Parkside Ob-Gyn
LBN: Tribe513, P.A.
Parkside Ob-Gyn is an health care organization with primary practice located at 525 Verdae Blvd Suite 200, Greenville SC 29607-4021. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gynecology, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Adolescent Medicine is the primary health care specialty.
Tribe513, P.A. can be contacted via phone (864) 272-0388, or through Oostdyk, Melissa via phone (864) 272-0388.
Contact Information
Primary practice address
525 Verdae Blvd Suite 200
Greenville SC 29607-4021
Phone: (864) 272-0388
Fax: (864) 213-9237
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | South Carolina | |
| Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | ||
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | South Carolina |
Profile Details
| NPI number | 1154438075 |
|---|---|
| LBN Legal business name | Tribe513, P.A. |
| DBA Doing business as | Parkside Ob-Gyn |
| Authorized official | Oostdyk, Melissa |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 24th, 2006 |
| Last updated | Mar 2nd, 2020 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154438075 | NPPES |
| South Carolina | MEDICAID | GP4514 |
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