Eastside Internal Med

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

EASTSIDE INTERNAL MED

Practice address

2 Roper Corners Circle
Greenville, SC 29615

Phone

(864) 281-9999

Fax

(864) 281-9990

NPI assigned

Feb 1, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

W Leonard Pugh, MD

Title

Owner

Phone

(864) 281-9999

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1201824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201824000000",
    "number": "1205014206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 ROPER CORNERS CIRCLE",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "29615",
            "telephone_number": "864-281-9999",
            "fax_number": "864-281-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 ROPER CORNERS CIRCLE",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "29615",
            "telephone_number": "864-281-9999",
            "fax_number": "864-281-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTSIDE INTERNAL MED",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-01",
        "last_updated": "2008-02-01",
        "status": "A",
        "authorized_official_last_name": "PUGH",
        "authorized_official_first_name": "W LEONARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-281-9999",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Kinard Eastburn, D.O.
• Jennifer Beth Eastin, LISW-CP
• Maria Florencia Eastlack, M.D.
• Eastside Counseling Service
• Eastside Hematology Oncology
• Eastside Manor Inc. Dba Southern Oaks
• Eastside Pediatric Dentistry PA
• Eating Recovery Center-the Carolinas
• Andrew Christopher Eaton
• Lynsey Yulee Ebel, D.O.

• Internal Medicine Physician in Greenville, SC
• Providers in Greenville, SC by specialty
• Internal Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.

Verify at the official NPI Registry.