Active NPI
Eastside Hematology Oncology
- Hematology & Oncology Physician
- Greenville, SC
National Provider Identifier
1750413241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- Legal business name
- EASTSIDE HEMATOLOGY ONCOLOGY
- Practice address
- 4210 E North St
Greenville, SC 29615-2423 - Phone
- (864) 244-6777
- Fax
- (864) 244-4212
- NPI assigned
- Mar 10, 2007
- Last updated
- May 29, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Pinjai Ramadas Ravichander, M.D.
- Title
- Sole Shareholder
- Phone
- (864) 244-6777
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | NU | Primary |
Addresses
Primary practice location
4210 E North St
Greenville, SC 29615-2423
Mailing address
PO Box 26683
Greenville, SC 29616-1683
Phone (864) 244-6777
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4210 E North St
Greenville, SC 29615
Phone (864) 244-6777
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Hematology & Oncology Physician
- Greenville, SC
- NPI 1912986423
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173484800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1212019200000",
"number": "1750413241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 26683",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296161683",
"telephone_number": "864-244-6777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4210 E NORTH ST",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296152423",
"telephone_number": "864-244-6777",
"fax_number": "864-244-4212"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EASTSIDE HEMATOLOGY ONCOLOGY",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-10",
"last_updated": "2008-05-29",
"status": "A",
"authorized_official_last_name": "RAVICHANDER",
"authorized_official_first_name": "PINJAI",
"authorized_official_middle_name": "RAMADAS",
"authorized_official_title_or_position": "SOLE SHAREHOLDER",
"authorized_official_telephone_number": "864-244-6777",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "NU",
"license": null,
"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 May 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.