Organization Active NPI

Baptist Easley Hospital

Doing business as Powdersville Medical Park

  • Family Medicine Physician
  • Greenville, SC
National Provider Identifier
1982835104
Registry record updated Dec 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BAPTIST EASLEY HOSPITAL
Doing business as
Powdersville Medical Park
Practice address
15 Roe Rd.
Greenville, SC 29611-7423
Phone
(864) 442-7557
Fax
(864) 442-7579
NPI assigned
Aug 5, 2009
Last updated
Dec 21, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
BAPTIST EASLEYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 21, 2009

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

Authorized official

Name
James Larry Pope
Title
Vice President of Finance
Phone
(864) 442-7610

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X SC Primary

Addresses

Primary practice location

15 Roe Rd.
Greenville, SC 29611-7423

Mailing address

PO Box 2089
Easley, SC 29641-2089
Phone (864) 442-7557

Other names 1

  • Powdersville Medical Park Doing business as

National Provider Directory

National Provider Directory
Part of
Baptist Easley Hospital

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1249430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261353600000",
    "number": "1982835104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2089",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296412089",
            "telephone_number": "864-442-7557",
            "fax_number": "864-442-7579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 ROE RD.",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296117423",
            "telephone_number": "864-442-7557",
            "fax_number": "864-442-7579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAPTIST EASLEY HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BAPTIST EASLEY",
        "enumeration_date": "2009-08-05",
        "last_updated": "2009-12-21",
        "status": "A",
        "authorized_official_last_name": "POPE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "LARRY",
        "authorized_official_title_or_position": "VICE PRESIDENT OF FINANCE",
        "authorized_official_telephone_number": "864-442-7610"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Powdersville Medical Park",
            "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 Dec 21, 2009; 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.