Tribe513, P.a.
Pediatric Adolescent Medicine
Tribe513, P.a. is a Greenville, South Carolina based Pediatric center with medical specialization in
Pediatric Adolescent Medicine. Tribe513, P.a. is doing business as
Parkside Ob-gyn.
It is located at
525 Verdae Blvd, Suite 200, Greenville, South Carolina - 29607-4021. They can be contacted on phone at
864-272-0388 and fax number 864-213-9237.
NPI number (Unique professional ID) for Tribe513, P.a. is
1154438075 which was assigned by NPPES on 24 Aug, 2006 and it was last updated on 02 Mar, 2020.
Tribe513, P.a. specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Tribe513, P.a. basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
|---|
| Provider Name : | Tribe513, P.a. |
|---|
| Other Name : | Parkside Ob-gyn |
|---|
Business Address:
Tribe513, P.a. address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 525 Verdae Blvd, Suite 200
Greenville, SC, 29607-4021
United States |
|---|
| Phone Number : | 864-272-0388 |
|---|
| Fax Number : | 864-213-9237 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1154438075 |
|---|
| NPI Entity Type : | Organization |
|---|
| First Enrolment Date : | 24 Aug, 2006 |
|---|
| Last Updated On : | 02 Mar, 2020 |
|---|
Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Melissa Oostdyk |
|---|
| Official Title or Position : | COORDINATOR, PROVIDER RELATIONS |
|---|
| Phone Number : | 864-272-0388 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Tribe513, P.a. are as mentioned. Primary taxonomy code for Tribe513, P.a. is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 207R00000X | Internal Medicine | No | | SC |
| 207VG0400X | Obstetrics & Gynecology Gynecology | No | | |
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | | SC |
Legacy Identifiers:
Other legacy medical identifiers of Tribe513, P.a. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| GP4514 | MEDICAID | SC | |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
145 E POINSETT ST,
GREER, SC, 29651-3405
United States | GREER, SC | 864-272-0388 |
30 HALTER DR,
PIEDMONT, SC, 29673-6741
United States | PIEDMONT, SC | 864-272-0388 |
9 HAWTHORNE PARK CT,
GREENVILLE, SC, 29615-3194
United States | GREENVILLE, SC | 864-603-5600 |
201 N MAIN ST,
GREENVILLE, SC, 29601-2197
United States | GREENVILLE, SC | 864-603-5600 |
211 BATESVILLE RD,
SIMPSONVILLE, SC, 29681-4816
United States | SIMPSONVILLE, SC | 864-272-0388 |
3020 REIDVILLE RD STE B,
SPARTANBURG, SC, 29301-5641
United States | SPARTANBURG, SC | 864-272-0377 |
312 HARRISON BRIDGE RD,
SIMPSONVILLE, SC, 29680-7133
United States | SIMPSONVILLE, SC | 864-272-0388 |
312 HARRISON BRIDGE RD,
SIMPSONVILLE, SC, 29680-7133
United States | SIMPSONVILLE, SC | 864-603-5600 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 525 Verdae Blvd, Suite 200
Greenville, SC, 29607-4021
United States |
|---|
| Phone Number : | 864-272-0388 |
|---|
| Fax Number : | 864-213-9237 |
|---|
Business Location:
Patients can refer following map for directions to
Tribe513, P.a. practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.