SELF MEDICAL GROUP (NPI# 1932657301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932657301 |
| Entity Type | Organization |
| Organization Name | SELF MEDICAL GROUP |
| Other Organization Name | GREENWOOD PAIN MANAGEMENT, A DIVISION OF SELF MEDICAL GROUP |
| Practice Address |
1325 Spring St Greenwood SC 29646-3860 |
| Practice Telephone | 8647254095 |
| Practice Fax Number | 8647255082 |
| Mailing Telephone | 8647254095 |
| Mailing Fax Number | 8647255082 |
| Enumeration Date | 2016-09-14 |
| Last Update Date | 2016-09-14 |
| Authorized Official Name | JAMES PFEIFFER (PRESIDENT AND CFO) |
| 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 | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Greenwood Pain Management, A Division 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 ST |
| City | GREENWOOD |
| State | SC |
| Zip Code | 29646-3860 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205822319 | Lincoln M Mcginnis | Internal Medicine | 1325 Spring St, Greenwood, SC 29646-3860 | 2005-09-23 |
| 1528669116 | Kristina Riley Nelson | Pharmacist | 1325 Spring St, Greenwood, SC 29646-3860 | 2020-11-02 |
| 1295335933 | Lauren R Whitfield | Pharmacist | 1325 Spring St, Greenwood, SC 29646-3860 | 2020-10-30 |
| 1467052738 | Ariel Symone Mcwilliams | Pharmacist | 1325 Spring St, Greenwood, SC 29646-3875 | 2020-10-27 |
| 1811597149 | Heather Champion | Pharmacist | 1325 Spring St, Greenwood, SC 29646-3860 | 2020-10-27 |
| 1770183097 | Catherine Anne Miller | Pharmacist | 1325 Spring St, Greenwood, SC 29646-3860 | 2020-10-27 |
| 1750981056 | Missouri M Jenkins | Pharmacist | 1325 Spring St, Greenwood, SC 29646-3860 | 2020-10-27 |
| 1962002139 | Rebecca Lay | Pharmacist | 1325 Spring St, Greenwood, SC 29646-3860 | 2020-10-27 |
| 1437759727 | Amy Graves | Pharmacist | 1325 Spring St, Greenwood, SC 29646-3875 | 2020-10-27 |
| 1316546989 | Kevin Elrod | Pharmacist | 1325 Spring St, Greenwood, SC 29646-3860 | 2020-10-23 |
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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 | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447210554 | Greenwood Leflore Hospital | Anesthesiology | 1403 Strong Ave, Greenwood, MS 38930 | 2006-03-23 |
| 1902164981 | Inderpal Singh | Anesthesiology | 1325 Spring St, Greenwood, SC 29646 | 2012-04-27 |
| 1164650461 | Scott Sang Won Kim | Anesthesiology | 533 E County Line Rd, Suite 201, Greenwood, IN 46143-1073 | 2009-06-24 |
| 1023035482 | Indianapolis Neurosurgical Group PC | Anesthesiology | 1051 S Greenwood Springs Blvd, Suite 210, Greenwood, IN 46143-6479 | 2006-07-15 |
| 1578596995 | Philip Carl Latourette | Anesthesiology | 1325 Spring St, Greenwood, SC 29646-3860 | 2006-07-09 |
| 1003871690 | Robert I. Prince | Anesthesiology | 533 E County Line Rd, Suite 201, Greenwood, IN 46143-1073 | 2006-04-18 |
| 1831159037 | Ahmed Abdel Aziz | Anesthesiology | 1403 Strong Ave, Greenwood, MS 38930-4035 | 2006-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982246633 | Southern Coast Specialists, LLC | Anesthesiology | 16 Okatie Center Blvd S Ste 201, Bluffton, SC 29909-7544 | 2019-10-15 |
| 1487120622 | Pain Specialists of Charleston | Anesthesiology | 135 Sea Island Pkwy, Beaufort, SC 29907-1500 | 2018-10-15 |
| 1235610767 | Premier Pain Solutions Pllc | Anesthesiology | 201 Richard St Ste A, Easley, SC 29640-1442 | 2018-08-23 |
| 1902316557 | Anesthesia Aficianados, LLC | Anesthesiology | 10630 Clemson Blvd Ste 200, Seneca, SC 29678-4545 | 2017-10-10 |
| 1285157735 | Sgkf LLC | Anesthesiology | 764 Saint Andrews Blvd, Charleston, SC 29407-7168 | 2017-07-17 |
| 1053860841 | Emergencymd, LLC | Anesthesiology | 2555 Boiling Springs Rd, Boiling Springs, SC 29316-5351 | 2016-09-22 |
| 1992156400 | Arcis Healthcare, LLC | Anesthesiology | 109 Park Place Ct, Lexington, SC 29072-6690 | 2016-06-27 |
| 1215302823 | Low Country Pain & Spine | Anesthesiology | 9180 Ocean Hwy Unit 6, Pawleys Island, SC 29585-8670 | 2015-12-08 |
| 1760888127 | Seaside Professional Services LLC | Anesthesiology | 25 Sherington Park Drive, Suite D-1, Bluffton, SC 29910 | 2014-11-13 |
| 1336559830 | Ryan Peyton Hostutler | Anesthesiology | 201 Richard St Unit A, Easley, SC 29640-1442 | 2014-05-06 |
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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.