MERCY OB GYN (NPI# 1841388956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841388956 |
| Entity Type | Organization |
| Organization Name | MERCY OB GYN |
| Practice Address |
274 Commonwealth Dr Suite B Greenville SC 29615-4869 |
| Practice Telephone | 8642883100 |
| Practice Fax Number | 8642883004 |
| Mailing Telephone | 8642883100 |
| Mailing Fax Number | 8642883004 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | RAGESH DAHYALAL PANDYA (PRESIDENT) |
| Authorized Official Telephone | 8642883100 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 17808 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | PPO - CAROLINA CARE PLAN | 0704786 | 01 |
| SC | GP2403 | 05 | |
| SC | HMO - MEDCOST PREFFERED | 88449 | 01 |
| Street Address |
274 COMMONWEALTH DR SUITE B |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29615-4869 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083614739 | David Devon Wilt | Nurse Practitioner | 274 Commonwealth Dr, Greenville, SC 29615-4872 | 2005-07-22 |
| 1093265456 | Tribe513, Pa | Obstetrics & Gynecology | 274 Commonwealth Dr, Suite A, Greenville, SC 29615-4869 | 2016-10-10 |
| 1609259217 | Express Pediatric Care, P.a. | Pediatrics | 274 Commonwealth Dr, Suite C, Greenville, SC 29615-4869 | 2015-06-30 |
| 1760701288 | Tamara Deniece Johnson | Pediatrics | 274 Commonwealth Dr, Suite C, Greenville, SC 29615-4869 | 2010-05-24 |
| 1033340716 | Expresscare Pediatrics, PC | Clinic/Center | 274 Commonwealth Dr, Suite C, Greenville, SC 29615-4869 | 2009-07-29 |
| 1497899892 | Dawn Polly | Pediatrics | 274 Commonwealth Dr, Suite C, Greenville, SC 29615-4869 | 2007-02-18 |
| 1932137163 | Tamela Gail Gallman-keller | Obstetrics & Gynecology | 274 Commonwealth Dr, Suite A, Greenville, SC 29615 | 2006-06-28 |
| 1487648044 | John Francis Pilch | Psychiatry & Neurology | 274 Commonwealth Dr, Greenville, SC 29615-4869 | 2005-09-09 |
| 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 | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134658420 | Trace Christopher Deighan | Obstetrics & Gynecology | 890 West Faris Road, Suite 470, Greenville, SC 29605 | 2017-06-08 |
| 1396298725 | Highlands Center for Women, P.a. | Obstetrics & Gynecology | 369 Halton Rd, Greenville, SC 29607-3405 | 2016-08-02 |
| 1073872594 | Brianna Whittemore | Obstetrics & Gynecology | 777 Lowndes Hill Rd, Greenville, SC 29607-2101 | 2012-05-04 |
| 1952692857 | Oussama Ahmad Saleh | Obstetrics & Gynecology | 1025 Spring Forest Rd, E6, Greenville, NC 27834-4986 | 2011-04-26 |
| 1184939670 | Samata Mcclure | Obstetrics & Gynecology | 3506 Kennett Pike Ste 100, Greenville, DE 19807-3019 | 2010-08-09 |
| 1528379054 | Rebecca Cori Rinko | Obstetrics & Gynecology | Bon Secours Urogynecology, 2 Innovation Drive, Ste 180, Greenville, SC 29607-5265 | 2010-06-30 |
| 1083940084 | Laurel Center for Women, LLC | Obstetrics & Gynecology | 10 Enterprise Blvd Ste 210, Greenville, SC 29615-3554 | 2009-10-26 |
| 1700041357 | Laurel Gynecology, Obstetrics & Infertility, Pa | Obstetrics & Gynecology | 511 W Butler Rd, Greenville, SC 29607-4833 | 2008-07-23 |
| 1588824916 | Edgar Smith Douglas II | Obstetrics & Gynecology | 204 Hampton Cir, Greenville, NC 27858-8936 | 2008-06-10 |
| 1689849119 | Jack A Mcneil | Obstetrics & Gynecology | 6 Orchard Pl, Greenville, MS 38701-8045 | 2008-04-25 |
| 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.