PARKSIDE OB-GYN
NPI 1154438075
Pediatrics - Adolescent Medicine in Greenville, SC

Active since August 24, 2006
525 VERDAE BLVD, SUITE 200, GREENVILLE, SC 29607(864) 272-0388(864) 213-9237 Get Directions Write a Review

NPPES record last updated: March 2, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 2, 2020, Jun 16, 2018, May 1, 2018 and 3 more (6 updates tracked since 2016).

About Parkside Ob-gyn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PARKSIDE OB-GYN (NPI 1154438075) is a healthcare organization registered as an adolescent medicine in Greenville, South Carolina and active in the NPI registry since August 2006. The organization maintains 7 additional practice locations and lists Melissa Oostdyk, Coordinator, Provider Relations, as its authorized official.

NPPES Registry Identity

NPI1154438075
Entity TypeOrganization
Primary Taxonomy2080A0000X
Legal Business NameTRIBE513, P.A.
Location Address525 VERDAE BLVD, SUITE 200Greenville, SC 29607-4021
Mailing Address525 Verdae Blvd, Suite 200Greenville, SC 29607-4021 · (864) 272-0388 · Fax (864) 213-9237
Fax(864) 213-9237
Organization SubpartNo
Authorized OfficialMelissa OostdykCoordinator, Provider Relations · (864) 272-0388
Enumeration DateAugust 24, 2006
Last NPPES UpdateMarch 2, 20206 updates tracked since enumeration
NPPES CertifiedMarch 2, 2020
NPI 1154438075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedObstetrics & Gynecology · GynecologyTaxonomy 207VG0400X
525 VERDAE BLVD, Greenville, SC 29607

Other Names 1

Doing Business AsParkside Ob-gyn

Secondary Practice Locations 7

Location 13020 Reidville Rd Ste BSpartanburg, SC 29301-5641 · Phone (864) 272-0377 · Fax (864) 213-9237
Location 29 Hawthorne Park CtGreenville, SC 29615-3194 · Phone (864) 603-5600 · Fax (864) 603-5601
Location 3201 N Main StGreenville, SC 29601-2197 · Phone (864) 603-5600 · Fax (864) 603-5601
Location 4211 Batesville RdSimpsonville, SC 29681-4816 · Phone (864) 272-0388 · Fax (864) 213-9237
Location 5312 Harrison Bridge RdSimpsonville, SC 29680-7133 · Phone (864) 603-5600 · Fax (864) 603-5601
Location 6145 E Poinsett StGreer, SC 29651-3405 · Phone (864) 272-0388 · Fax (864) 213-9237
Location 730 Halter DrPiedmont, SC 29673-6741 · Phone (864) 272-0388 · Fax (864) 213-9237

Other Identifiers 1

MedicaidGP4514SC

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
525 VERDAE BLVD
GREENVILLE, SC 29607
Pediatrics
525 VERDAE BLVD, SUITE 200
GREENVILLE, SC 29607
Pediatrics
525 VERDAE BLVD, SUITE 200
GREENVILLE, SC 29607
Pediatrics
525 VERDAE BLVD
GREENVILLE, SC 29607

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tribe513, P.A.'s NPI number?

The NPI number for Tribe513, P.A. is 1154438075. It was assigned to this organization in the NPPES registry on August 24, 2006. The provider is doing business as Parkside Ob-Gyn.

Where is Tribe513, P.A. located?

Tribe513, P.A. is located at 525 Verdae Blvd Suite 200, Greenville, SC 29607. The listed phone number is (864) 272-0388.

What is Tribe513, P.A.'s specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

When was this NPI record last updated?

The NPPES record for Tribe513, P.A. was last updated on March 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.