CAROLINA NEUROSURGERY & SPINE, P.A. (NPI# 1861541468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861541468 |
Entity Type | Organization |
Organization Name | CAROLINA NEUROSURGERY & SPINE, P.A. |
Practice Address |
115 Academy Ave Greenwood SC 29646-3869 |
Practice Telephone | 8649431267 |
Mailing Telephone | 8649431267 |
Enumeration Date | 2007-01-10 |
Last Update Date | 2014-05-05 |
Authorized Official Name | MICHAEL P. B. KILBURN (PRESIDENT) |
Authorized Official Telephone | 8649431267 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | 20961 | SC | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | GP3746 | 05 |
Street Address |
115 ACADEMY AVE |
City | GREENWOOD |
State | SC |
Zip Code | 29646-3869 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780631879 | Wayne S Mounts | Physician Assistant | 115 Academy Ave, Greenwood, SC 29646-3869 | 2006-05-27 |
1366981052 | Sheila M Eidson | Nurse Practitioner | 115 Academy Ave, Greenwood, SC 29646-3869 | 2017-02-15 |
1902277270 | Self Medical Group | Physical Medicine & Rehabilitation | 115 Academy Ave, Greenwood, SC 29646-3869 | 2015-10-13 |
1639507544 | Marilynn Galbreath | Speech-Language Pathologist | 115 Academy Ave, Greenwood, SC 29646-3869 | 2013-10-31 |
1861757213 | Pain Management Associates | Orthopaedic Surgery | 115 Academy Ave, Greenwood, SC 29646-3869 | 2012-07-11 |
1093001208 | John Mathew Gowans | Physical Medicine & Rehabilitation | 115 Academy Ave, Greenwood, SC 29646-3869 | 2011-06-27 |
1609168426 | Phaedra Kantiece Armfield-garrett | Speech-Language Pathologist | 115 Academy Ave, Greenwood, SC 29646-3869 | 2011-05-12 |
1982995452 | Jacqueline Marie Young | Physical Therapist | 115 Academy Ave, Greenwood, SC 29646-3869 | 2011-05-02 |
1861624751 | Gregory Stuart Mcloughlin | Neurological Surgery | 115 Academy Ave, Greenwood, SC 29646-3869 | 2009-08-11 |
1972731917 | Karl Ekkehard Boellert Jr. | Physical Medicine & Rehabilitation | 115 Academy Ave, Greenwood, SC 29646-3869 | 2009-06-29 |
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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 | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194354274 | Center for Vascular Medicine In LLC | Specialist | 33 E County Line Rd Ste D, Greenwood, IN 46143-1078 | 2020-04-02 |
1114265238 | Joseph A Beardsley Md Professional Corp | Specialist | 1777 W Stones Crossing Rd Ste 1, Greenwood, IN 46143-7899 | 2013-01-24 |
1710210653 | Carolina Health Centers/piedmont Physicians for Women | Specialist | 102 Katie Court, Piedmont Physicians for Women, Greenwood, SC 29646-9059 | 2009-09-10 |
1518120856 | Christine Adefuin Murakami | Specialist | 1123 Spring St, Greenwood, SC 29646-3833 | 2008-07-07 |
1124208400 | Barbara R. Sturm, M.d.,p.c. | Specialist | 1777 W Stones Crossing Rd Ste 4, Greenwood, IN 46143-7899 | 2007-11-05 |
1275725590 | Central Mississippi Radiology | Specialist | 1803 Strong Ave, Greenwood, MS 38930-3913 | 2007-08-10 |
1881787687 | Edwin M Meek Jr. | Specialist | 1313 River Rd, Greenwood, MS 38930-4029 | 2006-10-02 |
1235246737 | Joseph A Beardsley | Specialist | 1777 W Stones Crossing Rd, Ste 1, Greenwood, IN 46143-7899 | 2006-08-23 |
1871607598 | Syed S Rafique | Specialist | 333 Highway 82 W, Greenwood, MS 38930-6538 | 2006-08-18 |
1457327066 | Jason Travis Reed | Specialist | 203 Janeway, Greenwood, SC 29649-1539 | 2006-02-23 |
Find all providers in GREENWOOD |
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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.