EASTSIDE HEMATOLOGY ONCOLOGY (NPI# 1750413241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750413241 |
| Entity Type | Organization |
| Organization Name | EASTSIDE HEMATOLOGY ONCOLOGY |
| Practice Address |
4210 E North St Greenville SC 29615-2423 |
| Mailing Address |
Po Box 26683 Greenville SC 29616-1683 |
| Practice Telephone | 8642446777 |
| Practice Fax Number | 8642444212 |
| Mailing Telephone | 8642446777 |
| Enumeration Date | 2007-03-10 |
| Last Update Date | 2008-05-29 |
| Authorized Official Name | PINJAI RAMADAS RAVICHANDER (SOLE SHAREHOLDER) |
| Authorized Official Telephone | 8642446777 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
| Street Address |
4210 E NORTH ST |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29615-2423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912986423 | Pinjai Ramadas Ravichander | Internal Medicine | 4210 E North St, Greenville, SC 29615-2423 | 2006-01-12 |
| 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 | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124253315 | Hshs Holy Family Hospital, Inc. | Internal Medicine | 200 Healthcare Dr, Ste 1501, Greenville, IL 62246-1154 | 2009-05-18 |
| 1598922650 | Xuezhong Yang | Internal Medicine | 317 Saint Francis Dr Ste 340, Greenville, SC 29601-3914 | 2008-05-16 |
| 1255349361 | Jorge M Abdallah | Internal Medicine | 855 Johns Hopkins Dr, Greenville, NC 27834-7223 | 2006-08-04 |
| 1518901545 | Robert D Siegel | Internal Medicine | 104 Innovation Dr, Ste. 2000, Greenville, SC 29607-5253 | 2006-06-16 |
| 1891732616 | Devena E Alston-johnson | Internal Medicine | 104 Innovation Dr. Ste. 2000, Greenville, SC 29607 | 2006-06-01 |
| 1033101670 | Lillian P Burke | Internal Medicine | 2080 W Arlington Blvd, Suite B, Greenville, NC 27834-3770 | 2005-08-19 |
| 1407851793 | Kim Ong Gococo | Internal Medicine | 65 International Dr, Greenville, SC 29615-4816 | 2005-06-15 |
| 1871598201 | Reginald John Brooker | Internal Medicine | 3 Butternut Dr, Ste B, Greenville, SC 29605-4653 | 2005-06-14 |
| 1013301563 | Heather Brody | Internal Medicine | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 | 2015-03-23 |
| 1043631773 | Nitika Sharma | Internal Medicine | 600 Moye Blvd, Greenville, NC 27834-4300 | 2013-12-24 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 29615 |
Please comment or provide details below to improve the information on EASTSIDE HEMATOLOGY ONCOLOGY.
| 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.