Active NPI
Olexandr S Nosov, M.D., SA-C
- Surgical Technologist
- Greenville, SC
National Provider Identifier
1023286531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Technologist
- License
- 08-109
- Practice address
- 209 Patewood Dr
Suite 200
Greenville, SC 29615-3581 - Phone
- (864) 234-9900
- Fax
- (864) 254-9459
- NPI assigned
- Feb 19, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Technologist | 246ZS0410X | 08-109 | SC | Primary |
Addresses
Primary practice location
209 Patewood Dr
Suite 200
Greenville, SC 29615-3581
Mailing address
PO Box 75014
Charlotte, NC 28275-0014
Phone (864) 234-9900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08-109 | SC | MD | Surgical Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203379200000",
"number": "1023286531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 75014",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282750014",
"telephone_number": "864-234-9900",
"fax_number": "864-254-9459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 PATEWOOD DR",
"address_2": "SUITE 200",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296153581",
"telephone_number": "864-234-9900",
"fax_number": "864-254-9459"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOSOV",
"first_name": "OLEXANDR",
"middle_name": "S",
"name_prefix": "Mr.",
"credential": "M.D., SA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-02-19",
"last_updated": "2008-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "246ZS0410X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Technologist",
"state": "SC",
"license": "08-109",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.