NPIMap

Organization Active NPI

Oaktree Medical Centre, PC

  • Clinic/Center
  • Greer, SC
National Provider Identifier
1922085489
Registry record updated Oct 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
OAKTREE MEDICAL CENTRE, PC
Practice address
501B Memorial Drive Ext
Greer, SC 29651-1123
Phone
(864) 877-4639
Fax
(864) 877-4658
NPI assigned
Dec 27, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2007

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

Authorized official

Name
Dr. Daniel A McCollum, D.C.
Title
President
Phone
(864) 855-1633

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

501B Memorial Drive Ext
Greer, SC 29651-1123

Mailing address

PO Box 484
Easley, SC 29641-0484
Phone (864) 855-1633

Other identifiers 1

IdentifierTypeStateIssuer
GP2763MedicaidSC

Other names 1

  • Orthopedic Associates of Greer Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Oaktree Medical Centre15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

View all 14

Locations

501B Memorial Drive Ext
Greer, SC 29651
Phone (864) 877-4639

NPI Registry JSON

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

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193702400000",
    "number": "1922085489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 484",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296410484",
            "telephone_number": "864-855-1633",
            "fax_number": "864-855-1323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501B MEMORIAL DRIVE EXT",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296511123",
            "telephone_number": "864-877-4639",
            "fax_number": "864-877-4658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKTREE MEDICAL CENTRE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-27",
        "last_updated": "2007-10-30",
        "status": "A",
        "authorized_official_last_name": "MCCOLLUM",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "864-855-1633",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP2763",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orthopedic Associates of Greer",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greer, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.