David Lawrence Grisell
Radiology (Radiation Oncology)

Address: 900 W Faris Rd, Greenville, SC 29605-4255
Phone: 8646793900

David Lawrence Grisell (NPI# 1518959485) 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) 1518959485
Entity Type Individual
Full Name David Lawrence Grisell
Credential DO
Gender Male
Practice Address 900 W Faris Rd
Greenville
SC 29605-4255
Practice Telephone 8646793900
Practice Fax Number 8646793901
Mailing Address 1 Independence Pt Ste 212
Greenville
SC 29615-4536
Mailing Telephone 8647976303
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2005-08-17
Last Update Date 2018-01-31

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 2085R0001X Radiology · Radiation Oncology Allopathic & Osteopathic Physicians 1260 SC

Other Provider Identifier

State Identifier Issuer Type Code
KY 64087455 MEDICAID
OH P00166987 OTHER RAILROAD MEDICARE
IN 200491700 MEDICAID
SC 012603 MEDICAID
OH 2478902 MEDICAID

Physician Overview

NPI 1518959485
PAC ID by PECOS 5496734378
Professional Enrollment ID I20090715000463
Full Name David Lawrence Grisell
Organization Legal Name GHS PARTNERS IN HEALTH INC
Gender M
Credential DO
Graduation Year 1979
Primary Specialty RADIATION ONCOLOGY
Group Practice PAC ID 8325950983
Number of Group Practice Members 1133
Accepts Medicare Assignment Y
Report Quality Measures Y
Use Electronic Health Records Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
420078 GHS GREENVILLE MEMORIAL HOSPITAL
420033 GHS GREER MEMORIAL HOSPITAL
420102 GHS PATEWOOD MEMORIAL HOSPITAL
420037 GHS HILLCREST MEMORIAL HOSPITAL

Office Location

Street Address 900 W FARIS RD
City GREENVILLE
State SC
Zip Code 29605-4255

Providers in the same location

NPI Name Taxonomy Address Enumeration
1679578009 Dale Lemoin Duncan Radiology 900 W Faris Rd, Greenville, SC 29605-4255 2005-06-14
1194299552 Stephanie Reinhard Nurse Practitioner 900 W Faris Rd, Greenville, SC 29605-4255 2019-01-17
1336614049 Amy Caitlyn Crisp Nurse Practitioner 900 W Faris Rd, Greenville, SC 29605-4255 2018-10-09
1558892901 Ashley Phillips Burriss Nurse Practitioner 900 W Faris Rd, Greenville, SC 29605-4255 2017-03-27
1114473212 Upstate Affiliate Organization General Acute Care Hospital 900 W Faris Rd, Greenville, SC 29605-4255 2016-08-29
1689129496 Upstate Affiliate Organization General Acute Care Hospital 900 W Faris Rd, Greenville, SC 29605-4255 2016-08-22
1689046294 Greenville Health Corporation Prosthetic/Orthotic Supplier 900 W Faris Rd, First Floor, Suite 100, Greenville, SC 29605-4255 2015-10-22
1831512623 Michelle Marie Deranieri Nurse Practitioner 900 W Faris Rd, Greenville, SC 29605-4255 2014-01-29
1962742353 Ellen Jane Slater Nurse Practitioner 900 W Faris Rd, Greenville, SC 29605-4255 2013-02-21
1184910317 Second To Nature Inc Prosthetic/Orthotic Supplier 900 W Faris Rd, Greenville Cancer Center, Greenville, SC 29605-4255 2011-06-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306325626 Lauren Foster Fiscus Occupational Therapist 1900 Augusta Street, Suite 2500, Greenville, SC 29605 2018-08-08
1912499468 Tandem Transport, LLC Non-emergency Medical Transport (VAN) 32 E Faris Rd, Greenville, SC 29605 2018-05-31
1063914372 Harris Teeter LLC Durable Medical Equipment & Medical Supplies 1720 Augusta St, Greenville, SC 29605 2018-03-02
1144748385 Johanna Ruth Henry Speech-Language Pathologist 1900 Augusta St., Suite 2500, Greenville, SC 29605 2017-09-08
1477083483 Alexis Dean Pedigo Speech-Language Pathologist 1900 Augusta St, Suite 2500, Greenville, SC 29605 2017-06-13
1023569837 Blessed With Goodness, LLC In Home Supportive Care 716 E. Fairfield Road, Unit 120 (mailbox # 14), Greenville, SC 29605 2016-10-17
1972050953 Suha Umina Pharmacist 975 W. Faris Road, Greenville, SC 29605 2016-09-07
1124470976 Meredith Laine Cavagrotti Specialist/Technologist 700 Grove Rd, Greenville, SC 29605 2016-07-05
1205286895 Med-trans Corporation Ambulance 552 Perimeter Rd, Greenville, SC 29605 2016-06-15
1538534029 Lakeisha Abney Counselor 101 B Regency Commons Dr., Greer, SC 29605 2015-12-09
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Taxonomy Information

Taxonomy Code 2085R0001X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Radiation Oncology

Taxonomy Definition

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821093006 Andrej V Hnatov Radiology 801 Wh Smith Blvd, Carolina Radiation Medicine, Pa, Greenville, NC 27834 2005-06-15
1679578009 Dale Lemoin Duncan Radiology 900 W Faris Rd, Greenville, SC 29605-4255 2005-06-14
1508860545 Gordon Gary Koltis Radiology 801 W H Smith Blvd, Greenville, NC 27834-3764 2005-06-08
1821465642 Vidant Radiation Oncology LLC Radiology 600 Moye Blvd, Greenville, NC 27834-4300 2015-08-27
1740686591 St. Francis Hospital Inc Radiology 104 Innovation Dr, Greenville, SC 29607-5253 2014-11-06
1750693453 Matthew Adrian Spear Radiology 600 Moye Blvd, Leo Jenkins Cancer Services, Greenville, NC 27834-4300 2010-07-09
1972831071 Emory Richard Mctyre Radiology 900 W Faris Rd, Greenville, SC 29605-4255 2009-12-01
1164675559 Michael Philip Greenbaum Radiology 900 W Faris Rd, Greenville, SC 29605-4255 2008-10-29
1235394081 Andrew W Ju Radiology 600 Moye Blvd, Leo Jenkins Cancer Center, Greenville, NC 27834-4300 2008-07-22
1821258765 Daniel Seoyjong Oh Radiology 600 Moye Blvd, Newco Cancer Service, Greenville, NC 27834-4300 2008-06-13
Find all providers in GREENVILLE

Competitor

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City GREENVILLE
Zip Code 29605

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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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