| Trmc Hospitalist | |
|
3000 St. Matthews Road Orangeburg SC 29118-1442 | |
| (803) 395-2200 | |
| Not Available |
| Full Name | Trmc Hospitalist |
|---|---|
| Speciality | Hospitalist |
| Location | 3000 St. Matthews Road, Orangeburg, South Carolina |
| Authorized Official Name and Position | Cheryl S Mason (C.F.O.) |
| Authorized Official Contact | 8033952224 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Trmc Hospitalist Po Box 1245 Orangeburg SC 29116-1245 Ph: (803) 395-4497 | Trmc Hospitalist 3000 St. Matthews Road Orangeburg SC 29118-1442 Ph: (803) 395-2200 |
| NPI Number | 1003889676 |
|---|---|
| Provider Enumeration Date | 02/13/2006 |
| Last Update Date | 08/25/2014 |
| Medicare PECOS PAC ID | 8527970771 |
|---|---|
| Medicare Enrollment ID | O20040506001434 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003889676 | NPI | - | NPPES |
| GP3549 | Medicaid | SC | |
| 013 | Other | SC | BCBS |
| Provider Name | Shannon R Poole |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457469009 PECOS PAC ID: 1153223284 Enrollment ID: I20040121000269 |
| Provider Name | Lee A Erbe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588673917 PECOS PAC ID: 6103729645 Enrollment ID: I20040130000824 |
| Provider Name | Michael H Emmer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245299072 PECOS PAC ID: 5698664100 Enrollment ID: I20040312000812 |
| Provider Name | Janet Diane Woolery |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508835489 PECOS PAC ID: 5193708584 Enrollment ID: I20040608000640 |
| Provider Name | David P Mccarron |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942286943 PECOS PAC ID: 4880672062 Enrollment ID: I20040713000969 |
| Provider Name | Leo Joseph Jesion |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114979259 PECOS PAC ID: 3870572845 Enrollment ID: I20040715000432 |
| Provider Name | Teresa A Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417977190 PECOS PAC ID: 0547234825 Enrollment ID: I20040823000915 |
| Provider Name | Kimberly Boggs Pugh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912965831 PECOS PAC ID: 5799752085 Enrollment ID: I20040915000951 |
| Provider Name | Lyle Norman Shelver |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265431001 PECOS PAC ID: 9739137845 Enrollment ID: I20050105000789 |
| Provider Name | Franklin Joseph Drummond |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396915831 PECOS PAC ID: 6406802685 Enrollment ID: I20050330001056 |
| Provider Name | Imranullah Shaikh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083681241 PECOS PAC ID: 8628016359 Enrollment ID: I20050421001436 |
| Provider Name | Jason L Wechsler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740266246 PECOS PAC ID: 5496798977 Enrollment ID: I20050606000817 |
| Provider Name | Julio Alejandro Chalela |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548200371 PECOS PAC ID: 5294787255 Enrollment ID: I20050824000841 |
| Provider Name | Alvin L Reaves |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1457337768 PECOS PAC ID: 3072538594 Enrollment ID: I20051013000110 |
| Provider Name | Mieke J Perez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881670305 PECOS PAC ID: 1254344922 Enrollment ID: I20060725000048 |
| Provider Name | Michael K Greene |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962437632 PECOS PAC ID: 0143233437 Enrollment ID: I20060804000028 |
| Provider Name | Sidney Freeman Rhoades |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497852651 PECOS PAC ID: 8820095573 Enrollment ID: I20061023000353 |
| Provider Name | Peter J Anderson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114967858 PECOS PAC ID: 1759344948 Enrollment ID: I20070612000853 |
| Provider Name | Julia G Arana |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831166792 PECOS PAC ID: 8820180797 Enrollment ID: I20070823000053 |
| Provider Name | Michael Chance Hammer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588784250 PECOS PAC ID: 0244324838 Enrollment ID: I20070913000027 |
| Provider Name | Natalie Christina Owens Sloan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497970479 PECOS PAC ID: 6002901360 Enrollment ID: I20071001000852 |
| Provider Name | Keith Alexander Taylor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447320189 PECOS PAC ID: 5698740595 Enrollment ID: I20071205000031 |
| Provider Name | Kenechukwu Ntukogu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922128453 PECOS PAC ID: 5395812788 Enrollment ID: I20080926000494 |
| Provider Name | Anthony C Zamcho |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477673465 PECOS PAC ID: 7517027006 Enrollment ID: I20081113000219 |
| Provider Name | Brian W Kendall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710963269 PECOS PAC ID: 5294895157 Enrollment ID: I20081121000283 |
| Provider Name | Casey M Mcmillan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861526790 PECOS PAC ID: 5698838738 Enrollment ID: I20090115000192 |
| Provider Name | Tonia M Youmans |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922291251 PECOS PAC ID: 2466508791 Enrollment ID: I20090928000655 |
| Provider Name | Michael J Langley |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1376570515 PECOS PAC ID: 5395705040 Enrollment ID: I20091110000186 |
| Provider Name | John R Ross |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1578567251 PECOS PAC ID: 1557320041 Enrollment ID: I20100208000194 |
| Provider Name | Jarrod A Reynolds |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912007105 PECOS PAC ID: 4880738269 Enrollment ID: I20100223000730 |
| Provider Name | Christine A Holmstedt |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114185709 PECOS PAC ID: 3678618600 Enrollment ID: I20100302000738 |
| Provider Name | Thomas Roesch |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447257712 PECOS PAC ID: 9234282815 Enrollment ID: I20100419000171 |
| Provider Name | Dorwin T Moore |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396706248 PECOS PAC ID: 4486546652 Enrollment ID: I20100923001149 |
| Provider Name | Todd Leon Vandenberg |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1558367623 PECOS PAC ID: 9830170489 Enrollment ID: I20110407000709 |
| Provider Name | Jeremy Paul Skotko |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053572685 PECOS PAC ID: 4880863042 Enrollment ID: I20110805000016 |
| Provider Name | Holly L Grooms |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114226792 PECOS PAC ID: 4688843485 Enrollment ID: I20110812000089 |
| Provider Name | Wuwei Feng |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497836076 PECOS PAC ID: 9739358433 Enrollment ID: I20110815000748 |
| Provider Name | Christian F Reusche |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932306545 PECOS PAC ID: 3678742244 Enrollment ID: I20110816000705 |
| Provider Name | Aboagye Agyenim-boateng |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194758243 PECOS PAC ID: 0547363889 Enrollment ID: I20110908002282 |
| Provider Name | Reuben B Ridgeway |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821237389 PECOS PAC ID: 6204009962 Enrollment ID: I20111026000127 |
| Provider Name | Marie L Gehling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255623278 PECOS PAC ID: 7618140534 Enrollment ID: I20111109000150 |
| Provider Name | Valerie L Holmstrom |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326091323 PECOS PAC ID: 3779757612 Enrollment ID: I20111110000901 |
| Provider Name | Jackson Mccrea Ewart |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1699955005 PECOS PAC ID: 0345324554 Enrollment ID: I20111220000601 |
| Provider Name | Endia Cherese Johnson-pitts |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801819594 PECOS PAC ID: 0244305266 Enrollment ID: I20120523000019 |
| Provider Name | Amanda L Parks |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801058474 PECOS PAC ID: 3072665637 Enrollment ID: I20120803000282 |
| Provider Name | Shelly Ozark |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891956884 PECOS PAC ID: 8325294044 Enrollment ID: I20120813000694 |
| Provider Name | Leonardo Bonilha |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861699969 PECOS PAC ID: 6901053107 Enrollment ID: I20120822000821 |
| Provider Name | Erin S Castellano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407045404 PECOS PAC ID: 1850548595 Enrollment ID: I20120830000766 |
| Provider Name | Joel Ransom |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750561296 PECOS PAC ID: 0143489021 Enrollment ID: I20120907000728 |
| Provider Name | Sarah Anne Ludington |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780826966 PECOS PAC ID: 2961651062 Enrollment ID: I20121005000009 |
| Provider Name | Haran Aynkaran Ravindran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477797975 PECOS PAC ID: 9133379787 Enrollment ID: I20121017000485 |
| Provider Name | Sandra Marie Chaplin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437498037 PECOS PAC ID: 1759527104 Enrollment ID: I20130410000015 |
| Provider Name | Eric S Gwynn |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1467586628 PECOS PAC ID: 7113027012 Enrollment ID: I20130410000459 |
| Provider Name | John D Gentry |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407141633 PECOS PAC ID: 5991942096 Enrollment ID: I20130509000211 |
| Provider Name | Shawnequa Latrina Brown |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437280906 PECOS PAC ID: 6709951098 Enrollment ID: I20130710000350 |
| Provider Name | Shorouk Admad Ramahi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659633261 PECOS PAC ID: 2163665464 Enrollment ID: I20130906000079 |
| Provider Name | John Gibson |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1326057928 PECOS PAC ID: 7618068263 Enrollment ID: I20140215000000 |
| Provider Name | Derrick Clunis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407832579 PECOS PAC ID: 8527058015 Enrollment ID: I20140318000295 |
| Provider Name | Cassandra Lynn Stewart |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942578117 PECOS PAC ID: 5698995231 Enrollment ID: I20141003000194 |
| Provider Name | Joseph Krainin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386792307 PECOS PAC ID: 2567557176 Enrollment ID: I20141020001987 |
| Provider Name | Claudel Gratia |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508001496 PECOS PAC ID: 5890917264 Enrollment ID: I20141119002316 |
| Provider Name | Onyinye Ugboaja |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801158167 PECOS PAC ID: 3971738121 Enrollment ID: I20150310001436 |
| Provider Name | Kevin Webster Dickey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639150055 PECOS PAC ID: 5698761500 Enrollment ID: I20150326000919 |
| Provider Name | Michelle A Widener |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033217716 PECOS PAC ID: 6305163387 Enrollment ID: I20150401000774 |
| Provider Name | Vijay Renga |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831493386 PECOS PAC ID: 2567783343 Enrollment ID: I20150604002020 |
| Provider Name | Masud Habibullah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285992602 PECOS PAC ID: 5294041893 Enrollment ID: I20150827000848 |
| Provider Name | Berthrand Chukwuemeka Onuoha |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043504251 PECOS PAC ID: 7315255981 Enrollment ID: I20150930002846 |
| Provider Name | Christopher Robert Curro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154681310 PECOS PAC ID: 7416105010 Enrollment ID: I20151027000005 |
| Provider Name | Michael R Hoffman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114908142 PECOS PAC ID: 5395726061 Enrollment ID: I20151112003038 |
| Provider Name | Prudence Chia Mbu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104025873 PECOS PAC ID: 2062575913 Enrollment ID: I20151119002910 |
| Provider Name | Cameo Aleece Coleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366811754 PECOS PAC ID: 6406159078 Enrollment ID: I20160115000002 |
| Provider Name | Erik D Cantrell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750519948 PECOS PAC ID: 1557660487 Enrollment ID: I20160428000069 |
| Provider Name | Rubin Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336587526 PECOS PAC ID: 9234431818 Enrollment ID: I20160817001152 |
| Provider Name | Carlos G Paxtor |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851305031 PECOS PAC ID: 8022392935 Enrollment ID: I20170221000968 |
| Provider Name | Bryan A West |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932494093 PECOS PAC ID: 9931429529 Enrollment ID: I20170410001128 |
| Provider Name | Mark James Lloyd London |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295032258 PECOS PAC ID: 8628221678 Enrollment ID: I20170424001386 |
| Provider Name | Latasha Denise Hott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154862746 PECOS PAC ID: 4880979483 Enrollment ID: I20170614002678 |
| Provider Name | Karen L Keane |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053306621 PECOS PAC ID: 2860759750 Enrollment ID: I20171201000090 |
| Provider Name | Leigh C Jacobs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134628373 PECOS PAC ID: 8628323078 Enrollment ID: I20180626002258 |
| Provider Name | Adetoun Faniyan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902244221 PECOS PAC ID: 7618261736 Enrollment ID: I20180820000134 |
| Provider Name | Karl Armistead Illig |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1023053303 PECOS PAC ID: 2062454937 Enrollment ID: I20180827001007 |
| Provider Name | Nathaniel C Duke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538375456 PECOS PAC ID: 4284913021 Enrollment ID: I20180827001207 |
| Provider Name | Chika Conrad Nwulu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730441460 PECOS PAC ID: 3375858491 Enrollment ID: I20180904001645 |
| Provider Name | Syed Hussain Haider |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225359268 PECOS PAC ID: 8820271158 Enrollment ID: I20180919000860 |
| Provider Name | Lynn Beckett-lowe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598251605 PECOS PAC ID: 8921350117 Enrollment ID: I20181017000703 |
| Provider Name | John E Aruny |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1568452969 PECOS PAC ID: 8820998057 Enrollment ID: I20181029002492 |
| Provider Name | Wilbur Lynn Allen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487934881 PECOS PAC ID: 1850524448 Enrollment ID: I20181031000061 |
| Provider Name | Dale N Lullo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245720101 PECOS PAC ID: 6103170949 Enrollment ID: I20181114003340 |
| Provider Name | Andrew G Folley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972502755 PECOS PAC ID: 3274614938 Enrollment ID: I20181212001688 |
| Provider Name | Doris Paez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285192120 PECOS PAC ID: 7810218831 Enrollment ID: I20190605000006 |
| Provider Name | Catherine M Millender |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912347857 PECOS PAC ID: 1052605995 Enrollment ID: I20190822002218 |
| Provider Name | Carla Ann Warren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912555988 PECOS PAC ID: 7911238548 Enrollment ID: I20191014001805 |
| Provider Name | Gustavo Antonio Meyreles-chaljub |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1700325479 PECOS PAC ID: 2769819549 Enrollment ID: I20200218001334 |
| Provider Name | Brittney N Frazier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366917924 PECOS PAC ID: 0446681829 Enrollment ID: I20200519002815 |
| Provider Name | Elizabeth Ostoja |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003006099 PECOS PAC ID: 2163791153 Enrollment ID: I20200624002218 |
| Provider Name | Swathi Roy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093182123 PECOS PAC ID: 2769725977 Enrollment ID: I20200630000710 |
| Provider Name | Tushar Trivedi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669854873 PECOS PAC ID: 5395079669 Enrollment ID: I20200630001119 |
| Provider Name | Rosemarie S Di Peppi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184158834 PECOS PAC ID: 3375960362 Enrollment ID: I20200908000819 |
| Provider Name | Melody Paige Crews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265026793 PECOS PAC ID: 7517374895 Enrollment ID: I20210405000106 |
| Provider Name | Candace Culler Holstein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659046878 PECOS PAC ID: 4486045747 Enrollment ID: I20211221000045 |
| Provider Name | Shakir Hussein |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1609066455 PECOS PAC ID: 5395839575 Enrollment ID: I20211227000363 |
| Provider Name | Constance Gainey Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053064717 PECOS PAC ID: 5698161990 Enrollment ID: I20220414000793 |
| Provider Name | Brandi P Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619617529 PECOS PAC ID: 7214314582 Enrollment ID: I20220509000156 |
| Provider Name | Amanda O'toole Heneage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528652823 PECOS PAC ID: 0840667036 Enrollment ID: I20221101000337 |
| Provider Name | Faren Myers Stroman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407576135 PECOS PAC ID: 4880062454 Enrollment ID: I20221202000114 |
Mccullough Strives Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 160 Northlake Dr, Orangeburg, SC 29118 Phone: 803-386-2395 | |
Orangeburg Psychiatric Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2323 Saint Matthews Rd, Orangeburg, SC 29118 Phone: 803-534-0042 | |
Statewide Outreach Project Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 396 Saint Paul St, Suite 1111 Carolina Office Building, Orangeburg, SC 29115 Phone: 888-992-5534 Fax: 866-408-8142 | |
Dawn Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 910 Cook Rd, Orangeburg, SC 29118 Phone: 803-536-4900 | |
Neurology And Pain Clinic Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2850 Pelham Ct, Orangeburg, SC 29118 Phone: 803-531-8500 Fax: 803-533-5585 | |
William J. Mccord Adolescent Treatment Facility Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 910 Cook Rd, Orangeburg, SC 29118 Phone: 803-534-2328 |