Eric J Carandang
Physician Assistant (Medical)

Address: 200 Patewood Dr, Suite B200, Greenville, SC 29615-3593
Phone: 8642327338

Eric J Carandang (NPI# 1629010210) 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) 1629010210
Entity Type Individual
Full Name Eric J Carandang
Credential PA-C
Gender Male
Practice Address 200 Patewood Dr
Suite B200
Greenville
SC 29615-3593
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 2006-06-11
Last Update Date 2011-05-23

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 363AM0700X Physician Assistant · Medical Physician Assistants & Advanced Practice Nursing Providers 1069 SC

Other Provider Identifier

State Identifier Issuer Type Code
SC 0565PA MEDICAID

Physician Overview

NPI 1629010210
PAC ID by PECOS 1355433905
Professional Enrollment ID I20070827000893
Full Name Eric Carandang
Organization Legal Name GASTROENTEROLOGY ASSOCIATES, PA
Phone Number 8642327338
Gender M
Graduation Year 2005
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
420078 GHS GREENVILLE MEMORIAL HOSPITAL

Office Location

Street Address 200 PATEWOOD DR
SUITE B200
City GREENVILLE
State SC
Zip Code 29615-3593

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 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235600537 Kimberly Paige Quinn Physician Assistant 101 Heart Dr, Greenville, NC 27834-8982 2018-12-12
1104116664 Jennifer C Whitmire Physician Assistant St Francis Cardiovascular, 317 St. Francis Dr. Ste 120, Greenville, SC 29601-3900 2011-04-18
1306143219 Alexis Pierino Goss Physician Assistant 101 Heart Drive Mailstop 654, Ecu Physicians Family Medicine, Greenville, NC 27834-4300 2011-02-13
1477888196 Johnny Johnson Physician Assistant 4211 Joe Ramsey Blvd, Suite 100, Greenville, TX 75401 2009-10-14
1205915360 Dannie Burton Jonas Physician Assistant 505 Greenville Blvd Se, Greenville, NC 27858-6736 2006-11-02
1952324246 Toni Smith-whiteeagle Physician Assistant 5005 Live Oak St, Greenville, TX 75402 2006-07-26
1699719682 Gary Marc Trube Physician Assistant 800 Moye Blvd, Greenville, NC 27834-3777 2006-06-16
1255384335 Dean A Schrader Physician Assistant 8333 Crestview Dr, Greenville, MI 48838-8133 2006-05-18
1407808314 Eric E Evans Physician Assistant 150 E Arlington Blvd, Suite E, Greenville, NC 27858 2006-05-17
1043262983 Katherine Johnson Anderson Physician Assistant 215 Halton Rd, Greenville, SC 29607-3509 2006-05-17
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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