JERRY L ACOSTA (NPI# 1912965591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912965591 |
| Entity Type | Individual |
| Full Name | JERRY L ACOSTA |
| Credential | M.D. |
| Practice Address |
317 Saint Francis Dr Suite 120 Greenville SC 29601-3965 |
| Practice Telephone | 2642551317 |
| Practice Fax Number | 8642551318 |
| Mailing Telephone | 8642551317 |
| Mailing Fax Number | 8642551318 |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 7641 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP3950 | 05 |
| Street Address |
317 SAINT FRANCIS DR SUITE 120 |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29601-3965 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881685345 | Robert G Schwartz | Physical Medicine & Rehabilitation | 317 Saint Francis Dr, Suite 350, Greenville, SC 29601-3965 | 2005-11-03 |
| 1790181733 | St Francis Physician Services Inc | Internal Medicine | 317 Saint Francis Dr, Ste 220, Greenville, SC 29601-3965 | 2014-11-18 |
| 1417388141 | Mary Kathleen Matzko | Nurse Practitioner | 317 Saint Francis Dr, Suite 340, Greenville, SC 29601-3965 | 2013-12-05 |
| 1669816625 | St Francis Physician Services Inc | Internal Medicine | 317 Saint Francis Dr, Ste 220, Greenville, SC 29601-3965 | 2013-04-22 |
| 1669712931 | Christy Renee Smith | Clinical Nurse Specialist | 317 Saint Francis Dr, Ste 340, Greenville, SC 29601-3965 | 2013-02-25 |
| 1942597471 | Leigh Collier Stinnett | Nurse Practitioner | 317 Saint Francis Dr, Suite 125, Greenville, SC 29601-3965 | 2011-07-05 |
| 1568799211 | Jennifer L Huggins | Nurse Practitioner | 317 Saint Francis Dr, Suite 125, Greenville, SC 29601-3965 | 2009-11-17 |
| 1952530677 | Fahd Quddus | Internal Medicine | 317 Saint Francis Dr, Suite 340, Greenville, SC 29601-3965 | 2009-07-02 |
| 1053502591 | Jeffrey A. Siegel | Internal Medicine | 317 Saint Francis Dr, Suite 130, Greenville, SC 29601-3965 | 2007-08-08 |
| 1841480399 | Piedmont Retina Assoc., P.a. | Ophthalmology | 317 Saint Francis Dr, Suite 330, Greenville, SC 29601-3965 | 2007-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700305620 | True Sleep Diagnostics | Clinic/Center | 220 North Main St Ste 500, Pmb 104, Greenville, SC 29601 | 2017-09-12 |
| 1245786813 | Yvette Ombougno | Registered Nurse | 200 University Ridge, Greenville, SC 29601 | 2016-09-01 |
| 1477921823 | Laura Gore Siefert | Registered Nurse | 1 Saint Francis Drive, Greenville, SC 29601 | 2015-09-02 |
| 1821493826 | Sarah Fuller | Counselor | 602 Pettigru St, Greenville, SC 29601 | 2014-11-03 |
| 1689088932 | Chenille Taylor | Nurse Practitioner | 201 N. Main Street, Greenville, SC 29601 | 2014-06-15 |
| 1861827842 | Caritas Counseling Services LLC | Community/Behavioral Health | 111 Hampton Avenue, St Mary's Catholic Church, Greenville, SC 29601 | 2013-09-09 |
| 1568790335 | Lynn A. Victory | Counselor | 710 Pettigru Street, The Cottage, Greenville, SC 29601 | 2009-12-06 |
| 1386971448 | Lisa Speach | Nurse Practitioner | 3 St. Francis Drive, Suite 300, Greenville, SC 29601 | 2009-11-11 |
| 1851528418 | Adam Shawn Riffle | Specialist/Technologist | 175 Patewood Drive, Greenville, SC 29601 | 2009-06-22 |
| 1114178332 | Margaret W. Lee | Psychologist | 412 Pettigru St., Suite C, Greenville, SC 29601 | 2008-10-07 |
| Find all providers in zip 29601 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679707913 | Chayanin Vatcharasiritham | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 115 Heart Dr., Ecu Physicians, Greenville, NC 27834 | 2009-05-14 |
| 1689859332 | Ansar Hassan | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Moye Blvd, Greenville, NC 27834-4300 | 2007-12-31 |
| 1467571430 | Delta Physician Practices | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1202 Hospital St, Greenville, MS 38703-3213 | 2007-03-28 |
| 1346241361 | Alfredo F. Gurmendi | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4211 Joe Ramsey Blvd E Ste 100, Greenville, TX 75401 | 2005-08-02 |
| 1518964535 | Michael Cohron Trotter | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1705 Hospital St, Greenville, MS 38703-3225 | 2005-07-05 |
| 1295209260 | Dustin Turner | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 | 2019-01-14 |
| 1407111081 | Hesham Z. Saleh | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 115 Heart Dr, East Carolina Heart Institute- Cardiothoracic Surgery, Greenville, NC 27834-8944 | 2012-07-10 |
| 1982987681 | Tai-leung Daniel Chan | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 115 Heart Dr, East Carolina Heart Institute @ Ecu, Greenville, NC 27834-8944 | 2011-09-20 |
| 1265697080 | Joseph R. Elbeery | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 600 Moye Blvd, Ecu Physicians: Cardiothoracic Surgery, Greenville, NC 27834-4300 | 2008-07-21 |
| 1740447374 | Louis-mathieu Stevens | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 600 Moye Blvd, Greenville, NC 27834 | 2008-05-21 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 29601 |
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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.