SELF MEDICAL GROUP (NPI# 1871816538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871816538 |
| Entity Type | Organization |
| Organization Name | SELF MEDICAL GROUP |
| Other Organization Name | NEONATOLOGY SPECIALISTS OF SELF MEDICAL GROUP |
| Practice Address |
1325 Spring Street Greenwood SC 29646-3860 |
| Practice Telephone | 8647254449 |
| Practice Fax Number | 8647254452 |
| Mailing Telephone | 8647254449 |
| Mailing Fax Number | 8647254452 |
| Enumeration Date | 2010-03-10 |
| Last Update Date | 2012-05-23 |
| Authorized Official Name | JAMES A PFEIFFER (PRESIDENT AND CHIEF EXECUTIVE OFFIC) |
| Authorized Official Telephone | 8647254253 |
| Is Organization Subpart | Y |
| Parent Organization Name | SELF MEDICAL GROUP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Neonatology Specialists of Self Medical Group | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487212130 | Self Medical Group | Family Medicine | 105 Vinecrest Ct # 510, Greenwood, SC 29646-8031 | 2019-05-29 |
| 1750800264 | Self Medical Group | Family Medicine | 110 Highway 246 N, Greenwood, SC 29649-8748 | 2017-09-15 |
| 1760808083 | Self Medical Group | Clinic/Center | 450 Old Brickyard Rd, Greenwood, SC 29649-8681 | 2014-03-11 |
| 1588969448 | Self Medical Group | Nurse Practitioner | 104 Liner Drive, Greenwood, SC 29646 | 2011-01-24 |
| 1417252636 | Self Medical Group | Family Medicine | 138 Wells Avenue, Greenwood, SC 29646-3837 | 2011-01-19 |
| 1376843037 | Self Medical Group | Obstetrics & Gynecology | 107 Venture Court, Greenwood, SC 29649-8558 | 2010-10-28 |
| 1629382056 | Self Medical Group | Family Medicine | 207 Holiday Road, Mccormick, SC 29835-3430 | 2010-07-27 |
| 1942528161 | Self Medical Group | Family Medicine | 167 Greenwood Ave S, Ware Shoals, SC 29692 | 2010-05-12 |
| 1134442890 | Self Medical Group | Physician Assistant | 115 Academy Avenue, Unit A, Greenwood, SC 29646 | 2010-03-10 |
| 1457685570 | Self Medical Group | Surgery | 160 Academy Avenue, Greenwood, SC 29646-3808 | 2009-09-22 |
| Street Address |
1325 SPRING STREET |
| City | GREENWOOD |
| State | SC |
| Zip Code | 29646-3860 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982836847 | Self Medical Group | Surgery | 1325 Spring Street, Greenwood, SC 29646-3860 | 2009-08-11 |
| 1174842090 | Self Medical Group | Radiology | 1325 Spring Street, Greenwood, SC 29646-3860 | 2010-05-18 |
| 1073840856 | Self Medical Group | Hospitalist | 1325 Spring Street, Hospital Medicine Specialists of Self Medical Group, Greenwood, SC 29646-3860 | 2009-11-16 |
| 1083890339 | Self Regional Healthcare | Internal Medicine | 1325 Spring Street, Greenwood, SC 29646 | 2008-01-17 |
| 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 | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174891931 | Kasonya Guerra | Pediatrics | 1325 Spring St, Greenwood, SC 29646-3860 | 2011-12-08 |
| 1013927334 | Chacko John | Pediatrics | 1325 Spring St, Greenwood, SC 29646-3860 | 2006-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366886715 | Katherine Elizabeth Chetta | Pediatrics | 10 Mcclennan Banks Drive Msc915, Charleston, SC 29425-3411 | 2013-04-28 |
| 1053568246 | Shivani Desai | Pediatrics | 10 Sable Glen Dr, Greenville, SC 29615-6739 | 2008-08-19 |
| 1063605905 | William B. Pittard IIi | Pediatrics | 135 Rutledge Ave Rm 286, Charleston, SC 29425 | 2007-08-23 |
| 1871517904 | Rita L. Saldanha | Pediatrics | 224 Beaver Run Ln, Williamston, SC 29697-9400 | 2006-07-26 |
| 1396776225 | Gerald Joseph Ferlauto | Pediatrics | 29 North Academy Street, Greenville, SC 29601-2629 | 2006-07-06 |
| 1598708232 | Catherine Partyka | Pediatrics | 9330 Medical Plaza Dr., Trident Medical Center, Charleston, SC 29406 | 2006-06-13 |
| 1750328936 | Uma M Amarnath | Pediatrics | Palmetto Health Richland Hospital, Lexington Medical Center, Columbia, SC 29203-6849 | 2006-05-31 |
| 1629020441 | Sonia Orellana Cahanap-mercado | Pediatrics | 222 S Herlong Avenue, Rock Hill, SC 29732 | 2006-05-17 |
| 1851343230 | Thomas Frederick Allred | Pediatrics | 101 E Wood St Ste 4014, Spartanburg, SC 29303-3040 | 2006-05-16 |
| 1447214317 | J. Thomas Cox Jr. | Pediatrics | Pediatrix Medical Group of Sc, Medical Park East, 901 E. Cheves St. Suite 370, Florence, SC 29506 | 2006-04-17 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SELF MEDICAL GROUP.
| 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.