| Aiken Professional Association, Llc | |
|
420 Society Hill Dr Ste 200 Aiken SC 29803-1731 | |
| (803) 649-7266 | |
| Not Available |
| Full Name | Aiken Professional Association, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 420 Society Hill Dr Ste 200, Aiken, South Carolina |
| Authorized Official Name and Position | Todd Evans (CFO) |
| Authorized Official Contact | 6103824334 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aiken Professional Association, Llc 367 S Gulph Rd King Of Prussia PA 19406-3121 Ph: () - | Aiken Professional Association, Llc 420 Society Hill Dr Ste 200 Aiken SC 29803-1731 Ph: (803) 649-7266 |
| NPI Number | 1639479801 |
|---|---|
| Provider Enumeration Date | 10/22/2010 |
| Last Update Date | 06/26/2019 |
| Medicare PECOS PAC ID | 0446430805 |
|---|---|
| Medicare Enrollment ID | O20110202000685 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639479801 | NPI | - | NPPES |
| 1639479801 | Other | SC | BCBS SC |
| DR4297 | Other | SC | RAILROAD MEDICARE |
| GP5588 | Medicaid | SC |
| Provider Name | Gregory L Eaves |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1487737821 PECOS PAC ID: 1153225735 Enrollment ID: I20031125000305 |
| Provider Name | Miroslav B Zotovic |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649388026 PECOS PAC ID: 4284629759 Enrollment ID: I20040415000926 |
| Provider Name | Frank Y Chase |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710977947 PECOS PAC ID: 0941276455 Enrollment ID: I20040909000054 |
| Provider Name | Khaled F Kamel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720017015 PECOS PAC ID: 6406804400 Enrollment ID: I20050106000426 |
| Provider Name | Kristin B Haddock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053384073 PECOS PAC ID: 4981645058 Enrollment ID: I20050518001191 |
| Provider Name | Mark J Meiler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235133158 PECOS PAC ID: 7315987583 Enrollment ID: I20070321000614 |
| Provider Name | Theodore M Meyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518039213 PECOS PAC ID: 6204823396 Enrollment ID: I20070806000546 |
| Provider Name | Marc H Brickman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437101789 PECOS PAC ID: 5799689451 Enrollment ID: I20090128000291 |
| Provider Name | Ayaz J. Chaudhary |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1639289382 PECOS PAC ID: 5991788291 Enrollment ID: I20090217000571 |
| Provider Name | Allison Buchanan Enter |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1437372257 PECOS PAC ID: 2062564297 Enrollment ID: I20090717000514 |
| Provider Name | Nicholas J Sanito |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1407964877 PECOS PAC ID: 7810903044 Enrollment ID: I20100511000937 |
| Provider Name | Gerald Gordon |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1396738753 PECOS PAC ID: 4587650791 Enrollment ID: I20100628000445 |
| Provider Name | Weems Pennington |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1215027263 PECOS PAC ID: 4789758467 Enrollment ID: I20110104001029 |
| Provider Name | Wayne Frei |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1689639296 PECOS PAC ID: 6709892938 Enrollment ID: I20110106000444 |
| Provider Name | Thomas P Paxton |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1013975093 PECOS PAC ID: 1557541638 Enrollment ID: I20110207000420 |
| Provider Name | Jonathan H Anderson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1346226958 PECOS PAC ID: 5496702284 Enrollment ID: I20110222000430 |
| Provider Name | Doris Elizabeth Tummillo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457339251 PECOS PAC ID: 6406813286 Enrollment ID: I20110225000659 |
| Provider Name | James D Dillon |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1285736702 PECOS PAC ID: 2860398013 Enrollment ID: I20110308000141 |
| Provider Name | Idris Sayed Sharaf |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1659454098 PECOS PAC ID: 2860675006 Enrollment ID: I20110329000747 |
| Provider Name | David William Cundey |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1952487324 PECOS PAC ID: 5395718035 Enrollment ID: I20110330000169 |
| Provider Name | Ansermo L Arthur |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1720161151 PECOS PAC ID: 6507049749 Enrollment ID: I20110401000216 |
| Provider Name | Dana E Malloy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679719819 PECOS PAC ID: 4789738212 Enrollment ID: I20111122000461 |
| Provider Name | Evan F Ekman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1467400119 PECOS PAC ID: 6103738539 Enrollment ID: I20120313000858 |
| Provider Name | Adam Wesley Bruckner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316109564 PECOS PAC ID: 4486808417 Enrollment ID: I20130129000155 |
| Provider Name | David M Jenkinson |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1104812874 PECOS PAC ID: 6901853829 Enrollment ID: I20130823001158 |
| Provider Name | Jesus Alberto Castillo |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1801099510 PECOS PAC ID: 6103942057 Enrollment ID: I20140812002347 |
| Provider Name | Brittany M Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174907893 PECOS PAC ID: 7911216635 Enrollment ID: I20151020003115 |
| Provider Name | Darren J Mack |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1366679318 PECOS PAC ID: 6002048600 Enrollment ID: I20151117003036 |
| Provider Name | Jessica R Luke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831555028 PECOS PAC ID: 9436453065 Enrollment ID: I20160202001838 |
| Provider Name | Candace C. Waters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962496554 PECOS PAC ID: 7618006537 Enrollment ID: I20160920001088 |
| Provider Name | Lorenzo K Sampson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1346213220 PECOS PAC ID: 5294716551 Enrollment ID: I20170728000494 |
| Provider Name | Janet L Utz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1114906641 PECOS PAC ID: 7416034426 Enrollment ID: I20180628003463 |
| Provider Name | Angela K Eaton-walker |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1235239286 PECOS PAC ID: 2365453065 Enrollment ID: I20190911002049 |
| Provider Name | Ashley Gilbert Fields |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407409972 PECOS PAC ID: 1557690641 Enrollment ID: I20190916002051 |
| Provider Name | Joshua T Prickett |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1467751248 PECOS PAC ID: 9537135504 Enrollment ID: I20191120002784 |
| Provider Name | Ashley Cate Bass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194097444 PECOS PAC ID: 2769704139 Enrollment ID: I20191203000554 |
| Provider Name | Jose A. Cardenas |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245279314 PECOS PAC ID: 1456355510 Enrollment ID: I20191209000874 |
| Provider Name | Gregory D Kalv |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1033347638 PECOS PAC ID: 6406095066 Enrollment ID: I20191231001888 |
| Provider Name | Richard Marks |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1023061769 PECOS PAC ID: 7517090228 Enrollment ID: I20200624003097 |
| Provider Name | Misbba Khan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205127826 PECOS PAC ID: 3375975683 Enrollment ID: I20200817001085 |
| Provider Name | Elaine Inman-williamson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225421472 PECOS PAC ID: 8224359013 Enrollment ID: I20210517001067 |
| Provider Name | Tiffani Yvonne Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861849580 PECOS PAC ID: 5799062097 Enrollment ID: I20210528000964 |
| Provider Name | Alexis L Stroman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487966495 PECOS PAC ID: 3577966779 Enrollment ID: I20210726002826 |
| Provider Name | Christopher Michael Joachim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437644606 PECOS PAC ID: 0446654628 Enrollment ID: I20210810002959 |
| Provider Name | Maria A Pimenova |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619463064 PECOS PAC ID: 7719236736 Enrollment ID: I20210819001764 |
| Provider Name | Marie Lorraine A Cesa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013495670 PECOS PAC ID: 8729328448 Enrollment ID: I20210903002721 |
| Provider Name | Christine Mills |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992142848 PECOS PAC ID: 8325333685 Enrollment ID: I20210907000892 |
| Provider Name | Ralph L Haynes |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1114912706 PECOS PAC ID: 4688755903 Enrollment ID: I20210919000022 |
| Provider Name | Jian Li |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1184705097 PECOS PAC ID: 2466506043 Enrollment ID: I20220114000275 |
| Provider Name | Edward Terrien |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1013928910 PECOS PAC ID: 4981612389 Enrollment ID: I20220902002357 |
| Provider Name | Ghulam Murtaza |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1114308814 PECOS PAC ID: 5698150654 Enrollment ID: I20220913000239 |
| Provider Name | William H Risher |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1669425237 PECOS PAC ID: 0941357628 Enrollment ID: I20220916002988 |
| Provider Name | Michael A Meehan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881251668 PECOS PAC ID: 1052647724 Enrollment ID: I20221014003007 |
| Provider Name | Jurgena Tusha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801458609 PECOS PAC ID: 5496081168 Enrollment ID: I20221209001388 |
| Provider Name | Gregory T Altemose |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1366425431 PECOS PAC ID: 7618019928 Enrollment ID: I20230327000633 |
| Provider Name | Veronica Moino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518584465 PECOS PAC ID: 6305200866 Enrollment ID: I20230915003640 |
| Provider Name | Aneta Tarasiuk-rusek |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1851655047 PECOS PAC ID: 8527369628 Enrollment ID: I20240111003084 |
East Aiken Health Center L.l.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1847 Hatchaway Bridge Rd, East Aiken Health Center, Aiken, SC 29805 Phone: 803-644-7033 Fax: 803-644-8250 | |
Palmetto Wellness And Weightloss Md Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1397 Silver Bluff Rd, Suite 200, Aiken, SC 29803 Phone: 803-646-5003 Fax: 803-226-0480 | |
Family Medcenters Of Aiken Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 216 Edgefield Ave Nw, Aiken, SC 29801 Phone: 803-648-4224 Fax: 803-641-7600 | |
Aiken Center For Family Health Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 415 Barnwell Ave Nw, Aiken, SC 29801 Phone: 803-644-4403 Fax: 803-644-4405 | |
Primary Care Of Aiken, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 191 Centre South Blvd, Aiken, SC 29803 Phone: 803-648-5542 Fax: 803-648-8815 | |
Leopoldo M. Muniz, Md, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Summerwood Way, Aiken, SC 29803 Phone: 803-642-3505 Fax: 803-642-3918 | |
Rural Health Services Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4200 Whiskey Rd, Aiken, SC 29803 Phone: 803-380-7000 |