| Parkside Ob-gyn | |
|
525 Verdae Blvd Suite 200 Greenville SC 29607-4021 | |
| (864) 272-0388 | |
| (864) 213-9237 |
| Full Name | Parkside Ob-gyn |
|---|---|
| Speciality | Pediatrics |
| Location | 525 Verdae Blvd, Greenville, South Carolina |
| Authorized Official Name and Position | Melissa Oostdyk (COORDINATOR, PROVIDER RELATIONS) |
| Authorized Official Contact | 8642720388 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Parkside Ob-gyn 525 Verdae Blvd Suite 200 Greenville SC 29607-4021 Ph: (864) 272-0388 | Parkside Ob-gyn 525 Verdae Blvd Suite 200 Greenville SC 29607-4021 Ph: (864) 272-0388 |
| NPI Number | 1154438075 |
|---|---|
| Provider Enumeration Date | 08/24/2006 |
| Last Update Date | 03/02/2020 |
| Medicare PECOS PAC ID | 1355622424 |
|---|---|
| Medicare Enrollment ID | O20170103001689 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154438075 | NPI | - | NPPES |
| GP4514 | Medicaid | SC |
| Provider Name | Melanie Schnoor Greene |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922056647 PECOS PAC ID: 5698747251 Enrollment ID: I20040812000931 |
| Provider Name | Charles W Greene |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1215985874 PECOS PAC ID: 2466421425 Enrollment ID: I20040928000242 |
| Provider Name | Denise Ann Broderick |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942250980 PECOS PAC ID: 9032167028 Enrollment ID: I20050106000371 |
| Provider Name | Kimberly Sue Holloway |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447209374 PECOS PAC ID: 5799734737 Enrollment ID: I20050118000354 |
| Provider Name | Evelyn Brantley Horne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649239880 PECOS PAC ID: 3971547894 Enrollment ID: I20050613000359 |
| Provider Name | Elizabeth S Haswell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407040645 PECOS PAC ID: 8325133176 Enrollment ID: I20071009000344 |
| Provider Name | Jennifer Davis Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972763886 PECOS PAC ID: 6800969585 Enrollment ID: I20080715000280 |
| Provider Name | Jocelyn R Renfrow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700801230 PECOS PAC ID: 5193877629 Enrollment ID: I20090715000098 |
| Provider Name | Paige Mccown Rostin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790957066 PECOS PAC ID: 8527240746 Enrollment ID: I20110309000865 |
| Provider Name | Ann W Meade |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134180391 PECOS PAC ID: 2668378829 Enrollment ID: I20110525000676 |
| Provider Name | Sarah M Carter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750549168 PECOS PAC ID: 2668650201 Enrollment ID: I20110629000546 |
| Provider Name | Carole Irene Mercer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851550487 PECOS PAC ID: 8325204605 Enrollment ID: I20120801000254 |
| Provider Name | Megan O'neill Witt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699902213 PECOS PAC ID: 7416103825 Enrollment ID: I20120816000851 |
| Provider Name | Chenille Taylor Eidson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689088932 PECOS PAC ID: 0345461414 Enrollment ID: I20141015001474 |
| Provider Name | Sneha S Shanbhag |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770894487 PECOS PAC ID: 0244495778 Enrollment ID: I20141112001957 |
| Provider Name | Grace K Lott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912344201 PECOS PAC ID: 3971820044 Enrollment ID: I20150330001423 |
| Provider Name | James Lee Kuhlen |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1356662704 PECOS PAC ID: 8628205911 Enrollment ID: I20150722006360 |
| Provider Name | Dorothy S Ramsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679954887 PECOS PAC ID: 0042527293 Enrollment ID: I20150921001094 |
| Provider Name | Cory Marie Mitchell |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518229913 PECOS PAC ID: 8224293725 Enrollment ID: I20150925001191 |
| Provider Name | Virginia Mary Alexander |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1801123971 PECOS PAC ID: 8921232463 Enrollment ID: I20161201002006 |
| Provider Name | Mary Alyson Lerstang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851653091 PECOS PAC ID: 3779732383 Enrollment ID: I20170829000628 |
| Provider Name | Kelly Whittaker Kline |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215341870 PECOS PAC ID: 8628297728 Enrollment ID: I20180803000819 |
| Provider Name | Vanessa Kanarr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962949289 PECOS PAC ID: 2365729001 Enrollment ID: I20180806001620 |
| Provider Name | Andrew James White |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972917581 PECOS PAC ID: 9335368349 Enrollment ID: I20180815003364 |
| Provider Name | James Coan Mcalpine |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285020958 PECOS PAC ID: 5193045581 Enrollment ID: I20181024002463 |
| Provider Name | Kathryn H Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710462148 PECOS PAC ID: 0345589768 Enrollment ID: I20190301002304 |
| Provider Name | Christopher M Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174056097 PECOS PAC ID: 8022384320 Enrollment ID: I20190617001569 |
| Provider Name | Jennifer Hardy Singletary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003116567 PECOS PAC ID: 3577993534 Enrollment ID: I20200415003155 |
| Provider Name | Ryan Jeffery Batson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407206071 PECOS PAC ID: 1759676703 Enrollment ID: I20200706001090 |
| Provider Name | Jonathan Sawaya Lekoshere |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720499775 PECOS PAC ID: 8921322355 Enrollment ID: I20210706001679 |
| Provider Name | Jason J Hill |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699205203 PECOS PAC ID: 7416222617 Enrollment ID: I20210712002735 |
| Provider Name | Svetlana Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306312087 PECOS PAC ID: 4981948155 Enrollment ID: I20210716000221 |
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H And M Labs And Clinics, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 137 Commons Way, Greenville, SC 29611 Phone: 864-979-0846 | |
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