| Taral Sharma, Md, Pc | |
|
120 Pelham Ln Anderson SC 29621-3335 | |
| (864) 844-8112 | |
| (864) 844-8112 |
| Full Name | Taral Sharma, Md, Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 120 Pelham Ln, Anderson, South Carolina |
| Authorized Official Name and Position | Taral R Sharma (PRESIDENT) |
| Authorized Official Contact | 8648449432 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Taral Sharma, Md, Pc 120 Pelham Ln Anderson SC 29621-3335 Ph: (864) 844-8112 | Taral Sharma, Md, Pc 120 Pelham Ln Anderson SC 29621-3335 Ph: (864) 844-8112 |
| NPI Number | 1477112597 |
|---|---|
| Provider Enumeration Date | 06/12/2019 |
| Last Update Date | 02/06/2023 |
| Certification Date | 02/06/2023 |
| Medicare PECOS PAC ID | 0244568152 |
|---|---|
| Medicare Enrollment ID | O20190829002356 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477112597 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | John Ramsey Dodenhoff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750449385 PECOS PAC ID: 5294902698 Enrollment ID: I20120126000324 |
| Provider Name | Taralkumar R Sharma |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710121009 PECOS PAC ID: 0244473734 Enrollment ID: I20130903000199 |
| Provider Name | Violeta Nistor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265750277 PECOS PAC ID: 6204157654 Enrollment ID: I20150610001447 |
| Provider Name | Mary E Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568830461 PECOS PAC ID: 9638471022 Enrollment ID: I20151230002760 |
| Provider Name | Katrina Sharpe Maxwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851724272 PECOS PAC ID: 9133426984 Enrollment ID: I20160323000286 |
| Provider Name | Diana Loffredo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083035315 PECOS PAC ID: 0042550378 Enrollment ID: I20190322000580 |
| Provider Name | Ralph R Mckenzie |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932596897 PECOS PAC ID: 6406163211 Enrollment ID: I20190826001649 |
| Provider Name | William M Hendricks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245791722 PECOS PAC ID: 7113255027 Enrollment ID: I20190829002504 |
| Provider Name | Kelsie Elizabeth Fowler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770138562 PECOS PAC ID: 8820412927 Enrollment ID: I20200722002105 |
| Provider Name | Angela Louise Rodiek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265073209 PECOS PAC ID: 3072940097 Enrollment ID: I20211222000650 |
| Provider Name | Nathan Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467148536 PECOS PAC ID: 9436518172 Enrollment ID: I20230628004570 |
| Provider Name | Karen Slaton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144921669 PECOS PAC ID: 0244681880 Enrollment ID: I20240109000997 |
| Provider Name | Betsy Gholson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427650159 PECOS PAC ID: 3870936172 Enrollment ID: I20240202002848 |
| Provider Name | Shenika T Boozer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518207935 PECOS PAC ID: 8022451129 Enrollment ID: I20240206001539 |
| Provider Name | Stephanie Zeiser Johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790221406 PECOS PAC ID: 9032552799 Enrollment ID: I20240209000551 |
| Provider Name | Thomas Carl Mcminn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962714477 PECOS PAC ID: 8921442278 Enrollment ID: I20240215000158 |
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