DR. CONCETTA AURELIA GARDZIOLA (NPI# 1902822166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902822166 |
| Entity Type | Individual |
| Full Name | DR. CONCETTA AURELIA GARDZIOLA |
| Credential | DO |
| Practice Address |
325 Medical Pkwy Suite 200 C Greer SC 29650-2457 |
| Mailing Address |
1 Independence Pt Ste 212 Greenville SC 29615-4536 |
| Practice Telephone | 8647979590 |
| Practice Fax Number | 8646727764 |
| Mailing Telephone | 8647976303 |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2018-01-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
1224 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | CHAMPUS TRICARE | 571018487 | 01 |
| SC | MEDICARE PTAN | AA3578 | 01 |
| SC | 1902822166 | 05 |
| Street Address |
325 MEDICAL PKWY SUITE 200 C |
| City | GREER |
| State | SC |
| Zip Code | 29650-2457 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053385617 | Lynnette Jumaquio Guirao | Internal Medicine | 325 Medical Pkwy, Suite 200, Greer, SC 29650-2457 | 2006-02-13 |
| 1154752780 | Amanda Gibson Evans | Nurse Practitioner | 325 Medical Pkwy, Suite 200, Greer, SC 29650-2457 | 2013-12-08 |
| 1851658041 | Divya Annam Rao | Internal Medicine | 325 Medical Pkwy, Suite 200, Greer, SC 29650-2457 | 2012-04-12 |
| 1912294562 | Ashley Rosser Wooten | Nurse Practitioner | 325 Medical Pkwy, Ste 200, Greer, SC 29650-2459 | 2011-07-05 |
| 1154620987 | Ronak Nimesh Desai | Internal Medicine | 325 Medical Pkwy, Suite 200, Greer, SC 29650-2457 | 2011-03-18 |
| 1508186321 | Jennifer Green Simpson | Obstetrics & Gynecology | 325 Medical Pkwy, Suite 100, Greer, SC 29650-2457 | 2010-06-03 |
| 1417281650 | Spartanburg Regional Med Ctr | Internal Medicine | 325 Medical Pkwy, Suite 200, Greer, SC 29650-2457 | 2009-09-21 |
| 1750614822 | Cristina Marie Cameron | Internal Medicine | 325 Medical Pkwy, Suite 200, Greer, SC 29650-2457 | 2009-09-08 |
| 1821226291 | Sallie Ruth Areford | Internal Medicine | 325 Medical Pkwy, Suite 200, Greer, SC 29650-2457 | 2009-06-24 |
| 1578723441 | Krystal Southerlin White | Obstetrics & Gynecology | 325 Medical Pkwy, Suite100, Greer, SC 29650-2457 | 2008-06-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154946424 | Paul Wong | Family Medicine | 109 Physicians Drive Suite A, Greer, SC 29650 | 2020-06-12 |
| 1992273684 | Christopher Michael Campbell | Pharmacist | 845b S Buncombe Rd, Greer, SC 29650 | 2018-11-12 |
| 1376035618 | Jessica Miller | Dentist | 1494 W Wade Hampton Blvd Ste D, Greer, SC 29650 | 2018-06-02 |
| 1992212872 | Greenville Health Corporation | Pharmacy | 845 S Buncombe Rd Ste D, Greer, SC 29650 | 2018-01-02 |
| 1114432077 | Spartanburg Medical Center | Orthopaedic Surgery | 2755 S Highway 14 Ste 1200m, Greer, SC 29650 | 2017-12-13 |
| 1437679750 | Sanders Healthcare LLC | Home Health | 110 W. Church St., Suite A, Greer, SC 29650 | 2017-06-27 |
| 1306291117 | James Elliott Crouch | Occupational Therapy Assistant | 1305 Boilings Springs Rd., Greer, SC 29650 | 2016-04-29 |
| 1033593389 | Premier Medical Transport Service | Non-emergency Medical Transport (VAN) | 120 Glenaire Dr, Greer, SC 29650 | 2015-07-16 |
| 1104176429 | Suchi Chomal | Pharmacist | 6 Colby Ct, Greer, SC 29650 | 2012-09-13 |
| 1447500822 | John Varner | Pharmacist | 821 S. Batesville Road, Greer, SC 29650 | 2012-09-13 |
| Find all providers in zip 29650 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194979609 | Spartanburg Medical Center | Internal Medicine | 2759 S Highway 14, Suite A, Greer, SC 29650-4926 | 2008-11-11 |
| 1225134075 | Melanie B. Thomas | Internal Medicine | 2759 S Highway 14, Suite A, Greer, SC 29650-4926 | 2006-09-16 |
| 1356355325 | Palmetto Hematology Oncology PC | Internal Medicine | 2755 South Highway 14, Suite 2200, Greer, SC 29650-4902 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508361809 | Santee Oncology, LLC | Internal Medicine | 1105 N Lafayette Dr Ste A, Sumter, SC 29150-2984 | 2018-03-28 |
| 1689080129 | Gregory Michael Haidemenos | Internal Medicine | 169 Ashley Ave # Msc322, Charleston, SC 29425-8908 | 2014-07-04 |
| 1558507848 | Shelly Christiansen Shand | Internal Medicine | 2085 Henry Tecklenburg Dr Fl 2, Charleston, SC 29414 | 2008-12-17 |
| 1598922650 | Xuezhong Yang | Internal Medicine | 317 Saint Francis Dr Ste 340, Greenville, SC 29601-3914 | 2008-05-16 |
| 1891817656 | Carolina Cancer Specialists | Internal Medicine | 225 S Herlong Ave, Suite 201, Rock Hill, SC 29732-2730 | 2007-04-04 |
| 1730200031 | Niyati Anand Nathwani | Internal Medicine | 902 W Meeting St, Lancaster, SC 29720-6219 | 2007-04-03 |
| 1770601734 | Ziad Georges Skaff | Internal Medicine | 8950 University Blvd Ste 100, North Charleston, SC 29406-9115 | 2007-03-27 |
| 1407947757 | Asutosh S Gor | Internal Medicine | 1583 Healthcare Drive, Rock Hill, SC 29732 | 2006-09-28 |
| 1821192949 | Sitki M Ergul | Internal Medicine | 111 Miracle Drive, Aiken, SC 29801 | 2006-09-11 |
| 1295742294 | Palmetto Hematology Oncology PC | Internal Medicine | 406 Tiffany Park, Suites A & B, Gaffney, SC 29341-1262 | 2006-08-02 |
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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.