MICHAEL PHELPS


Address: 160 Academy Ave, Greenwood, SC 29646-3808
Phone: 8642238090

MICHAEL PHELPS (NPI# 1801454046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

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

Other Providers MICHAEL PHELPS

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

Office Location

Street Address 160 ACADEMY AVE
City GREENWOOD
State SC
Zip Code 29646-3808

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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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

Providers in the same taxonomy and state

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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Competitor

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City GREENWOOD
Zip Code 29646

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Dataset Information

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.

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