CHILDRENS MEDICAL CENTER (NPI# 1881763068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881763068 |
| Entity Type | Organization |
| Organization Name | CHILDRENS MEDICAL CENTER |
| Practice Address |
131 Commonwealth Dr Suite 310 Greenville SC 29615-4883 |
| Practice Telephone | 8642885402 |
| Mailing Telephone | 8642885402 |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ALAN COOPER (ADMINISTRATOR) |
| Authorized Official Telephone | 8642885402 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | SC | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629238456 | Childrens Medical Center | Special Hospital | 1800 Rice Mine Rd N, Tuscaloosa, AL 35406-2383 | 2008-06-16 |
| 1710034376 | Childrens Medical Center | Exclusive Provider Organization | 4651 Sheridan St, Suite 270, Hollywood, FL 33021-3457 | 2007-01-05 |
| 1154485415 | Childrens Medical Center | Specialist | 5488 N Alabama Ave, Omega, GA 31775-3054 | 2006-12-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CHILDRENS MEDICAL CENTER OF TUCSON | 5861 N Oracle Rd, Tucson, AZ 85704-3813 |
| Street Address |
131 COMMONWEALTH DR SUITE 310 |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29615-4883 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013915347 | Augustus J Goforth IIi | Otolaryngology | 131 Commonwealth Dr, Suite 230, Greenville, SC 29615-4883 | 2005-07-11 |
| 1336699172 | Heather Hannon | Nurse Practitioner | 131 Commonwealth Dr, Suite 100, Greenville, SC 29615-4883 | 2016-10-05 |
| 1689957359 | Kimberly Johnson Rutherford | Physical Therapist | 131 Commonwealth Dr, Ste 200, Greenville, SC 29615-4883 | 2011-09-20 |
| 1538471826 | St Francis Physician Services Inc | Urology | 131 Commonwealth Dr, Ste. 340, Greenville, SC 29615-4883 | 2010-07-02 |
| 1912032129 | David Scott Grubbs | Family Medicine | 131 Commonwealth Dr, Workwell Occupational Health, Greenville, SC 29615-4883 | 2007-02-21 |
| 1669517967 | Wesley G Merriwether | Family Medicine | 131 Commonwealth Dr, Suite 200, Greenville, SC 29615-4883 | 2007-02-21 |
| 1205849452 | William M Darby IIi | Pediatrics | 131 Commonwealth Dr, Suite 310, Greenville, SC 29615 | 2006-08-15 |
| 1114930369 | Gary Allen Bass | Pediatrics | 131 Commonwealth Dr, Suite 310, Greenville, SC 29615 | 2006-08-15 |
| 1023021276 | Linda S Parker | Pediatrics | 131 Commonwealth Dr, Suite 310, Greenville, SC 29615 | 2006-08-15 |
| 1841203098 | Raymond W Flanders | Pediatrics | 131 Commonwealth Dr, Suite 310, Greenville, SC 29615 | 2006-08-15 |
| Find all providers in the same location | ||||
| 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 | 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. |
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|---|---|---|---|---|
| 1528699444 | Jackson Hospital and Clinic, Inc | Specialist | 321 Greenville Byp Ste 2, Greenville, AL 36037-3757 | 2020-01-29 |
| 1902381692 | Ig Medical Billing & Consulting LLC | Specialist | 2320 E North St Ste Rr 108, Greenville, SC 29607-1271 | 2018-09-27 |
| 1467815779 | Nathan Donald Lee | Specialist | 393 Woods Lake Rd, Greenville, SC 29607-2775 | 2016-04-04 |
| 1972974863 | Clinica Maternal De Greenville | Specialist | 3204 White Horse Rd, Suite D, Greenville, SC 29611-5916 | 2015-10-17 |
| 1356725444 | Misty Burch | Specialist | 64 Old Route 401, Greenville, NY 12083-1928 | 2015-07-17 |
| 1356729818 | Zachary White | Specialist | 171 West 5th Street, Greenville, NC 27834-1698 | 2015-05-15 |
| 1255733432 | Meredith Wentzel | Specialist | 319 Garlington Rd Ste D9, Greenville, SC 29615-4610 | 2014-09-19 |
| 1417291907 | Dental Anesthesia Associates of Greenville, LLC | Specialist | 2131 Woodruff Rd., Suite2100 #318, Greenville, SC 29681 | 2012-11-21 |
| 1396014148 | Women's Health Center of Greenville | Specialist | 2317 A Executive Park Circle, Greenville, NC 27834 | 2011-12-23 |
| 1255619912 | Lindsay Joan Weinfurtner | Specialist | 6010 Sipperley Trl, Greenville, MI 48838 | 2011-07-29 |
| 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.