| Maranda Jordan, DO | |
|
169 Ashley Ave, Charleston, SC 29425-0333 | |
| (843) 792-2300 | |
| Not Available |
| Full Name | Maranda Jordan |
|---|---|
| Gender | Female |
| Speciality | Anesthesiology - Critical Care Medicine |
| Location | 169 Ashley Ave, Charleston, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275228504 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207LC0200X | Anesthesiology - Critical Care Medicine | 97138 (South Carolina) | Primary |
| Entity Name | Pomerene Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770957185 PECOS PAC ID: 5496856270 Enrollment ID: O20160208000863 |
| Mailing Address | Practice Location Address |
|---|---|
| Maranda Jordan, DO 169 Ashley Ave, Charleston, SC 29425-0333 Ph: Not Available | Maranda Jordan, DO 169 Ashley Ave, Charleston, SC 29425-0333 Ph: (843) 792-2300 |
Dr. William Nolan Bagnal, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2095 Henry Tecklenburg Dr, Charleston, SC 29414 Phone: 843-402-1436 |
Dr. Robert Boone Coleman, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 169 Ashley Ave Rm 202, Charleston, SC 29425 Phone: 843-792-2322 |
Emily Mcgill, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 169 Ashley Ave, Charleston, SC 29425 Phone: 843-792-2185 |
Dr. Caroline Salvatrice Schlee, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 167 Ashley Avenue, Suite 301 Msc 912, Charleston, SC 29425 Phone: 843-792-2322 |
Dr. Benjamin Philip Brandes, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 169 Ashley Ave Rm 202, Charleston, SC 29425 Phone: 843-580-8435 Fax: 582-802-0268 |
Tod A Brown, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2095 Henry Tecklenburg Dr, Charleston, SC 29414 Phone: 843-402-1000 |
Catherine K Ellyn, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 125 Doughty St, Ste 420, Charleston, SC 29403 Phone: 843-723-3441 Fax: 843-805-4040 |