JOHN CLETUS CHANDLER (NPI# 1699721431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699721431 |
| Entity Type | Individual |
| Full Name | JOHN CLETUS CHANDLER |
| Credential | M.D. |
| Practice Address |
48 Cross Park Ct Greenville SC 29605-4263 |
| Mailing Address |
1 Independence Pt Ste 212 Greenville SC 29615-4536 |
| Practice Telephone | 8647977400 |
| Practice Fax Number | 8647977405 |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2018-03-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
16652 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | APPROVED | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154877892 | John Fitzgerald Chandler Sr. | Specialist/Technologist, Other | 5751 N. Kolb Rd. Unit 7108, Tucson, AZ 85750-0872 | 2016-09-01 |
| 1972944387 | John C Chandler | Pharmacist | 502 Cedarwood Ln, Venice, FL 34293-4150 | 2013-07-13 |
| 1417035700 | John K Chandler | Chiropractor | 4330 Augusta Rd, Lexington, SC 29073-9151 | 2006-11-02 |
| 1801824651 | John Mac Chandler | Family Medicine | 2300 Hospital Dr Ste 200, Bossier City, LA 71111-2166 | 2006-06-29 |
| 1518958701 | John Richard Chandler | Internal Medicine | 6000 W 9th Ave, Amarillo, TX 79106-1702 | 2005-11-04 |
| 1962408211 | John David Chandler | Dentist | 1206 10th St, Huntsville, TX 77320-3915 | 2005-06-22 |
| 1063070092 | John Michael Chandler | Specialist/Technologist | 1220 1st Ave Ne, Cedar Rapids, IA 52402-5092 | 2019-06-04 |
| 1386005189 | John Chandler Jr. | Counselor | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2016-03-08 |
| 1437557543 | John Perkins Chandler | Registered Nurse | 250 Bon Air Rd, Unit B, Greenbrae, CA 94904-1702 | 2014-12-05 |
| 1811100928 | John Britt Chandler Jr. | Dentist | 504 Timmons St, Scobey, MT 59263-0830 | 2007-05-07 |
| Street Address |
48 CROSS PARK CT |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29605-4263 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659363133 | Robert L Gates | Surgery | 48 Cross Park Ct, Greenville, SC 29605-4263 | 2005-08-19 |
| 1679964829 | Katie Privett Stone | Physician Assistant | 48 Cross Park Ct, Greenville, SC 29605-4263 | 2015-02-10 |
| 1811309412 | Katie Koby Lichty | Nurse Practitioner | 48 Cross Park Ct, Greenville, SC 29605-4263 | 2014-05-30 |
| 1992135438 | Nicole L Price | Nurse Practitioner | 48 Cross Park Ct, Greenville, SC 29605-4263 | 2013-11-19 |
| 1376877035 | Casey S Judy | Physician Assistant | 48 Cross Park Ct, Greenville, SC 29605-4263 | 2009-09-29 |
| 1598773756 | Sharon W Haire | Nurse Practitioner | 48 Cross Park Ct, Greenville, SC 29605-4263 | 2006-08-04 |
| 1902825532 | James Franklin Green Jr. | Surgery | 48 Cross Park Ct, Greenville, SC 29605-4263 | 2006-07-18 |
| 1154340404 | Keith Matthew Webb | Pediatrics | 48 Cross Park Ct, Dept of Pediatric Surgery and Neurosurgery, Greenville, SC 29605-4263 | 2006-07-18 |
| 1326085903 | Earl Christopher Troup | Neurological Surgery | 48 Cross Park Ct, Greenville, SC 29605-4263 | 2006-06-01 |
| 1275591604 | Randel Sease Abrams | Surgery | 48 Cross Park Ct, Greenville, SC 29605-4263 | 2006-05-03 |
| 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 | 2086S0120X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Pediatric Surgery |
| A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659363133 | Robert L Gates | Surgery | 48 Cross Park Ct, Greenville, SC 29605-4263 | 2005-08-19 |
| 1124120290 | David Anthony Rodeberg | Surgery | 600 Moye Blvd, Ecu Physicians Pediatric Surgery, Greenville, NC 27834-4300 | 2006-09-01 |
| 1396756821 | Danielle S. Walsh | Surgery | 600 Moye Blvd, Ecu Physicians Pediatric Surgery, Greenville, NC 27834-4300 | 2006-08-10 |
| 1902825532 | James Franklin Green Jr. | Surgery | 48 Cross Park Ct, Greenville, SC 29605-4263 | 2006-07-18 |
| 1043292386 | Shannon Wright Longshore | Surgery | 600 Moye Blvd, Ecu Physicians Pediatric Surgery: Medical Annex 207, Greenville, NC 27834-4300 | 2005-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124077524 | Laurel Paige Davis | Surgery | 1026 Barfield St, Daniel Island, SC 29492-7583 | 2006-05-10 |
| 1740250521 | Juan I Camps | Surgery | 9 Richland Medical Park Dr 500, Columbia, SC 29203-6870 | 2006-01-25 |
| 1154811651 | Palmetto Health - University of South Carolina Medical Group | Surgery | 9 Richland Medical Park Dr Ste 500, Columbia, SC 29203-6870 | 2018-05-10 |
| 1710269261 | Lucas Aaron Mcduffie | Surgery | 171 Ashley Ave, Charleston, SC 29425-5112 | 2011-09-11 |
| 1124263587 | Laura Elizabeth Hollinger | Surgery | 171 Ashley Ave, Charleston, SC 29425-8908 | 2008-12-12 |
| 1053564963 | University Medical Associates | Surgery | 171 Ashley Ave, Charleston, SC 29425-8908 | 2008-10-23 |
| 1699937219 | Bhairav V Shah | Surgery | 9 Richland Medical Park Dr Ste 500, Columbia, SC 29203-6870 | 2008-06-25 |
| 1780809947 | Christian John Streck Jr. | Surgery | 96 Jonathan Lucas St, Suite 418 Csb Msc 613, Charleston, SC 29425-8900 | 2007-04-14 |
| 1801917877 | Daniel F. Saad | Surgery | 9 Richland Medical Park Dr Ste 500, Columbia, SC 29203-6870 | 2007-04-03 |
| 1063544922 | Robert A Cina | Surgery | 171 Ashley Ave, Charleston, SC 29425-8908 | 2007-03-09 |
| Find all providers with the same taxonomy | ||||
| City | GREENVILLE |
| Zip Code | 29605 |
Please comment or provide details below to improve the information on JOHN CLETUS CHANDLER.
| 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.