SELF MEDICAL GROUP (NPI# 1659839694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659839694 |
| Entity Type | Organization |
| Organization Name | SELF MEDICAL GROUP |
| Other Organization Name | RADIOLOGY SERVICES OF SELF MEDICAL GROUP |
| Practice Address |
1325 Spring St Greenwood SC 29646-3860 |
| Practice Telephone | 8647254111 |
| Practice Fax Number | 8647257498 |
| Mailing Telephone | 8647254111 |
| Mailing Fax Number | 8647257498 |
| Enumeration Date | 2019-03-08 |
| Last Update Date | 2019-04-01 |
| Authorized Official Name | JAMES A PFEIFFER (PRESIDENT AND CEO) |
| Authorized Official Telephone | 8647254253 |
| Is Organization Subpart | Y |
| Parent Organization Name | SELF MEDICAL GROUP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Radiology Interpretation Services of Self Medical Group | Other Name - Individual/Organization |
| Radiology Services of Self Medical Group | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487212130 | Self Medical Group | Family Medicine | 105 Vinecrest Ct # 510, Greenwood, SC 29646-8031 | 2019-05-29 |
| 1750800264 | Self Medical Group | Family Medicine | 110 Highway 246 N, Greenwood, SC 29649-8748 | 2017-09-15 |
| 1760808083 | Self Medical Group | Clinic/Center | 450 Old Brickyard Rd, Greenwood, SC 29649-8681 | 2014-03-11 |
| 1588969448 | Self Medical Group | Nurse Practitioner | 104 Liner Drive, Greenwood, SC 29646 | 2011-01-24 |
| 1417252636 | Self Medical Group | Family Medicine | 138 Wells Avenue, Greenwood, SC 29646-3837 | 2011-01-19 |
| 1376843037 | Self Medical Group | Obstetrics & Gynecology | 107 Venture Court, Greenwood, SC 29649-8558 | 2010-10-28 |
| 1629382056 | Self Medical Group | Family Medicine | 207 Holiday Road, Mccormick, SC 29835-3430 | 2010-07-27 |
| 1942528161 | Self Medical Group | Family Medicine | 167 Greenwood Ave S, Ware Shoals, SC 29692 | 2010-05-12 |
| 1134442890 | Self Medical Group | Physician Assistant | 115 Academy Avenue, Unit A, Greenwood, SC 29646 | 2010-03-10 |
| 1457685570 | Self Medical Group | Surgery | 160 Academy Avenue, Greenwood, SC 29646-3808 | 2009-09-22 |
| Street Address |
1325 SPRING ST |
| City | GREENWOOD |
| State | SC |
| Zip Code | 29646-3860 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205822319 | Lincoln M Mcginnis | Internal Medicine | 1325 Spring St, Greenwood, SC 29646-3860 | 2005-09-23 |
| 1528669116 | Kristina Riley Nelson | Pharmacist | 1325 Spring St, Greenwood, SC 29646-3860 | 2020-11-02 |
| 1295335933 | Lauren R Whitfield | Pharmacist | 1325 Spring St, Greenwood, SC 29646-3860 | 2020-10-30 |
| 1467052738 | Ariel Symone Mcwilliams | Pharmacist | 1325 Spring St, Greenwood, SC 29646-3875 | 2020-10-27 |
| 1811597149 | Heather Champion | Pharmacist | 1325 Spring St, Greenwood, SC 29646-3860 | 2020-10-27 |
| 1770183097 | Catherine Anne Miller | Pharmacist | 1325 Spring St, Greenwood, SC 29646-3860 | 2020-10-27 |
| 1750981056 | Missouri M Jenkins | Pharmacist | 1325 Spring St, Greenwood, SC 29646-3860 | 2020-10-27 |
| 1962002139 | Rebecca Lay | Pharmacist | 1325 Spring St, Greenwood, SC 29646-3860 | 2020-10-27 |
| 1437759727 | Amy Graves | Pharmacist | 1325 Spring St, Greenwood, SC 29646-3875 | 2020-10-27 |
| 1316546989 | Kevin Elrod | Pharmacist | 1325 Spring St, Greenwood, SC 29646-3860 | 2020-10-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114535416 | Supriya Lal | Dietitian, Registered | 303 Parkwood Rd, Greenwood, SC 29646 | 2020-07-22 |
| 1174158406 | Mara L Schwartz | Registered Nurse | 1226 Spring St., Diabtes Education Department, Greenwood, SC 29646 | 2020-03-06 |
| 1487213724 | Greater Greenwood United Ministry | Family Medicine | 1404 Edgefield Street, Greenwood, SC 29646 | 2019-06-11 |
| 1346747995 | Kelli Diane Clune | Nurse Practitioner | 115 E Alexander Ave, Greenwood, SC 29646 | 2018-04-10 |
| 1184150112 | Sanquinette Sanders Brownlee | Nurse Practitioner | 929 Phoenix Stret, Clinica Gratis, Greenwood, SC 29646 | 2017-05-11 |
| 1194258426 | Kimberley Lovejoy | Assistant Behavior Analyst | 210a Birchtree, Greenwood, SC 29646 | 2017-04-04 |
| 1427590900 | Rejuvenation Massage By Frances | Clinic/Center | 610 Chace Avenue, Greenwood, SC 29646 | 2016-11-15 |
| 1932651643 | Hayley Smith | Counselor | 110 Court Ave W, Greenwood, SC 29646 | 2016-10-28 |
| 1942757927 | Towanda Morton | Community Health Worker | 303 Suite B South Main Street, Greenwood, SC 29646 | 2016-09-07 |
| 1770039976 | Bragan Mace | Pharmacist | 1376 South Main St., Greenwood, SC 29646 | 2016-08-28 |
| Find all providers in zip 29646 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326695479 | Proscan Imaging of Greenwood, LLC | Radiology | 965 Emerson Pkwy Ste E, Greenwood, IN 46143-6274 | 2019-08-23 |
| 1033686639 | Franciscan Physician Network | Radiology | 1703 W Stones Crossing Rd # 220, Greenwood, IN 46143-8569 | 2018-11-01 |
| 1689141285 | Franciscan Physician Network | Radiology | 1703 W Stones Crossing Rd # 351, Greenwood, IN 46143-8569 | 2018-11-01 |
| 1598232241 | Franciscan Physician Network | Radiology | 1703 W Stones Crossing Rd # 350, Greenwood, IN 46143-8569 | 2018-10-31 |
| 1902006794 | Samuel Carey Venturella | Radiology | 1156 Edgefield St, Upper Savannah Radiologic Associates, Greenwood, SC 29646 | 2007-07-20 |
| 1659497238 | William Claude Kitchens Jr. | Radiology | 124 Tall Pines Trl, Greenwood, SC 29646-9276 | 2007-03-22 |
| 1386777373 | Center for Women's Health Imaging | Radiology | 533 East County Line Road, Suite 101, Greenwood, IN 46143 | 2007-03-13 |
| 1326571035 | Proscan Imaging of Indianapolis, LLC | Radiology | 965 Emerson Pkwy, Suite E, Greenwood, IN 46143-6273 | 2017-04-10 |
| 1316193279 | John W Mcalhany Jr. | Radiology | 1325 Spring St, Greenwood, SC 29646-3860 | 2008-08-12 |
| 1609042126 | David Darrell Arrington | Radiology | 1325 Spring St, Greenwood, SC 29646-3860 | 2008-05-05 |
| Find all providers in GREENWOOD | ||||
Please comment or provide details below to improve the information on SELF MEDICAL GROUP.
| 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.