Children'S Respiratory Center, PA

Primary specialty

Pediatric Pulmonology PhysicianTaxonomy code 2080P0214X

License

11118 Issued in SC

Legal business name

CHILDREN'S RESPIRATORY CENTER, PA

Practice address

58 Bear Dr
Greenville, SC 29605-4458

Phone

(864) 220-8000

Fax

(864) 220-8009

NPI assigned

Oct 17, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Guy Samuel Fasciana

Title

Office Administrator

Phone

(864) 220-8000

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192579200000",
    "number": "1699964569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 BEAR DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054458",
            "telephone_number": "864-220-8000",
            "fax_number": "864-220-8009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 BEAR DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054458",
            "telephone_number": "864-220-8000",
            "fax_number": "864-220-8009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S RESPIRATORY CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-17",
        "last_updated": "2007-10-17",
        "status": "A",
        "authorized_official_last_name": "FASCIANA",
        "authorized_official_first_name": "GUY",
        "authorized_official_middle_name": "SAMUEL",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "864-220-8000",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2080P0214X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": "SC",
            "license": "11118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID DME",
            "identifier": "DME653",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anna Childers, MS, LCGC
• Isabelle Anastasia Childers, OTR/L
• Tyler K Childers, AA
• Jeffrey Lee Childes, MD
• Children Making Strides of SC LLC
• Childrens Dentistry of Greenville
• Childrens Medical Center
• Brian Childress, NREMTB
• Margaret Bentley Childress, M.S. CCC-SLP
• Marissia Childress

• Pediatric Pulmonology Physician in Greenville, SC
• Providers in Greenville, SC by specialty
• Pediatric Pulmonology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; 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.