RUDOLPH GORDON JOHNSTONE III (NPI# 1710977962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710977962 |
| Entity Type | Individual |
| Full Name | RUDOLPH GORDON JOHNSTONE III |
| Credential | MD |
| Practice Address |
48 Creekview Ct Greenville SC 29615-4800 |
| Mailing Address |
Po Box 2145 Skyland NC 28776-2145 |
| Practice Telephone | 8644587431 |
| Practice Fax Number | 8644587463 |
| Mailing Telephone | 8285752644 |
| Mailing Fax Number | 8283502174 |
| Enumeration Date | 2005-10-27 |
| Last Update Date | 2015-11-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207K00000X | Allergy & Immunology | 13617 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 136178 | 05 | |
| SC | AETNA | 4292529 | 01 |
| SC | MEDICARE PTAN | D182976910 | 01 |
| SC | PARTNERS | 17531 | 01 |
| SC | UNICARE | D18297 | 01 |
| Street Address |
48 CREEKVIEW CT |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29615-4800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164412318 | Andrea Brooks Lantz | Allergy & Immunology | 48 Creekview Ct, Greenville, SC 29615-4800 | 2005-10-27 |
| 1023046380 | Jenifer R. Peters | Physician Assistant | 48 Creekview Ct, Greenville, SC 29615-4800 | 2006-06-28 |
| 1821089103 | Jane Vance Gwinn | Pediatrics | 48 Creekview Ct, Greenville, SC 29615-4800 | 2005-11-04 |
| 1154311306 | Thomas L Tiller Jr. | Allergy & Immunology | 48 Creekview Ct, Greenville, SC 29615-4800 | 2005-10-27 |
| 1215927462 | Allergy Partners, Pllc | Allergy & Immunology | 48 Creekview Ct, Greenville, SC 29615-4800 | 2005-10-27 |
| 1013907260 | Reid F Johnstone | Allergy & Immunology | 48 Creekview Ct, Greenville, SC 29615-4800 | 2005-10-27 |
| 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 | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841819182 | Greenville Rheumatology & Allergy | Allergy & Immunology | 2104a Woodruff Rd, Greenville, SC 29607-5941 | 2020-04-15 |
| 1841491404 | Delta Asthma & Allergy | Allergy & Immunology | 2335 Highway 1 S, Greenville, MS 38701-8337 | 2007-05-30 |
| 1114092962 | Paul David Mehlhop | Allergy & Immunology | 2395 Hemby Ln., Greenville, NC 27834 | 2006-11-21 |
| 1447285374 | John Michael Pulcini | Allergy & Immunology | 10 Halton Green Way, Greenville, SC 29607-6606 | 2006-07-11 |
| 1215985874 | Charles William Greene Jr. | Allergy & Immunology | 534 Woods Lake Rd, Greenville, SC 29607-2778 | 2006-05-05 |
| 1164412318 | Andrea Brooks Lantz | Allergy & Immunology | 48 Creekview Ct, Greenville, SC 29615-4800 | 2005-10-27 |
| 1972593382 | Allergy Partners, Pllc | Allergy & Immunology | 1150 E Arlington Blvd, Greenville, NC 27858-5866 | 2005-10-26 |
| 1316498884 | Apex Allergy & Immunology, P.C. | Allergy & Immunology | 534 Woods Lake Rd, Greenville, SC 29607-2778 | 2016-10-20 |
| 1689084816 | Neha Sirohi | Allergy & Immunology | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 | 2014-04-28 |
| 1215355797 | Shiven S Patel | Allergy & Immunology | 10 Halton Green Way, Greenville, SC 29607-3475 | 2014-04-02 |
| 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.