MICHAEL PHELPS (NPI# 1801454046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801454046 |
Entity Type | Individual |
Full Name | MICHAEL PHELPS |
Practice Address |
160 Academy Ave Greenwood SC 29646-3808 |
Practice Telephone | 8642238090 |
Practice Fax Number | 8642234028 |
Mailing Telephone | 8642238090 |
Mailing Fax Number | 8642234028 |
Enumeration Date | 2019-06-03 |
Last Update Date | 2019-06-03 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
22464 | SC | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699060780 | Michael Keith Phelps | Family Medicine | 16083 Sw Upper Boones Ferry Rd, Suite 320, Tigard, OR 97224-7736 | 2011-06-16 |
1013075308 | Michael Steven Phelps | Dentist | 4350 Marconi Avenue, Suite 200, Sacramento, CA 95821 | 2006-12-05 |
1275519555 | Michael Anthony Phelps | Chiropractor | 690 E Morgan St, Martinsville, IN 46151-1640 | 2005-12-19 |
1811533243 | Michael Phelps | Peer Specialist | 125 S Main Cross St, Louisa, KY 41230-1065 | 2019-11-20 |
1043635329 | Michael Phelps | Case Manager/Care Coordinator | 509 Ne Alberta St, Portland, OR 97211-3976 | 2014-02-24 |
1427196591 | Michael Alan Phelps | Anesthesiology | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2007-02-02 |
1366407769 | Michael H Phelps | Internal Medicine | 5300 State Road 64, Suite 101, Georgetown, IN 47122-9178 | 2006-04-19 |
1073583308 | Michael A Phelps | Surgery | 1228 E Rusholme St, Suite 3020, Davenport, IA 52803 | 2006-01-26 |
Street Address |
160 ACADEMY AVE |
City | GREENWOOD |
State | SC |
Zip Code | 29646-3808 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780679241 | Jeffrey Bernard Thomas | Surgery | 160 Academy Ave, Greenwood, SC 29646-3808 | 2005-09-12 |
1578123840 | Victoria Ghahhari | Physician Assistant | 160 Academy Ave, Greenwood, SC 29646-3808 | 2019-06-18 |
1124488895 | Self Medical Group | Surgery | 160 Academy Ave, Greenwood, SC 29646-3808 | 2016-02-24 |
1184098832 | Dixie L Timms | Physician Assistant | 160 Academy Ave, Greenwood, SC 29646-3808 | 2015-11-18 |
1497049811 | Debbie Harling | Registered Nurse | 160 Academy Ave, Greenwood, SC 29646-3808 | 2011-06-02 |
1104131143 | Anas Abdel Azim | Surgery | 160 Academy Ave, Greenwood, SC 29646-3808 | 2010-08-14 |
1487894069 | Anit S Vettukattil | Surgery | 160 Academy Ave, Greenwood, SC 29646-3808 | 2009-02-23 |
1134380678 | Kevin L. Morton | Nurse Practitioner | 160 Academy Ave, Greenwood, SC 29646-3808 | 2008-06-18 |
1720194178 | Angelia Graham Bell | Registered Nurse | 160 Academy Ave, Greenwood, SC 29646-3808 | 2006-08-21 |
1639285083 | John David Konsek | Surgery | 160 Academy Ave, Greenwood, SC 29646 | 2006-08-21 |
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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 | 363LA2100X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Acute Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154898005 | Jill Kirsten Morphew | Nurse Practitioner | 1028 N Camelia St, Greenwood, AR 72936-3237 | 2018-10-30 |
1588278709 | Sarah Bradshaw | Nurse Practitioner | 701 E County Line Rd Ste 301, Greenwood, IN 46143-1071 | 2020-09-04 |
1093336679 | Stacy Lee Westmoreland | Nurse Practitioner | 701 E County Line Rd Ste 101, Greenwood, IN 46143-1070 | 2020-05-05 |
1134529753 | Linda Lee Boone | Nurse Practitioner | 701 E. County Line Road, Suite 101, Greenwood, IN 46143-1070 | 2014-09-02 |
1306282819 | Tracie Kay Meyer | Nurse Practitioner | 701 E County Line Rd, Suite 101, Greenwood, IN 46143-1070 | 2013-05-13 |
1679829055 | Raime Capri Blattner | Nurse Practitioner | 701 E County Line Rd, Suite 101, Greenwood, IN 46143-1072 | 2012-08-03 |
1134397086 | Roland Lee Isaacs | Nurse Practitioner | 701 E County Line Rd, Suite 101, Greenwood, IN 46143-1070 | 2008-02-13 |
1316991185 | Denise Walker Thompson | Nurse Practitioner | 102 Rockcreek Blvd, Greenwood, SC 29649-8915 | 2006-05-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316547649 | Tabia Oni Mcmullen | Nurse Practitioner | 2850 Ashley Phosphate Rd Ste A, North Charleston, SC 29418-4403 | 2020-10-27 |
1629684576 | Matthew David Zeuschner | Nurse Practitioner | 107 Woodwind Court, Myrtle Beach, SC 29572 | 2020-09-16 |
1528679982 | Laura Robinson | Nurse Practitioner | 2501 Mission Rd, York, SC 29745-8319 | 2020-08-11 |
1205468162 | Erin Leigh Edwards | Nurse Practitioner | 3980 Highway 9 E Ste 310, Little River, SC 29566-8165 | 2020-02-10 |
1780223685 | Estella Janean Hill | Nurse Practitioner | 110 Wayline Ct, Greenville, SC 29605-6451 | 2019-12-26 |
1912543430 | Megan Purvis Halkowitz | Nurse Practitioner | 108 Wild Meadows Dr, Anderson, SC 29621-3787 | 2019-11-19 |
1427699297 | Meredith Sutton Proctor | Nurse Practitioner | 2111 Whispering Winds Dr, Rock Hill, SC 29732-8870 | 2019-10-03 |
1467000794 | Stephanie Van Camp | Nurse Practitioner | 125 Commonwealth Dr Unit 210, Greenville, SC 29615-4812 | 2019-08-29 |
1346713138 | Paula Breeden Lowther | Nurse Practitioner | 844 Stratford Run Dr, Fort Mill, SC 29708-5701 | 2019-01-04 |
1881174936 | Jaclyn Sudol | Nurse Practitioner | 2946 Ashley River Rd, Charleston, SC 29414-7049 | 2018-08-17 |
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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.