BON SECOURS DIAGNOSTIC IMAGING (NPI# 1942776521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942776521 |
| Entity Type | Organization |
| Organization Name | BON SECOURS DIAGNOSTIC IMAGING |
| Other Organization Name | INNERVISION MRI & IMAGING AT GROVE |
| Practice Address |
1 Cannon Dr Greenville SC 29605-4201 |
| Mailing Address |
3480 Preston Ridge Rd Ste 600 Alpharetta GA 30005-5462 |
| Practice Telephone | 8642424011 |
| Practice Fax Number | 8642332677 |
| Mailing Telephone | 6789927255 |
| Mailing Fax Number | 6789927455 |
| Enumeration Date | 2018-10-22 |
| Last Update Date | 2019-03-07 |
| Authorized Official Name | CRAIG MCCOY (CEO) |
| Authorized Official Telephone | 8642551121 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Innervision MRI & Imaging at Grove | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417423088 | Bon Secours Diagnostic Imaging | Radiology | 1 Marcus Dr Ste 100, Greenville, SC 29615-4818 | 2018-10-22 |
| 1700352374 | Bon Secours Diagnostic Imaging | Radiology | 2 Innovation Dr Ste 350, Greenville, SC 29607-5269 | 2018-10-22 |
| Street Address |
1 CANNON DR |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29605-4201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528017415 | Diagnostic Health Corporation | Physiological Laboratory | 1 Cannon Dr, Greenville, SC 29605-4201 | 2006-05-08 |
| 1821220807 | Palmetto Imaging, Inc | Radiology | 1 Cannon Dr, Greenville, SC 29605-4201 | 2009-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205306099 | Prisma Health University Medical Group | Family Medicine | 110 Osage Drive, Greenville, SC 29605 | 2018-12-05 |
| 1306325626 | Lauren Foster Fiscus | Occupational Therapist | 1900 Augusta Street, Suite 2500, Greenville, SC 29605 | 2018-08-08 |
| 1063914372 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 1720 Augusta St, Greenville, SC 29605 | 2018-03-02 |
| 1144748385 | Johanna Ruth Henry | Speech-Language Pathologist | 1900 Augusta St., Suite 2500, Greenville, SC 29605 | 2017-09-08 |
| 1477083483 | Alexis Dean Pedigo | Speech-Language Pathologist | 1900 Augusta St, Suite 2500, Greenville, SC 29605 | 2017-06-13 |
| 1134658420 | Trace Christopher Deighan | Obstetrics & Gynecology | 890 West Faris Road, Suite 470, Greenville, SC 29605 | 2017-06-08 |
| 1023569837 | Blessed With Goodness, LLC | In Home Supportive Care | 716 E. Fairfield Road, Unit 120 (mailbox # 14), Greenville, SC 29605 | 2016-10-17 |
| 1972050953 | Suha Umina | Pharmacist | 975 W. Faris Road, Greenville, SC 29605 | 2016-09-07 |
| 1124470976 | Meredith Laine Cavagrotti | Specialist/Technologist | 700 Grove Rd, Greenville, SC 29605 | 2016-07-05 |
| 1205286895 | Med-trans Corporation | Ambulance | 552 Perimeter Rd, Greenville, SC 29605 | 2016-06-15 |
| Find all providers in zip 29605 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417423088 | Bon Secours Diagnostic Imaging | Radiology | 1 Marcus Dr Ste 100, Greenville, SC 29615-4818 | 2018-10-22 |
| 1700352374 | Bon Secours Diagnostic Imaging | Radiology | 2 Innovation Dr Ste 350, Greenville, SC 29607-5269 | 2018-10-22 |
| 1710292313 | Eastern Radiologist Inc | Radiology | 2090a W Arlington Blvd, Greenville, NC 27834-5727 | 2010-08-09 |
| 1790002822 | Gd Radiology Pa | Radiology | 4215 Joe Ramsy Blvd, Greenville, TX 75401-7852 | 2010-04-29 |
| 1497998934 | Comanche County Hospital Authority Southwest Radiology | Radiology | 101 Babbs Holw, Greenville, SC 29607-3745 | 2009-04-14 |
| 1235324476 | Mchenry Peters Jr. | Radiology | 110 Windward Rd, Greenville, DE 19807-2436 | 2007-09-11 |
| 1679775001 | Molecular Imaging Assoc Pllc | Radiology | 136 Fioranelli Dr, Greenville, MS 38701-7313 | 2007-06-05 |
| 1730258831 | Robert P Oliver | Radiology | 5 Orchard Pl, Greenville, MS 38701-8079 | 2006-11-06 |
| 1043321920 | Donald S Prior | Radiology | 1654 S Colorado St, Greenville, MS 38703-7216 | 2006-08-31 |
| 1295759223 | Charles E Parke | Radiology | 105 Holbrook Trail, Greenville, SC 29605-3164 | 2006-07-26 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 29605 |
Please comment or provide details below to improve the information on BON SECOURS DIAGNOSTIC IMAGING.
| 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.