Sabrina Shaheen Raja
Physician Assistant

Address: 200 Patewood Dr, Suite B 200, Greenville, SC 29615-6321
Phone: 8642327338

Sabrina Shaheen Raja (NPI# 1164456083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1164456083
Entity Type Individual
Full Name Sabrina Shaheen Raja
Credential P.A.-C
Gender Female
Practice Address 200 Patewood Dr
Suite B 200
Greenville
SC 29615-6321
Practice Telephone 8642327338
Practice Fax Number 8642396645
Mailing Address Po Box 8676
Greenville
SC 29604-8676
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2006-07-10
Last Update Date 2011-05-23

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
No 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers 103691 NC
Yes 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers 1354 SC

Physician Overview

NPI 1164456083
PAC ID by PECOS 0648339465
Professional Enrollment ID I20081110000179
Full Name Sabrina Raja
Organization Legal Name GASTROENTEROLOGY ASSOCIATES, PA
Phone Number 8642327338
Gender F
Medical School MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduation Year 2002
Primary Specialty PHYSICIAN ASSISTANT
Group Practice PAC ID 1951215433
Number of Group Practice Members 32
Accepts Medicare Assignment Y
Report Quality Measures Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
420023 ST FRANCIS-DOWNTOWN
420037 GHS HILLCREST MEMORIAL HOSPITAL

Office Location

Street Address 200 PATEWOOD DR
SUITE B 200
City GREENVILLE
State SC
Zip Code 29615-6321

Providers in the same location

NPI Name Taxonomy Address Enumeration
1508861345 John Kim Johnson Neurological Surgery 200 Patewood Dr, Suite B260, Greenville, SC 29615-3593 2005-06-17
1457891228 Sierra R Williams Nurse Practitioner 200 Patewood Dr, Suite B260, Greenville, SC 29615-3593 2017-02-27
1063951333 Megan Lee Hiott Nurse Practitioner 200 Patewood Dr, A330, Greenville, SC 29615-3593 2017-02-19
1316485394 Anita Suzette Combs Nurse Practitioner 200 Patewood Dr, Suite B350, Greenville, SC 29615-3593 2017-02-09
1730626813 Lauren Lee Hays Nurse Practitioner 200 Patewood Dr, Suite B350, Greenville, SC 29615-3593 2017-01-26
1497200083 Abigail Pellett Physical Therapist 200 Patewood Dr, Ste C150, Greenville, SC 29615-3593 2016-08-24
1033664909 Upstate Affiliate Organization General Acute Care Hospital 200 Patewood Dr, Suite C300, Greenville, SC 29615-3593 2016-08-22
1144775032 Upstate Affiliate Organization General Acute Care Hospital 200 Patewood Dr, Building A, Greenville, SC 29615-3593 2016-08-20
1629522578 Philip Van Dyke Physical Therapist 200 Patewood Dr, Ste C150, Greenville, SC 29615-3593 2016-08-09
1851742662 Annette M Davis Nurse Practitioner 200 Patewood Dr, Suite B350, Greenville, SC 29615-3593 2016-06-23
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255816070 Trevis L Cureton Pharmacist 2401 East North St, Greenville, SC 29615 2018-09-27
1497232565 Jacob J Fountain Nurse Practitioner 225 Enterprise Blvd, Suite 101, Greenville, SC 29615 2018-07-23
1346726924 St. Francis Physician Services, Inc Internal Medicine 5 Hoke Smith Blvd, Greenville, SC 29615 2018-07-17
1558853101 Alexandra Michelle Taylor Audiologist 200 Patewood Dr Ste 400, Greenville, SC 29615 2018-05-30
1316466543 Mariah Hope Mosher Behavior Analyst 7 Mckenna Commons Court, Greenvilee, SC 29615 2017-09-19
1326400896 Karen L Heaps Counselor 3150 S. Hwy 14, The Pelham Center, Greenville, SC 29615 2016-03-24
1134589013 Sharon Erk Technician, Other 2950 E.norths St, Greenville, OH 29615 2016-03-04
1013386424 Nikita Renee Irby Nurse's Aide 2413 Wade Hampton Blvd Apt 73, Greenville, SC 29615 2015-09-16
1447653001 Karen Bramlett Covington Nurse Practitioner 125 Common Weath Drive, Greenville, SC 29615 2014-09-26
1528477734 Cori Evans Counselor 2510a Wade Hampton Boulevard, Greenville, SC 29615 2014-08-13
Find all providers in zip 29615

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548732027 Jennifer Pedersen Physician Assistant 14314 Canter Trl, Greenville, SC 29609-0964 2018-12-21
1245708395 Lauren Elizabeth Maxwell Physician Assistant 890 W Faris Rd Ste 100, Greenville, SC 29605-4285 2018-11-07
1780197061 Eric Reagan Bunch Physician Assistant 2498 N Pleasantburg Dr Ste B, Greenville, SC 29609 2017-11-09
1134588478 Sarah Roeser Physician Assistant 2090 W Arlington Blvd Ste B, Greenville, NC 27834-5727 2016-02-15
1992177760 Robert Chapman Physician Assistant 126 Milestone Way, Greenville, SC 29615-5065 2015-10-20
1497137756 Alexandra Brooks Physician Assistant 2706 Aileen St Ste B, Greenville, TX 75402-6486 2015-06-23
1275959942 Leah Ivy Patrick Physician Assistant 135 Commonwealth Dr Suite 210, Carolina Surgical Associates Eastside, Greenville, SC 29615-4815 2014-03-05
1790107357 Tracey Lee Smith Physician Assistant 1970-c West Arlington Blvd, Greenville, NC 27837-5783 2014-01-15
1679851547 Lauren Moyer Wheeler Physician Assistant 3506 Kennett Pike Ste 100, Greenville, DE 19807-3019 2011-07-26
1043507064 David Brian Lang Physician Assistant 613 S Memorial Dr, Greenville, NC 27834-2856 2011-06-29
Find all providers in GREENVILLE

Competitor

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City GREENVILLE
Zip Code 29615

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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