NPIMap

Organization Active NPI

Internal Medicine and Cardiology

Doing business as Peace Medical Center

  • Gerontology Clinical Nurse Specialist
  • Greenville, SC
National Provider Identifier
1477970010
Registry record updated Mar 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Clinical Nurse SpecialistTaxonomy code 364SG0600X
License
18695 Issued in SC
Legal business name
INTERNAL MEDICINE AND CARDIOLOGY
Doing business as
Peace Medical Center
Practice address
401 Guess St
Ste 100
Greenville, SC 29605-4155
Phone
(864) 233-2744
Fax
(864) 331-2896
NPI assigned
Mar 20, 2014
Last updated
Mar 20, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2014

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

Authorized official

Name
Mrs. Vinita Srivastava, MDNPI 1437105921
Title
Medical Director
Phone
(864) 233-2744

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Clinical Nurse Specialist 364SG0600X 18695 SC Primary

Addresses

Primary practice location

401 Guess St
Ste 100
Greenville, SC 29605-4155

Mailing address

401 Guess St
Ste 100
Greenville, SC 29605-4155
Phone (864) 233-2744

Other names 1

  • Peace Medical Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Internal Medicine and Cardiology2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1395273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395273600000",
    "number": "1477970010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 GUESS ST",
            "address_2": "STE 100",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054155",
            "telephone_number": "864-233-2744",
            "fax_number": "864-331-2896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 GUESS ST",
            "address_2": "STE 100",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054155",
            "telephone_number": "864-233-2744",
            "fax_number": "864-331-2896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE AND CARDIOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-20",
        "last_updated": "2014-03-20",
        "status": "A",
        "authorized_official_last_name": "SRIVASTAVA",
        "authorized_official_first_name": "VINITA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "864-233-2744",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "364SG0600X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Gerontology",
            "state": "SC",
            "license": "18695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peace Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 20, 2014; 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.