| Lorie Stumpo, MD | |
|
173 Blue Heron Ln, North Augusta, SC 29841-6063 | |
| (904) 388-6949 | |
| Not Available |
| Full Name | Lorie Stumpo |
|---|---|
| Gender | Female |
| Speciality | Diagnostic Radiology |
| Experience | 13 Years |
| Location | 173 Blue Heron Ln, North Augusta, South Carolina |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932532900 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 80580 (Georgia) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | ME153225 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Marion Communtiy Hospital | Ocala, FL | Hospital |
| Halifax Health Medical Center | Daytona beach, FL | Hospital |
| Flagler Hospital | Saint augustine, FL | Hospital |
| Au Medical Center | Augusta, GA | Hospital |
| Sovah Health Danville | Danville, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wellstar Medical Group Llc | 6709065402 | 2734 |
| Radiology Imaging Associates, Llc | 2466342803 | 86 |
| Danville Physician Practices Llc | 4688606304 | 141 |
| Dlp Twin County Physician Practices Llc | 7214199512 | 76 |
| Villages Regional Hospital Physician Services Llc | 0244688893 | 170 |
| Entity Name | Au Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841230620 PECOS PAC ID: 9931013513 Enrollment ID: O20040107000188 |
| Entity Name | Wellstar Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
| Entity Name | Au Health Imaging, Llc |
|---|---|
| Entity Type | Part B Supplier - Independent Diagnostic Testing Facility (idtf) |
| Entity Identifiers | NPI Number: 1487285193 PECOS PAC ID: 4688094105 Enrollment ID: O20201021001583 |
| Entity Name | Drs. Mcclow, Clark & Berk Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669420436 PECOS PAC ID: 4587607577 Enrollment ID: O20211202000251 |
| Mailing Address | Practice Location Address |
|---|---|
| Lorie Stumpo, MD Po Box 161180, Altamonte Springs, FL 32716-1180 Ph: (904) 388-6949 | Lorie Stumpo, MD 173 Blue Heron Ln, North Augusta, SC 29841-6063 Ph: (904) 388-6949 |
Suzanne M Thigpen, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 42 Overlook Ct, North Augusta, SC 29841 Phone: 803-474-6028 |