 7th St, Altavista, VA 24517-1815 | 2007-05-16 |
| 1184849689 | Charles A West | Dentist | 1815 Montague Avenue, Extension Unit 2, Greenwood, SC 29649 | 2007-04-17 |
| 1821167032 | Charles Krug West | Social Worker | 50 No Second St, New Bedford, MA 02740 | 2006-11-06 |
| 1801900311 | Charles Michael West | Internal Medicine | 5885 Sw 29th St, Topeka, KS 66614-2466 | 2006-08-19 |
| 1326061961 | Charles Adger West Jr. | Surgery | 1325 Pennsylvania Ave Ste 680, Fort Worth, TX 76104-2133 | 2006-07-25 |
| 1407836406 | Charles B West Jr. | Otolaryngology | 124 N Park St, Asheboro, NC 27203-5440 | 2006-01-18 |
| Street Address |
28 MEDICAL RIDGE DR |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29605-4267 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255388310 | Leslie Howard Poinsette | Dermatology | 28 Medical Ridge Dr, Greenville, SC 29605-4267 | 2006-05-27 |
| 1215228739 | Ashley Cerone Parks | Dermatology | 28 Medical Ridge Dr, Greenville, SC 29605-4267 | 2011-05-02 |
| 1144540428 | Courtney Lee Mcfaddin | Dermatology | 28 Medical Ridge Dr, Greenville, SC 29605-4267 | 2010-06-09 |
| 1780818930 | William Justin Mccrary | Dermatology | 28 Medical Ridge Dr, Greenville, SC 29605-4267 | 2009-05-03 |
| 1477611945 | Jessica Ann Mills | Physician Assistant | 28 Medical Ridge Dr, Greenville, SC 29605-4267 | 2006-12-05 |
| 1861565996 | Dermatology Associates Pa | Specialist | 28 Medical Ridge Dr, Greenville, SC 29605-4267 | 2006-11-16 |
| 1114013570 | Joel C Phillips | Dermatology | 28 Medical Ridge Dr, Greenville, SC 29605-4267 | 2006-10-05 |
| 1700824075 | Falls Lewis Harris | Dermatology | 28 Medical Ridge Dr, Greenville, SC 29605-4267 | 2006-06-02 |
| 1437197712 | Joseph Marshall Catanzaro | Specialist | 28 Medical Ridge Dr, Greenville, SC 29605-4267 | 2006-06-02 |
| 1255379533 | Matthew Everett Bryan | Dermatology | 28 Medical Ridge Dr, Greenville, SC 29605-4267 | 2006-06-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205306099 | Prisma Health University Medical Group | Family Medicine | 110 Osage Drive, Greenville, SC 29605 | 2018-12-05 |
| 1306325626 | Lauren Foster Fiscus | Occupational Therapist | 1900 Augusta Street, Suite 2500, Greenville, SC 29605 | 2018-08-08 |
| 1063914372 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 1720 Augusta St, Greenville, SC 29605 | 2018-03-02 |
| 1144748385 | Johanna Ruth Henry | Speech-Language Pathologist | 1900 Augusta St., Suite 2500, Greenville, SC 29605 | 2017-09-08 |
| 1477083483 | Alexis Dean Pedigo | Speech-Language Pathologist | 1900 Augusta St, Suite 2500, Greenville, SC 29605 | 2017-06-13 |
| 1134658420 | Trace Christopher Deighan | Obstetrics & Gynecology | 890 West Faris Road, Suite 470, Greenville, SC 29605 | 2017-06-08 |
| 1023569837 | Blessed With Goodness, LLC | In Home Supportive Care | 716 E. Fairfield Road, Unit 120 (mailbox # 14), Greenville, SC 29605 | 2016-10-17 |
| 1972050953 | Suha Umina | Pharmacist | 975 W. Faris Road, Greenville, SC 29605 | 2016-09-07 |
| 1124470976 | Meredith Laine Cavagrotti | Specialist/Technologist | 700 Grove Rd, Greenville, SC 29605 | 2016-07-05 |
| 1205286895 | Med-trans Corporation | Ambulance | 552 Perimeter Rd, Greenville, SC 29605 | 2016-06-15 |
| Find all providers in zip 29605 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528699444 | Jackson Hospital and Clinic, Inc | Specialist | 321 Greenville Byp Ste 2, Greenville, AL 36037-3757 | 2020-01-29 |
| 1902381692 | Ig Medical Billing & Consulting LLC | Specialist | 2320 E North St Ste Rr 108, Greenville, SC 29607-1271 | 2018-09-27 |
| 1467815779 | Nathan Donald Lee | Specialist | 393 Woods Lake Rd, Greenville, SC 29607-2775 | 2016-04-04 |
| 1972974863 | Clinica Maternal De Greenville | Specialist | 3204 White Horse Rd, Suite D, Greenville, SC 29611-5916 | 2015-10-17 |
| 1356725444 | Misty Burch | Specialist | 64 Old Route 401, Greenville, NY 12083-1928 | 2015-07-17 |
| 1356729818 | Zachary White | Specialist | 171 West 5th Street, Greenville, NC 27834-1698 | 2015-05-15 |
| 1255733432 | Meredith Wentzel | Specialist | 319 Garlington Rd Ste D9, Greenville, SC 29615-4610 | 2014-09-19 |
| 1417291907 | Dental Anesthesia Associates of Greenville, LLC | Specialist | 2131 Woodruff Rd., Suite2100 #318, Greenville, SC 29681 | 2012-11-21 |
| 1396014148 | Women's Health Center of Greenville | Specialist | 2317 A Executive Park Circle, Greenville, NC 27834 | 2011-12-23 |
| 1255619912 | Lindsay Joan Weinfurtner | Specialist | 6010 Sipperley Trl, Greenville, MI 48838 | 2011-07-29 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 29605 |
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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.