| Anmed Health | |
|
800 N Fant St Anderson SC 29621-5708 | |
| (864) 512-1000 | |
| Not Available |
| Full Name | Anmed Health |
|---|---|
| Speciality | Emergency Medicine |
| Location | 800 N Fant St, Anderson, South Carolina |
| Authorized Official Name and Position | Stephen Jan Grigsby (CFO) |
| Authorized Official Contact | 8645121109 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anmed Health Po Box 100174 Columbia SC 29202-3174 Ph: (864) 512-1417 | Anmed Health 800 N Fant St Anderson SC 29621-5708 Ph: (864) 512-1000 |
| NPI Number | 1710918321 |
|---|---|
| Provider Enumeration Date | 07/05/2006 |
| Last Update Date | 05/23/2025 |
| Certification Date | 05/23/2025 |
| Medicare PECOS PAC ID | 1951215243 |
|---|---|
| Medicare Enrollment ID | O20031119000738 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710918321 | NPI | - | NPPES |
| 400275 | Medicaid | SC | |
| 20051475 | Other | SC | SELECT HEALTH |
| 20010840 | Other | SC | SELECT HEALTH |
| Provider Name | Jacqueline D Mouzon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134111222 PECOS PAC ID: 3072413269 Enrollment ID: I20040113000278 |
| Provider Name | Kenneth S Campbell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386694222 PECOS PAC ID: 9032010855 Enrollment ID: I20040115000618 |
| Provider Name | Charles E Flowers |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871557017 PECOS PAC ID: 1951204536 Enrollment ID: I20040130000397 |
| Provider Name | Abdalla M Bamashmus |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144338401 PECOS PAC ID: 4880584614 Enrollment ID: I20040317000091 |
| Provider Name | Ryan Kevin Rider |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659337525 PECOS PAC ID: 3476446683 Enrollment ID: I20040323000076 |
| Provider Name | Satish K Surabhi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1871579888 PECOS PAC ID: 7113818626 Enrollment ID: I20040323001741 |
| Provider Name | Angela K Jordan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629019997 PECOS PAC ID: 3971596693 Enrollment ID: I20040407000506 |
| Provider Name | Zafar Hossain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316997257 PECOS PAC ID: 7214921204 Enrollment ID: I20040413000330 |
| Provider Name | Christopher W Leonard |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467411074 PECOS PAC ID: 1850374299 Enrollment ID: I20040608000944 |
| Provider Name | Jeffrey Anselm Hohn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942262993 PECOS PAC ID: 3971587072 Enrollment ID: I20040616001026 |
| Provider Name | Paul Ross Jones |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1831175835 PECOS PAC ID: 5597748376 Enrollment ID: I20040623001135 |
| Provider Name | Nathan Bradford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407876477 PECOS PAC ID: 9032196118 Enrollment ID: I20040707000170 |
| Provider Name | Ernest Cleage Martin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437176922 PECOS PAC ID: 3971582909 Enrollment ID: I20040714001227 |
| Provider Name | Donna J Proctor |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801850078 PECOS PAC ID: 6406836576 Enrollment ID: I20040721000507 |
| Provider Name | Anthony Rekito |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336103910 PECOS PAC ID: 3870563778 Enrollment ID: I20040728001081 |
| Provider Name | Dixon Courson Cunningham |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487647582 PECOS PAC ID: 2264402783 Enrollment ID: I20040730000286 |
| Provider Name | Damodhar Nerella |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396794145 PECOS PAC ID: 0345213070 Enrollment ID: I20040819000462 |
| Provider Name | John Edward Carey |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1689667115 PECOS PAC ID: 7012976095 Enrollment ID: I20041006000108 |
| Provider Name | George H Osburn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184641268 PECOS PAC ID: 6103886221 Enrollment ID: I20041013000924 |
| Provider Name | Hunter E Woodall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033139167 PECOS PAC ID: 0345200465 Enrollment ID: I20041013000962 |
| Provider Name | Scott S Counts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831119957 PECOS PAC ID: 1759341803 Enrollment ID: I20041013001172 |
| Provider Name | Anne G Cook |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225058340 PECOS PAC ID: 1557321544 Enrollment ID: I20041014000070 |
| Provider Name | Matthew K Cline |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356361455 PECOS PAC ID: 9032179064 Enrollment ID: I20041014000423 |
| Provider Name | Stoney A Abercrombie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093732430 PECOS PAC ID: 2567422595 Enrollment ID: I20041014000440 |
| Provider Name | Christopher B Clemow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093748386 PECOS PAC ID: 9638134273 Enrollment ID: I20041123000790 |
| Provider Name | Jon Francis Lucas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386690030 PECOS PAC ID: 5698733657 Enrollment ID: I20041222000591 |
| Provider Name | Natawadee Prasertphon Young |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194832618 PECOS PAC ID: 6406806611 Enrollment ID: I20050126000183 |
| Provider Name | Todd P Nelson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114907490 PECOS PAC ID: 7214989235 Enrollment ID: I20050217000387 |
| Provider Name | David Griffin |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1508823618 PECOS PAC ID: 0042100117 Enrollment ID: I20050426000780 |
| Provider Name | Nancy F Chabek |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770547556 PECOS PAC ID: 7911893532 Enrollment ID: I20050427000328 |
| Provider Name | Dana Wiley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427006808 PECOS PAC ID: 5799726923 Enrollment ID: I20050519000056 |
| Provider Name | Mark Greg Bone |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780795419 PECOS PAC ID: 5092757120 Enrollment ID: I20050527000602 |
| Provider Name | Daniel A Keenan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598714305 PECOS PAC ID: 1355385402 Enrollment ID: I20050620000494 |
| Provider Name | Christine D Mcmahan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609813542 PECOS PAC ID: 8527094275 Enrollment ID: I20050713000890 |
| Provider Name | Zachary G Seymour |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922038413 PECOS PAC ID: 7719914167 Enrollment ID: I20050719000173 |
| Provider Name | Anil K Tammineni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598715674 PECOS PAC ID: 1658301874 Enrollment ID: I20050817000840 |
| Provider Name | Sanjeev Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053362178 PECOS PAC ID: 0345270567 Enrollment ID: I20050817000868 |
| Provider Name | Brett C Stoll |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093791071 PECOS PAC ID: 2769407576 Enrollment ID: I20051011000684 |
| Provider Name | Henry J Millwood |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962406769 PECOS PAC ID: 3274584883 Enrollment ID: I20051019000770 |
| Provider Name | Rajiv Joglekar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962451534 PECOS PAC ID: 3577584820 Enrollment ID: I20051214000371 |
| Provider Name | Debora S Froese |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396831012 PECOS PAC ID: 3072534197 Enrollment ID: I20051215000789 |
| Provider Name | Michele K Buckreis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245293059 PECOS PAC ID: 1355355124 Enrollment ID: I20060131000857 |
| Provider Name | Amanda D Moore |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043288780 PECOS PAC ID: 0244241040 Enrollment ID: I20060508000879 |
| Provider Name | Zachary George |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1548215825 PECOS PAC ID: 1355356080 Enrollment ID: I20060616000145 |
| Provider Name | David W Strathern |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1407816507 PECOS PAC ID: 5294748554 Enrollment ID: I20060803000292 |
| Provider Name | Brent Tindal Mclaurin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1740266725 PECOS PAC ID: 7911962964 Enrollment ID: I20060804000005 |
| Provider Name | Scott A Kellner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437192077 PECOS PAC ID: 4284638727 Enrollment ID: I20060914000178 |
| Provider Name | Caroline H Sanders |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700860624 PECOS PAC ID: 1658301601 Enrollment ID: I20060926000324 |
| Provider Name | Stephen H Hand |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1144225566 PECOS PAC ID: 9234135385 Enrollment ID: I20061012000179 |
| Provider Name | William W Walker |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1700889904 PECOS PAC ID: 3577569623 Enrollment ID: I20061012000202 |
| Provider Name | John R Wendt |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1851377816 PECOS PAC ID: 7113927724 Enrollment ID: I20070104000524 |
| Provider Name | Sarah B Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033112008 PECOS PAC ID: 8325040421 Enrollment ID: I20070202000029 |
| Provider Name | Irakli Khulordava |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457433252 PECOS PAC ID: 7012829187 Enrollment ID: I20070228000543 |
| Provider Name | Vidal Manuel Despradel |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1689632697 PECOS PAC ID: 5799720397 Enrollment ID: I20070503000240 |
| Provider Name | Diana M Harper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639161219 PECOS PAC ID: 5395843023 Enrollment ID: I20070604000711 |
| Provider Name | Matthew S George |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1730217829 PECOS PAC ID: 2466551833 Enrollment ID: I20070626000321 |
| Provider Name | Bridget H Cromer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104979251 PECOS PAC ID: 4082715107 Enrollment ID: I20070719000427 |
| Provider Name | Joseph Andrew Manfredi |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1053362269 PECOS PAC ID: 5890705248 Enrollment ID: I20070731000162 |
| Provider Name | Dana Faust |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306041546 PECOS PAC ID: 7012009368 Enrollment ID: I20070816000634 |
| Provider Name | Jerry D Champ |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1881670941 PECOS PAC ID: 6901791938 Enrollment ID: I20071113000218 |
| Provider Name | Jimmy Ray Baucum |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1144206996 PECOS PAC ID: 0143318980 Enrollment ID: I20071113000253 |
| Provider Name | Diana D Clemow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164540076 PECOS PAC ID: 1951499292 Enrollment ID: I20071120000215 |
| Provider Name | Byron N Bailey |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1508804857 PECOS PAC ID: 6204917040 Enrollment ID: I20080117000429 |
| Provider Name | Jack Mcadory |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982889077 PECOS PAC ID: 4880778745 Enrollment ID: I20080301000135 |
| Provider Name | Luanne J Nuttall |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962608687 PECOS PAC ID: 6800974502 Enrollment ID: I20080422000226 |
| Provider Name | Linda S Rettew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851334882 PECOS PAC ID: 7810076957 Enrollment ID: I20080501000001 |
| Provider Name | Gregory B Sanders |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427012699 PECOS PAC ID: 0345310793 Enrollment ID: I20080528000576 |
| Provider Name | Amy Marie Weaver |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073773685 PECOS PAC ID: 7517031354 Enrollment ID: I20080729000026 |
| Provider Name | Kevin L Morton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134380678 PECOS PAC ID: 7113095902 Enrollment ID: I20081007000204 |
| Provider Name | Deborah M Salley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1821091109 PECOS PAC ID: 5799843298 Enrollment ID: I20081028000558 |
| Provider Name | John Mark Harbin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174791503 PECOS PAC ID: 5597825554 Enrollment ID: I20081120000301 |
| Provider Name | Laura Colleen Nall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013967652 PECOS PAC ID: 1850456377 Enrollment ID: I20090217000707 |
| Provider Name | Terri Castrinos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134373848 PECOS PAC ID: 5890851414 Enrollment ID: I20090306000219 |
| Provider Name | Muhammad K Shakeel |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1477558740 PECOS PAC ID: 9133277080 Enrollment ID: I20090501000407 |
| Provider Name | Sharon L Holcombe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285826347 PECOS PAC ID: 5890844682 Enrollment ID: I20090528000042 |
| Provider Name | Anna Mayberry |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396972915 PECOS PAC ID: 3678625860 Enrollment ID: I20090720000130 |
| Provider Name | Shelley M Spang |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205063831 PECOS PAC ID: 7618029612 Enrollment ID: I20090722000704 |
| Provider Name | Scott M Hovis |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1730219205 PECOS PAC ID: 0143316646 Enrollment ID: I20090807000038 |
| Provider Name | Terrence W Bruner |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1588803530 PECOS PAC ID: 4486708906 Enrollment ID: I20090819000033 |
| Provider Name | Fahd A Zarrouf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396867461 PECOS PAC ID: 0244376416 Enrollment ID: I20091002000016 |
| Provider Name | James D Calvert |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811122278 PECOS PAC ID: 6507903440 Enrollment ID: I20091026000071 |
| Provider Name | Rawhi A Abu Abdo |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922241827 PECOS PAC ID: 8628115136 Enrollment ID: I20091102000076 |
| Provider Name | Harold Gleason Morse |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801846860 PECOS PAC ID: 6901879634 Enrollment ID: I20091228000356 |
| Provider Name | Renee A Monaghan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255393070 PECOS PAC ID: 0941341457 Enrollment ID: I20100106000344 |
| Provider Name | Daniel W Grisham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073557575 PECOS PAC ID: 2668514217 Enrollment ID: I20100121000072 |
| Provider Name | Winston C Floyd |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023167285 PECOS PAC ID: 1557403102 Enrollment ID: I20100121000094 |
| Provider Name | Coleman D Fowble |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1447251483 PECOS PAC ID: 0547265829 Enrollment ID: I20100212000083 |
| Provider Name | Kara Cooper Gilmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437387354 PECOS PAC ID: 1951445816 Enrollment ID: I20100216000987 |
| Provider Name | Thomas Kickham |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1669434437 PECOS PAC ID: 5597758870 Enrollment ID: I20100303000692 |
| Provider Name | John Kabas |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1740232461 PECOS PAC ID: 1557406220 Enrollment ID: I20100305000124 |
| Provider Name | Carol E Pethel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215269147 PECOS PAC ID: 2961538301 Enrollment ID: I20100325000083 |
| Provider Name | Connie K Watkins |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316269897 PECOS PAC ID: 0648309195 Enrollment ID: I20100521000726 |
| Provider Name | William Sims Buice |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1982658837 PECOS PAC ID: 3678532611 Enrollment ID: I20100615000211 |
| Provider Name | Paul M Frassinelli |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1790739647 PECOS PAC ID: 6103956388 Enrollment ID: I20100615000229 |
| Provider Name | John Davies |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740243351 PECOS PAC ID: 2062545916 Enrollment ID: I20100729000615 |
| Provider Name | Zia U Din |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1396740171 PECOS PAC ID: 5991835530 Enrollment ID: I20100810000004 |
| Provider Name | Lindsay Heaton Jones |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1710218524 PECOS PAC ID: 0941333132 Enrollment ID: I20100810000023 |
| Provider Name | Carl T Lomboy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417919101 PECOS PAC ID: 7719910231 Enrollment ID: I20100820000704 |
| Provider Name | Lee Pursley Cooley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154641470 PECOS PAC ID: 5991839276 Enrollment ID: I20100823000832 |
| Provider Name | Kimberly King |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467653709 PECOS PAC ID: 5496947277 Enrollment ID: I20101012000713 |
| Provider Name | James G Foster |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871548412 PECOS PAC ID: 6709078397 Enrollment ID: I20101014000907 |
| Provider Name | Ram Kaveti |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538491626 PECOS PAC ID: 7517150139 Enrollment ID: I20101014001400 |
| Provider Name | Amanda Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013123371 PECOS PAC ID: 0446443733 Enrollment ID: I20101019000962 |
| Provider Name | Joseph Farmer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760485403 PECOS PAC ID: 9335246602 Enrollment ID: I20101027000320 |
| Provider Name | Mary Beth Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386959054 PECOS PAC ID: 4789878901 Enrollment ID: I20101102000499 |
| Provider Name | Scott A Phillips |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457394868 PECOS PAC ID: 4587606397 Enrollment ID: I20101103000878 |
| Provider Name | Charles Kenneth Edsall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841483344 PECOS PAC ID: 1951595818 Enrollment ID: I20101104000682 |
| Provider Name | Lakeshaman Keshavamurth Maragondanahalli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366689028 PECOS PAC ID: 5193910891 Enrollment ID: I20101108000764 |
| Provider Name | Valerie L Consonery |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780647834 PECOS PAC ID: 3072708940 Enrollment ID: I20101117001020 |
| Provider Name | Paul Allen Brill |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528092673 PECOS PAC ID: 3971799735 Enrollment ID: I20101119000340 |
| Provider Name | Louis Frederick Knoepp |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1881600963 PECOS PAC ID: 7810028271 Enrollment ID: I20101119000735 |
| Provider Name | Carl W Sofley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316940059 PECOS PAC ID: 7517064884 Enrollment ID: I20101220000742 |
| Provider Name | Michael Kunkel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689677825 PECOS PAC ID: 8426155797 Enrollment ID: I20110105000100 |
| Provider Name | Timothy Cook |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1275513533 PECOS PAC ID: 7416145560 Enrollment ID: I20110107000288 |
| Provider Name | David S Turner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154384410 PECOS PAC ID: 2860672219 Enrollment ID: I20110202000483 |
| Provider Name | James O Stumpff |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548222326 PECOS PAC ID: 5496935850 Enrollment ID: I20110202000631 |
| Provider Name | James Reese |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043273261 PECOS PAC ID: 5799965026 Enrollment ID: I20110203000784 |
| Provider Name | Ralph Henry |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1356346332 PECOS PAC ID: 4981653524 Enrollment ID: I20110208000380 |
| Provider Name | Ethan Stuart Wing |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770892978 PECOS PAC ID: 9032391552 Enrollment ID: I20110304000415 |
| Provider Name | Jeffery Joseph Dorociak |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1407805328 PECOS PAC ID: 0345231973 Enrollment ID: I20110309000745 |
| Provider Name | Stephanie Renee Murray |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790088664 PECOS PAC ID: 3375727191 Enrollment ID: I20110401000687 |
| Provider Name | Pamela Binns-turner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588634786 PECOS PAC ID: 8123068830 Enrollment ID: I20110729000333 |
| Provider Name | Abhijit A Raval |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508052275 PECOS PAC ID: 8325115108 Enrollment ID: I20110802000756 |
| Provider Name | Courtney Crawford Jones |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548419203 PECOS PAC ID: 5294865218 Enrollment ID: I20110830000141 |
| Provider Name | Terry L Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689835787 PECOS PAC ID: 1557531456 Enrollment ID: I20110901000535 |
| Provider Name | Andrew D Clark |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699798504 PECOS PAC ID: 4789718479 Enrollment ID: I20111027000914 |
| Provider Name | Sandra G Dickson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568495802 PECOS PAC ID: 4284808734 Enrollment ID: I20111117000644 |
| Provider Name | Melody Ann Swavely |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336105204 PECOS PAC ID: 7416122395 Enrollment ID: I20111205000004 |
| Provider Name | Carol Watts |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538123252 PECOS PAC ID: 9133394802 Enrollment ID: I20111207000556 |
| Provider Name | Keith Steven Nall |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831157643 PECOS PAC ID: 4587830823 Enrollment ID: I20120109000152 |
| Provider Name | John C Burgess |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043588668 PECOS PAC ID: 6507023355 Enrollment ID: I20120206000579 |
| Provider Name | Kumar Ravjibhai Patel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497893614 PECOS PAC ID: 8729273420 Enrollment ID: I20120221001081 |
| Provider Name | Jesse Glenn Kaiser |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093092884 PECOS PAC ID: 0345409413 Enrollment ID: I20120308000493 |
| Provider Name | Thomas C Johns |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942243589 PECOS PAC ID: 7113992769 Enrollment ID: I20120412000405 |
| Provider Name | Jesse Thomas Smith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1548528201 PECOS PAC ID: 8224292537 Enrollment ID: I20120619000076 |
| Provider Name | Peter Clifford Netzler |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1225110141 PECOS PAC ID: 4385890664 Enrollment ID: I20120802000521 |
| Provider Name | Brian J Mulroy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770711137 PECOS PAC ID: 4789831074 Enrollment ID: I20120821000681 |
| Provider Name | Dineshkumar D Parmar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326288135 PECOS PAC ID: 2466609540 Enrollment ID: I20120824000015 |
| Provider Name | Mary Alice Lollis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922360593 PECOS PAC ID: 0941457493 Enrollment ID: I20120906000006 |
| Provider Name | Adrianne J Cauley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508103789 PECOS PAC ID: 8527212869 Enrollment ID: I20130213000610 |
| Provider Name | Brooks Cauley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093052185 PECOS PAC ID: 0244484590 Enrollment ID: I20130214000107 |
| Provider Name | Jeremy Parker |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1669676946 PECOS PAC ID: 5799924007 Enrollment ID: I20130618000406 |
| Provider Name | Brandon Z Hendrix |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1144664152 PECOS PAC ID: 3476793035 Enrollment ID: I20130703000241 |
| Provider Name | Marie Elizabeth Pillsbury |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497191514 PECOS PAC ID: 7113167073 Enrollment ID: I20130717000554 |
| Provider Name | Amanda Nicole Taylor |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1952643892 PECOS PAC ID: 9830330729 Enrollment ID: I20130718000163 |
| Provider Name | Jessica L Boggs |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376980003 PECOS PAC ID: 8921240474 Enrollment ID: I20130813000037 |
| Provider Name | Leeann L Odonnell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114366523 PECOS PAC ID: 5193959286 Enrollment ID: I20131002000706 |
| Provider Name | David A Jones |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295167419 PECOS PAC ID: 8224262258 Enrollment ID: I20131007001112 |
| Provider Name | Elmer G Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669804647 PECOS PAC ID: 2163650532 Enrollment ID: I20140109000759 |
| Provider Name | Seth S Molloy |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1306171608 PECOS PAC ID: 3577793579 Enrollment ID: I20140312001329 |
| Provider Name | Ann Greene Johns |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396857041 PECOS PAC ID: 9032110101 Enrollment ID: I20140314000606 |
| Provider Name | Laura B Saylors |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063844967 PECOS PAC ID: 0042443699 Enrollment ID: I20140506000471 |
| Provider Name | Joseph B Mulvihill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821385642 PECOS PAC ID: 1456574995 Enrollment ID: I20140602000497 |
| Provider Name | Catherine A Harris |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518385590 PECOS PAC ID: 5698720480 Enrollment ID: I20140721001952 |
| Provider Name | Tara J Drew |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033370234 PECOS PAC ID: 4688828924 Enrollment ID: I20140904002101 |
| Provider Name | Akida Jamal Green |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760502413 PECOS PAC ID: 1850490269 Enrollment ID: I20140923000796 |
| Provider Name | Anita Meyers Vagnoni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356355747 PECOS PAC ID: 1355445495 Enrollment ID: I20140929001947 |
| Provider Name | Kristen Howell Mills |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730507716 PECOS PAC ID: 9638399264 Enrollment ID: I20141002002615 |
| Provider Name | Betty J Lackey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043448509 PECOS PAC ID: 5294057949 Enrollment ID: I20141208001135 |
| Provider Name | Thomas J Serey |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1851398929 PECOS PAC ID: 2567528169 Enrollment ID: I20150102000911 |
| Provider Name | Joseph B Halliday |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134357692 PECOS PAC ID: 6406070069 Enrollment ID: I20150102001027 |
| Provider Name | Rashmi Chandra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043447378 PECOS PAC ID: 8123269511 Enrollment ID: I20150116000177 |
| Provider Name | Cynthia G West |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528463148 PECOS PAC ID: 0648594838 Enrollment ID: I20150116000793 |
| Provider Name | Ricky Alan Henderson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1487667523 PECOS PAC ID: 5890790034 Enrollment ID: I20150226001689 |
| Provider Name | Joel A Johnson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417352147 PECOS PAC ID: 8022335546 Enrollment ID: I20150323000299 |
| Provider Name | Cortie John Rolison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184986671 PECOS PAC ID: 8022336197 Enrollment ID: I20150421002670 |
| Provider Name | Whitney Chambers |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942696778 PECOS PAC ID: 7810200821 Enrollment ID: I20150721000159 |
| Provider Name | Holly D Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750763405 PECOS PAC ID: 5496063463 Enrollment ID: I20150924003368 |
| Provider Name | Matthew B Sellers |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1528225356 PECOS PAC ID: 6507040706 Enrollment ID: I20150926000169 |
| Provider Name | Josef Michael Williams |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811252331 PECOS PAC ID: 2668799875 Enrollment ID: I20151019000611 |
| Provider Name | Amir Sadri |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1194182477 PECOS PAC ID: 2264739036 Enrollment ID: I20160322000424 |
| Provider Name | Erika Smith Mccarty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780046102 PECOS PAC ID: 7214235837 Enrollment ID: I20160415000570 |
| Provider Name | Andrea Ray Pitts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578803862 PECOS PAC ID: 0749589760 Enrollment ID: I20160426001114 |
| Provider Name | Megan Donnalley Russell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831546175 PECOS PAC ID: 6305130659 Enrollment ID: I20160809001350 |
| Provider Name | Jay B Nayak |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1427275437 PECOS PAC ID: 6305023680 Enrollment ID: I20160909001022 |
| Provider Name | Satyajit Doddapaneni |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518214071 PECOS PAC ID: 8022319714 Enrollment ID: I20160926001699 |
| Provider Name | Tonia R Locke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740734003 PECOS PAC ID: 1759660020 Enrollment ID: I20161110000211 |
| Provider Name | Natalie Sanmiguel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477009488 PECOS PAC ID: 7113206855 Enrollment ID: I20161121000331 |
| Provider Name | Barbara C Scalet |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699168047 PECOS PAC ID: 2860705100 Enrollment ID: I20170105000834 |
| Provider Name | Lisa Bush Bostic |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568877488 PECOS PAC ID: 6103045257 Enrollment ID: I20170214000448 |
| Provider Name | Jeffrey S Delo |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1295776383 PECOS PAC ID: 9032171905 Enrollment ID: I20170314001211 |
| Provider Name | Deanne L Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356888671 PECOS PAC ID: 3577840206 Enrollment ID: I20170508001025 |
| Provider Name | Joshua T Stone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700290814 PECOS PAC ID: 1153609151 Enrollment ID: I20170619001569 |
| Provider Name | Vipin Verma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093156580 PECOS PAC ID: 9931494200 Enrollment ID: I20170822001299 |
| Provider Name | John Thomas Meehan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1194959239 PECOS PAC ID: 1254653520 Enrollment ID: I20170911001171 |
| Provider Name | Lisa R Cobb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417485129 PECOS PAC ID: 0143593129 Enrollment ID: I20170913003456 |
| Provider Name | James D Beaty |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922533058 PECOS PAC ID: 4284909854 Enrollment ID: I20171006001919 |
| Provider Name | Ross Kurland |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902148976 PECOS PAC ID: 5890934590 Enrollment ID: I20171010002526 |
| Provider Name | Angela Dawn Hamilton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073825741 PECOS PAC ID: 4587789920 Enrollment ID: I20180223000130 |
| Provider Name | Lesley R Mcclain |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215445010 PECOS PAC ID: 9739441338 Enrollment ID: I20180319002879 |
| Provider Name | Ricky E Olson |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1700966157 PECOS PAC ID: 1254423163 Enrollment ID: I20180813000852 |
| Provider Name | Sydne D Mckechnie |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831573500 PECOS PAC ID: 3779873039 Enrollment ID: I20180920003528 |
| Provider Name | Matthew Thomas Brown |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1457619967 PECOS PAC ID: 5799922316 Enrollment ID: I20181031002347 |
| Provider Name | Emerald Rose Banas Branch |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1548540578 PECOS PAC ID: 4082917927 Enrollment ID: I20181101002667 |
| Provider Name | Holly D Barnlund |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1285134528 PECOS PAC ID: 9739444217 Enrollment ID: I20181219000555 |
| Provider Name | Kurt Alexander Yusi |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1700152543 PECOS PAC ID: 8426341181 Enrollment ID: I20190205001437 |
| Provider Name | Carla Ellen Holmes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356850887 PECOS PAC ID: 2163780990 Enrollment ID: I20190213001935 |
| Provider Name | Sachin Shah |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1083631600 PECOS PAC ID: 8820014061 Enrollment ID: I20190501000606 |
| Provider Name | Dharti Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942769666 PECOS PAC ID: 1557604238 Enrollment ID: I20190521000963 |
| Provider Name | Mc Anto Antony |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1639584683 PECOS PAC ID: 2062746332 Enrollment ID: I20190620002859 |
| Provider Name | Weslyn Jones Melson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023571635 PECOS PAC ID: 7517293095 Enrollment ID: I20190722000587 |
| Provider Name | Carleen O'connell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700349206 PECOS PAC ID: 5092042713 Enrollment ID: I20190802002413 |
| Provider Name | Travis Patterson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1306285978 PECOS PAC ID: 1355636085 Enrollment ID: I20190826001756 |
| Provider Name | Jay Naresh Shah |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1497989164 PECOS PAC ID: 6709007453 Enrollment ID: I20191016002716 |
| Provider Name | Heather Marshall Ford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174165054 PECOS PAC ID: 0749613909 Enrollment ID: I20191203001028 |
| Provider Name | Joseph William Pullekines |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1184628570 PECOS PAC ID: 2567439300 Enrollment ID: I20200109001474 |
| Provider Name | Brian Miller |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1952668964 PECOS PAC ID: 3577798164 Enrollment ID: I20200813000704 |
| Provider Name | Hamza Khalid |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1063667608 PECOS PAC ID: 2668788902 Enrollment ID: I20201020002156 |
| Provider Name | Melinda Jenkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861720294 PECOS PAC ID: 1759573660 Enrollment ID: I20210108001381 |
| Provider Name | Gretchen Hsu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578982351 PECOS PAC ID: 2860612181 Enrollment ID: I20210212000202 |
| Provider Name | Martin Rutkowski |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1780950923 PECOS PAC ID: 4789976556 Enrollment ID: I20210623003588 |
| Provider Name | Taylor Nanney |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316531908 PECOS PAC ID: 1557763455 Enrollment ID: I20210715000616 |
| Provider Name | Ryan Clifton Calp |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215522800 PECOS PAC ID: 0143624676 Enrollment ID: I20210805002453 |
| Provider Name | Heather Palomino |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1992192587 PECOS PAC ID: 7315259041 Enrollment ID: I20210825001529 |
| Provider Name | Korey Richard Graettinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497997209 PECOS PAC ID: 4981093242 Enrollment ID: I20211109000380 |
| Provider Name | Mitchell Austin |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1639288749 PECOS PAC ID: 5698861094 Enrollment ID: I20220623000061 |
| Provider Name | Preet Bagi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1245432145 PECOS PAC ID: 1254584006 Enrollment ID: I20220713000662 |
| Provider Name | Brandon William Hanna |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1205495025 PECOS PAC ID: 1951632504 Enrollment ID: I20220809000081 |
| Provider Name | Carlos Torres-medina |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1972980761 PECOS PAC ID: 9133403439 Enrollment ID: I20220812001636 |
| Provider Name | Stephanie Denise Glenn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396482915 PECOS PAC ID: 8628451192 Enrollment ID: I20220816001489 |
| Provider Name | Natalie Anne Kelsey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801281829 PECOS PAC ID: 0042510422 Enrollment ID: I20220819001715 |
| Provider Name | Lerin Ciann Mccray |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982084760 PECOS PAC ID: 4082926431 Enrollment ID: I20220822003286 |
| Provider Name | Michael James Bauschard |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1194251066 PECOS PAC ID: 3274803135 Enrollment ID: I20220823004297 |
| Provider Name | Christopher Woodworth |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1902872799 PECOS PAC ID: 7416932009 Enrollment ID: I20220824003492 |
| Provider Name | Jack Roh Oak |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1326269648 PECOS PAC ID: 2062477573 Enrollment ID: I20220927002242 |
| Provider Name | Jonelle George |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1700226693 PECOS PAC ID: 4486984465 Enrollment ID: I20221212001964 |
| Provider Name | Craig Powell |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1275506073 PECOS PAC ID: 9638233844 Enrollment ID: I20230127000119 |
| Provider Name | William Skakun |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1124342944 PECOS PAC ID: 3870584394 Enrollment ID: I20230215000348 |
| Provider Name | Julia Fayanne Chen |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1871974428 PECOS PAC ID: 1355658865 Enrollment ID: I20230310002598 |
| Provider Name | John Muhonen |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1376994053 PECOS PAC ID: 6507151784 Enrollment ID: I20230830004406 |
| Provider Name | Mary Marie Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215637301 PECOS PAC ID: 8022465756 Enrollment ID: I20231116003390 |
| Provider Name | Rosaria L Calhoun |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528426871 PECOS PAC ID: 1759732498 Enrollment ID: I20240108003407 |
| Provider Name | Amir Prushani |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275762858 PECOS PAC ID: 4981837473 Enrollment ID: I20240117003434 |
| Provider Name | Abigail Turner Shipman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174382097 PECOS PAC ID: 1850730276 Enrollment ID: I20240418001891 |
| Provider Name | Brian Hoffmann |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548244718 PECOS PAC ID: 8729153754 Enrollment ID: I20240524002865 |
| Provider Name | Jennifer P Arnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023868205 PECOS PAC ID: 1557803665 Enrollment ID: I20240604003905 |
| Provider Name | Emily Ferguson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1275246571 PECOS PAC ID: 8527432756 Enrollment ID: I20240813001415 |
| Provider Name | Sara Stanton |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1538814447 PECOS PAC ID: 5698158889 Enrollment ID: I20241217001225 |
Brie Childress, Lisw-cp, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2400 Lane Ave, Anderson, SC 29621 Phone: 864-359-8888 | |
Anderson Psychiatry And Psychotherapy, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 N Fant St, Suite D, Anderson, SC 29621 Phone: 864-226-1166 Fax: 864-226-5647 | |
Common Ground Therapeutic And Coaching Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2105 N Main St Ste D, Anderson, SC 29621 Phone: 864-634-0930 Fax: 864-900-0248 | |
Life Options, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 606 Fairmont Rd, Anderson, SC 29621 Phone: 704-763-9711 | |
Anderson Oconee Council On Teen Pregnancy Prevention Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 220 Mcgee Rd, Anderson, SC 29625 Phone: 864-260-5632 Fax: 864-260-5664 | |
Connections Counseling Center Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 110 Calvary Home Cir, Anderson, SC 29621 Phone: 864-328-5187 | |
Carolina Neurology & Neuroimaging Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 111 Shire Dr, Anderson, SC 29621 Phone: 864-716-2600 Fax: 864-716-2666 |