DR. MATTHEW JEDEDIAH SCHRETTNER (NPI# 1972845766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972845766 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW JEDEDIAH SCHRETTNER |
| Credential | M.D |
| Practice Address |
200 Patewood Dr Ste B350 Greenville SC 29615 |
| Mailing Address |
200 Patewood Dr Ste B350 Greenville SC 29615-6337 |
| Practice Telephone | 8644544500 |
| Practice Fax Number | 8644544505 |
| Mailing Telephone | 8644544500 |
| Mailing Fax Number | 8644544505 |
| Enumeration Date | 2013-03-20 |
| Last Update Date | 2018-07-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
MD52304 | SC | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 330 Brookline Ave, Kirstein 406, Boston, MA 022155400 | 6176670519 | 6179755454 |
| Street Address |
200 PATEWOOD DR STE B350 |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588653273 | Thomas Joseph Fox Jr. | Psychiatry & Neurology | 200 Patewood Dr Ste B350, Greenville, SC 29615-6337 | 2005-10-17 |
| 1821648676 | Andrea Lee Fowler | Nurse Practitioner | 200 Patewood Dr Ste B350, Greenville, SC 29615-6337 | 2019-09-13 |
| 1801442595 | Megan Sloan | Nurse Practitioner | 200 Patewood Dr Ste B350, Greenville, SC 29615-6337 | 2019-08-18 |
| 1902313018 | Ngan Kim Ward | Nurse Practitioner | 200 Patewood Dr Ste B350, Greenville, SC 29615-6337 | 2018-01-10 |
| 1134645641 | Sarah Jungmee Mcnight | Nurse Practitioner | 200 Patewood Dr Ste B350, Greenville, SC 29615-6337 | 2017-08-16 |
| 1679097794 | Lauren Walpole Scarborough | Nurse Practitioner | 200 Patewood Dr Ste B350, Greenville, SC 29615-6337 | 2017-07-31 |
| 1134668239 | Ashley Denneil Alexander | Nurse Practitioner | 200 Patewood Dr Ste B350, Greenville, SC 29615-6337 | 2017-02-22 |
| 1578935904 | Sarah Denes Morris | Nurse Practitioner | 200 Patewood Dr Ste B350, Greenville, SC 29615-6337 | 2015-10-26 |
| 1134516594 | Dery Ann Miller | Psychiatry & Neurology | 200 Patewood Dr Ste B350, Greenville, SC 29615-6337 | 2015-04-22 |
| 1235559352 | Venkatachalam Kumar Veerappan | Psychiatry & Neurology | 200 Patewood Dr Ste B350, Greenville, SC 29615-6337 | 2014-04-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194358051 | Adenike Orogade | Behavior Technician | 17 Caldedon Ct, Suite B, Greenville, SC 29615 | 2020-02-19 |
| 1629608369 | Jennifer Jacobsen | Behavior Technician | 17 Caldedon Court, Suite B, Greenville, SC 29615 | 2020-01-22 |
| 1932668217 | Carolina Orthopaedic and Neurosurgical Associates | Orthopaedic Surgery | Carolina Orthopaedic and Neurosurgical Associates, 220 Roper Mountain Road Extension, Greenville, SC 29615 | 2019-03-18 |
| 1255816070 | Trevis L Cureton | Pharmacist | 2401 East North St, Greenville, SC 29615 | 2018-09-27 |
| 1497232565 | Jacob J Fountain | Nurse Practitioner | 225 Enterprise Blvd, Suite 101, Greenville, SC 29615 | 2018-07-23 |
| 1346726924 | St. Francis Physician Services, Inc | Internal Medicine | 5 Hoke Smith Blvd, Greenville, SC 29615 | 2018-07-17 |
| 1558853101 | Alexandra Michelle Taylor | Audiologist | 200 Patewood Dr Ste 400, Greenville, SC 29615 | 2018-05-30 |
| 1316466543 | Mariah Hope Mosher | Behavioral Analyst | 7 Mckenna Commons Court, Greenvilee, SC 29615 | 2017-09-19 |
| 1326400896 | Karen L Heaps | Counselor | 3150 S. Hwy 14, The Pelham Center, Greenville, SC 29615 | 2016-03-24 |
| 1134589013 | Sharon Erk | Technician, Other | 2950 E.norths St, Greenville, OH 29615 | 2016-03-04 |
| Find all providers in zip 29615 | ||||
| Taxonomy Code | 2084N0600X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Clinical Neurophysiology |
| Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS). |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023088002 | Meng Zhou-wang | Psychiatry & Neurology | 200 Patewood Dr, Suite B350, Greenville, SC 29615-3593 | 2006-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770084063 | Neuroshield Network Se LLC | Psychiatry & Neurology | 1304 Sunset Blvd, West Columbia, SC 29169-5914 | 2018-02-22 |
| 1518371277 | Laura Juul | Psychiatry & Neurology | 169 Ashley Ave, Room 202 Main Hospital, Msc333, Charleston, SC 29425-8905 | 2014-06-19 |
| City | GREENVILLE |
| Zip Code | 29615 |
Please comment or provide details below to improve the information on DR. MATTHEW JEDEDIAH SCHRETTNER.
| 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.