FORREST A POMMERENKE (NPI# 1952331662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952331662 |
| Entity Type | Individual |
| Full Name | FORREST A POMMERENKE |
| Credential | M.D. |
| Practice Address |
1020 Grove Rd Greenville SC 29605-4649 |
| Mailing Address |
255 Enterprise Blvd Suite 250 Greenville SC 29615-6300 |
| Practice Telephone | 8644552300 |
| Mailing Telephone | 8644540888 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 22630 | SC | Allopathic & Osteopathic Physicians |
| Street Address |
1020 GROVE RD |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29605-4649 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053622191 | Amy Michelle Godwin | Physical Therapist | 1020 Grove Rd, Greenville, SC 29605-4649 | 2010-06-23 |
| 1740420421 | Abigail R. Purvis | Physical Therapist | 1020 Grove Rd, Greenville, SC 29605-4649 | 2009-02-20 |
| 1215175054 | Kyle M. Davis | Physical Therapist | 1020 Grove Rd, Greenville, SC 29605-4649 | 2009-02-02 |
| 1720275324 | Jennifer Kathleen Thompson | Nurse Practitioner | 1020 Grove Rd, Greenville, SC 29605-4649 | 2007-09-27 |
| 1811069776 | Sharon Elizabeth Hartsell | Nurse Practitioner | 1020 Grove Rd, Greenville, SC 29605-4649 | 2006-11-15 |
| 1114009735 | Ioana M Loftis | Physical Therapist | 1020 Grove Rd, Greenville, SC 29605-4649 | 2006-10-20 |
| 1306941687 | Greenville Health Corporation | Clinic/Center | 1020 Grove Rd, Greenville, SC 29605-4649 | 2006-09-13 |
| 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 | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245744937 | Carolina Healthchoice of Greenville, LLC | General Practice | 274 Commonwealth Dr Ste B, Greenville, SC 29615-4872 | 2017-11-17 |
| 1346608825 | American Family Care, Inc. | General Practice | 101 Paul Stabler Drive, Greenville, AL 36037-0000 | 2016-01-29 |
| 1609240910 | Eating Recovery Center-the Carolinas | General Practice | 12 Maple Tree Court, Suite 101, Greenville, SC 29615-4079 | 2015-11-24 |
| 1083918338 | Advanced Health and Physical Medicine Pllc | General Practice | 504-c Red Banks Rd, Greenville, NC 27858-5766 | 2010-12-30 |
| 1578885364 | St. Francis Physician Services Inc | General Practice | 2 Innovation Dr. Suite 120, Greenville, SC 29607-5262 | 2010-02-19 |
| 1164754487 | Murray Peeler Mckissick | General Practice | 245 Mcdaniel Ave, Greenville, SC 29601-3747 | 2010-02-11 |
| 1285886465 | Dominick Trinca | General Practice | 1440 Highway 1 S, Greenville, MS 38701-7140 | 2008-10-19 |
| 1598977506 | Alan M Peabody | General Practice | 1212 Haywood Road, Bldg 200, Greenville, SC 29615 | 2007-05-03 |
| 1942230321 | North Hills Medical Center | General Practice | 3904 S Highway 14, Greenville, SC 29615-6138 | 2006-07-03 |
| 1598363681 | Krystal Gladson Kennedy | General Practice | 800 Moye Blvd Ste A, Greenville, NC 27834-3777 | 2020-10-12 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 29605 |
Please comment or provide details below to improve the information on FORREST A POMMERENKE.
| 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.