| Anmed Health Westside Family Medicine | |
|
1100 W Franklin St Anderson SC 29624-2012 | |
| (864) 224-0822 | |
| (864) 375-0196 |
| Full Name | Anmed Health Westside Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 1100 W Franklin St, Anderson, South Carolina |
| Authorized Official Name and Position | Christine Pearson (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 Westside Family Medicine Po Box 100174 Columbia SC 29202-3174 Ph: (864) 224-0822 | Anmed Health Westside Family Medicine 1100 W Franklin St Anderson SC 29624-2012 Ph: (864) 224-0822 |
| NPI Number | 1639102270 |
|---|---|
| Provider Enumeration Date | 07/08/2006 |
| Last Update Date | 09/16/2016 |
| Medicare PECOS PAC ID | 1951215243 |
|---|---|
| Medicare Enrollment ID | O20040130000302 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639102270 | NPI | - | NPPES |
| GP3160 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | David A Mccann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588633358 PECOS PAC ID: 2466356811 Enrollment ID: I20031126000297 |
| Provider Name | Joseph M Mcelwee |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1164442299 PECOS PAC ID: 0244133833 Enrollment ID: I20040130000457 |
| Provider Name | Kashfia D Hossain |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770532657 PECOS PAC ID: 9234029083 Enrollment ID: I20040317000161 |
| Provider Name | Zafar Hossain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316997257 PECOS PAC ID: 7214921204 Enrollment ID: I20040413000330 |
| Provider Name | Nathan Bradford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407876477 PECOS PAC ID: 9032196118 Enrollment ID: I20040707000170 |
| Provider Name | Dixon Courson Cunningham |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487647582 PECOS PAC ID: 2264402783 Enrollment ID: I20040730000286 |
| Provider Name | Michael Seemuller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245200161 PECOS PAC ID: 9234103664 Enrollment ID: I20040823000501 |
| 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 | Natawadee Prasertphon Young |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194832618 PECOS PAC ID: 6406806611 Enrollment ID: I20050126000183 |
| Provider Name | David Griffin |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1508823618 PECOS PAC ID: 0042100117 Enrollment ID: I20050426000780 |
| 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 | Peter J Carek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255449294 PECOS PAC ID: 0648206201 Enrollment ID: I20050714000586 |
| Provider Name | Stuart M Barnes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114106325 PECOS PAC ID: 2062317647 Enrollment ID: I20050719000156 |
| Provider Name | Anil K Tammineni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598715674 PECOS PAC ID: 1658301874 Enrollment ID: I20050817000840 |
| Provider Name | Michael A Rivera |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235173048 PECOS PAC ID: 6002841012 Enrollment ID: I20050928001053 |
| Provider Name | Shannon H Bledsoe |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235170200 PECOS PAC ID: 1254366685 Enrollment ID: I20051004000772 |
| Provider Name | John D Deholl |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1841209509 PECOS PAC ID: 1355366683 Enrollment ID: I20051006000057 |
| Provider Name | Jessie R Wilson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1740298454 PECOS PAC ID: 1759293988 Enrollment ID: I20051006000068 |
| Provider Name | Rajiv Joglekar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962451534 PECOS PAC ID: 3577584820 Enrollment ID: I20051214000371 |
| Provider Name | Timothy L Duniho |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720021207 PECOS PAC ID: 9739103144 Enrollment ID: I20060124000531 |
| Provider Name | Henry B Hearn |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821035627 PECOS PAC ID: 3072537497 Enrollment ID: I20060124000555 |
| Provider Name | Jill I Spencer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326148529 PECOS PAC ID: 2769496884 Enrollment ID: I20060127000520 |
| Provider Name | Lisa G Bryant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679661748 PECOS PAC ID: 8527075118 Enrollment ID: I20060307000244 |
| Provider Name | Larry S Davidson |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1154381465 PECOS PAC ID: 6709892383 Enrollment ID: I20060612000260 |
| Provider Name | Danielle W Shelley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881638302 PECOS PAC ID: 2264445097 Enrollment ID: I20060724000076 |
| Provider Name | David W Strathern |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1407816507 PECOS PAC ID: 5294748554 Enrollment ID: I20060803000292 |
| 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 | Jonathan Parker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518954551 PECOS PAC ID: 5597764274 Enrollment ID: I20061206000299 |
| Provider Name | Mandy Mitchell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912000142 PECOS PAC ID: 0446250500 Enrollment ID: I20070115000056 |
| Provider Name | Daniel Koontz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487681805 PECOS PAC ID: 8022019082 Enrollment ID: I20070118000421 |
| 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 | Kyle K Nelson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316998180 PECOS PAC ID: 4880652270 Enrollment ID: I20070313000560 |
| Provider Name | Suresh Khandekar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1316917214 PECOS PAC ID: 3476527565 Enrollment ID: I20070418000285 |
| Provider Name | Vidal M 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 | Joseph Andrew Manfredi |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1053362269 PECOS PAC ID: 5890705248 Enrollment ID: I20070731000162 |
| Provider Name | Melissa A. Saxon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528264314 PECOS PAC ID: 0345331674 Enrollment ID: I20070801000204 |
| Provider Name | Diana D Clemow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164540076 PECOS PAC ID: 1951499292 Enrollment ID: I20071120000215 |
| Provider Name | Kristen Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346449550 PECOS PAC ID: 3870682073 Enrollment ID: I20071210000642 |
| Provider Name | Hui-tzu M Kiang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205956414 PECOS PAC ID: 8123193364 Enrollment ID: I20080822000016 |
| Provider Name | Michelle L Tucker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538280755 PECOS PAC ID: 6406915248 Enrollment ID: I20081107000328 |
| Provider Name | Sharon L Holcombe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285826347 PECOS PAC ID: 5890844682 Enrollment ID: I20090528000042 |
| Provider Name | William David Frazier |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1700069648 PECOS PAC ID: 3779634894 Enrollment ID: I20090701000479 |
| Provider Name | Shelley R Wells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689796716 PECOS PAC ID: 1456404177 Enrollment ID: I20090728000816 |
| Provider Name | Scott M Hovis |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1730219205 PECOS PAC ID: 0143316646 Enrollment ID: I20090807000038 |
| Provider Name | Sandip Jain |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750456869 PECOS PAC ID: 7113091943 Enrollment ID: I20090818000022 |
| 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 | Jennifer Lingerfelt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043440167 PECOS PAC ID: 2466508544 Enrollment ID: I20090915000018 |
| Provider Name | Fahd A Zarrouf |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396867461 PECOS PAC ID: 0244376416 Enrollment ID: I20091002000016 |
| Provider Name | April N Mann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295961399 PECOS PAC ID: 3072650548 Enrollment ID: I20091103000036 |
| 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 | 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 | John Kabas |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1740232461 PECOS PAC ID: 1557406220 Enrollment ID: I20100305000124 |
| Provider Name | Melody Franks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073562971 PECOS PAC ID: 5496817215 Enrollment ID: I20100608000064 |
| 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 | James Mark Dorn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578532347 PECOS PAC ID: 9032240478 Enrollment ID: I20100628001026 |
| Provider Name | Kimberly S Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205805074 PECOS PAC ID: 4486785441 Enrollment ID: I20100708000555 |
| Provider Name | David L Kyle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952370728 PECOS PAC ID: 0446154801 Enrollment ID: I20100708000609 |
| Provider Name | James Stokes |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1952490351 PECOS PAC ID: 0840322913 Enrollment ID: I20100726000310 |
| Provider Name | Donna Millar Potts |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659401669 PECOS PAC ID: 8022014216 Enrollment ID: I20100804000002 |
| Provider Name | Kent H Kistler |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1730171166 PECOS PAC ID: 4688708670 Enrollment ID: I20100812000509 |
| Provider Name | Shahzad Hussain Sheikh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1023009644 PECOS PAC ID: 3173650140 Enrollment ID: I20100927000416 |
| Provider Name | Jane W Riester |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1518988450 PECOS PAC ID: 2961413281 Enrollment ID: I20100927001128 |
| Provider Name | Mark Peter Redding |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1851399612 PECOS PAC ID: 8921905209 Enrollment ID: I20100928001122 |
| Provider Name | James G Foster |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871548412 PECOS PAC ID: 6709078397 Enrollment ID: I20101014000907 |
| 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 | William M Rambo |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1619079753 PECOS PAC ID: 6002018447 Enrollment ID: I20101027001175 |
| Provider Name | Mary Beth Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386959054 PECOS PAC ID: 4789878901 Enrollment ID: I20101102000499 |
| 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 | James Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578756904 PECOS PAC ID: 4981899697 Enrollment ID: I20101108000949 |
| Provider Name | Paul Allen Brill |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528092673 PECOS PAC ID: 3971799735 Enrollment ID: I20101119000340 |
| 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 | Raymond Kirk Seiler |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1073625307 PECOS PAC ID: 8022207075 Enrollment ID: I20110106000941 |
| Provider Name | Dennis Steven Whatley |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1518079839 PECOS PAC ID: 1759487077 Enrollment ID: I20110107000848 |
| Provider Name | Justin Mark Moore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013178110 PECOS PAC ID: 1951590611 Enrollment ID: I20110111000587 |
| Provider Name | Kara Jp Shrum |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316966278 PECOS PAC ID: 5890975395 Enrollment ID: I20110215000486 |
| Provider Name | Jeffery J Dorociak |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1407805328 PECOS PAC ID: 0345231973 Enrollment ID: I20110309000745 |
| Provider Name | Aaron C Macdonald |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1649282245 PECOS PAC ID: 1850573072 Enrollment ID: I20110309000793 |
| Provider Name | Karen P Jones |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154627131 PECOS PAC ID: 3375727373 Enrollment ID: I20110418000083 |
| Provider Name | Brian M Sadowski |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1841464443 PECOS PAC ID: 5698845238 Enrollment ID: I20110726000566 |
| Provider Name | Abhijit A Raval |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508052275 PECOS PAC ID: 8325115108 Enrollment ID: I20110802000756 |
| Provider Name | Maureen A Burbage |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871746396 PECOS PAC ID: 1850563198 Enrollment ID: I20111011000489 |
| Provider Name | Andrew D Clark |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699798504 PECOS PAC ID: 4789718479 Enrollment ID: I20111027000914 |
| Provider Name | Kimberly Gail Kyker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992942502 PECOS PAC ID: 1658538558 Enrollment ID: I20120203000705 |
| Provider Name | Kumar R. Patel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497893614 PECOS PAC ID: 8729273420 Enrollment ID: I20120221001081 |
| Provider Name | Kathleen Sheppard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831384619 PECOS PAC ID: 9537328422 Enrollment ID: I20120313000451 |
| Provider Name | Tara H Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528327418 PECOS PAC ID: 7416112602 Enrollment ID: I20120713000605 |
| Provider Name | Peter Clifford Netzler |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1225110141 PECOS PAC ID: 4385890664 Enrollment ID: I20120802000521 |
| Provider Name | Kimberly Renee Ostrowski |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1932399136 PECOS PAC ID: 6204082365 Enrollment ID: I20120807000067 |
| Provider Name | Katherine Elizabeth Beben |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235322736 PECOS PAC ID: 3577697861 Enrollment ID: I20120815000073 |
| Provider Name | Frank Brown Beacham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043448145 PECOS PAC ID: 1254587702 Enrollment ID: I20120816000041 |
| Provider Name | Brian J Mulroy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770711137 PECOS PAC ID: 4789831074 Enrollment ID: I20120821000681 |
| Provider Name | Mary Alice Lollis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922360593 PECOS PAC ID: 0941457493 Enrollment ID: I20120906000006 |
| Provider Name | Syed Malik |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1184713992 PECOS PAC ID: 9537056981 Enrollment ID: I20120912000816 |
| Provider Name | Paul Lawson Davis |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1396929964 PECOS PAC ID: 8729238423 Enrollment ID: I20121015000270 |
| Provider Name | Jessica Michelle Chepa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629327713 PECOS PAC ID: 4587814140 Enrollment ID: I20121017000628 |
| Provider Name | Samuel T Mattox |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750650768 PECOS PAC ID: 5799935136 Enrollment ID: I20121022000232 |
| Provider Name | Thomas J Way |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1386897346 PECOS PAC ID: 6608017645 Enrollment ID: I20130802000329 |
| Provider Name | Adam Harrison Beall |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1275807026 PECOS PAC ID: 2961653068 Enrollment ID: I20130808000194 |
| Provider Name | Peter Jeffrey Bechtel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1144481383 PECOS PAC ID: 4082851977 Enrollment ID: I20130814000183 |
| Provider Name | Kenneth C Walters |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366679458 PECOS PAC ID: 9436326220 Enrollment ID: I20130814000353 |
| Provider Name | David A Jones |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295167419 PECOS PAC ID: 8224262258 Enrollment ID: I20131007001112 |
| Provider Name | Allison G Chandler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497917793 PECOS PAC ID: 5092940635 Enrollment ID: I20131122001873 |
| 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 | Laura B Saylors |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063844967 PECOS PAC ID: 0042443699 Enrollment ID: I20140506000471 |
| Provider Name | Jennifer Ann Mohr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295173532 PECOS PAC ID: 5991928087 Enrollment ID: I20140516001946 |
| Provider Name | Joseph B Mulvihill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821385642 PECOS PAC ID: 1456574995 Enrollment ID: I20140602000497 |
| Provider Name | Candace G Whitfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710307103 PECOS PAC ID: 9335364942 Enrollment ID: I20140715000745 |
| Provider Name | Anita Meyers Vagnoni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356355747 PECOS PAC ID: 1355445495 Enrollment ID: I20140929001947 |
| Provider Name | Erik D Zarandy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700148293 PECOS PAC ID: 1759503741 Enrollment ID: I20141106001119 |
| Provider Name | Donna D Burroughs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831213545 PECOS PAC ID: 7012139751 Enrollment ID: I20141112001400 |
| Provider Name | Ravi Kant |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1720242183 PECOS PAC ID: 2466775838 Enrollment ID: I20141217000228 |
| 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 | Ricky Alan Henderson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1487667523 PECOS PAC ID: 5890790034 Enrollment ID: I20150226001689 |
| Provider Name | Patti A Dolan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1093797227 PECOS PAC ID: 8224161229 Enrollment ID: I20150609002623 |
| Provider Name | Matthew B Sellers |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1528225356 PECOS PAC ID: 6507040706 Enrollment ID: I20150926000169 |
| Provider Name | Bethany Anne Powers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649577610 PECOS PAC ID: 3678711215 Enrollment ID: I20151009002279 |
| Provider Name | Sherrie R Dansby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851772537 PECOS PAC ID: 8123337698 Enrollment ID: I20151023000536 |
| Provider Name | John C Saunders |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1609004761 PECOS PAC ID: 0244450450 Enrollment ID: I20151026000120 |
| Provider Name | Elizabeth Raynor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548638695 PECOS PAC ID: 9335458637 Enrollment ID: I20151028001177 |
| Provider Name | Michael Edward Nash |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1770587271 PECOS PAC ID: 7517974447 Enrollment ID: I20151109002187 |
| Provider Name | Candace Ashley Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417352915 PECOS PAC ID: 3971803222 Enrollment ID: I20151118002413 |
| Provider Name | Donna G Marcengill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316318454 PECOS PAC ID: 1153623137 Enrollment ID: I20160107002106 |
| Provider Name | Julie Chiappini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568820413 PECOS PAC ID: 1759680911 Enrollment ID: I20160422000973 |
| Provider Name | Andrea Ray Pitts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578803862 PECOS PAC ID: 0749589760 Enrollment ID: I20160426001114 |
| Provider Name | Jennifer Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831557149 PECOS PAC ID: 1456640671 Enrollment ID: I20160511001602 |
| Provider Name | Joseph Harold Kratzer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124004627 PECOS PAC ID: 5799753570 Enrollment ID: I20160615001855 |
| Provider Name | Robert L Allman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376804658 PECOS PAC ID: 4284928276 Enrollment ID: I20160815001492 |
| Provider Name | Sara Sheehan Wallace |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003255605 PECOS PAC ID: 9931493806 Enrollment ID: I20160816001224 |
| Provider Name | Elizabeth Gail Dewald |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437411840 PECOS PAC ID: 9931364437 Enrollment ID: I20160830002263 |
| Provider Name | Jay B Nayak |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1427275437 PECOS PAC ID: 6305023680 Enrollment ID: I20160909001022 |
| Provider Name | Kala J Gillespie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346699428 PECOS PAC ID: 8729366372 Enrollment ID: I20161102000190 |
| Provider Name | S. B Diomampo |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1225382336 PECOS PAC ID: 5193025518 Enrollment ID: I20161129002335 |
| Provider Name | Matthew T Helm |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598217366 PECOS PAC ID: 7214219732 Enrollment ID: I20170118001190 |
| Provider Name | Jane E Mitchum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164972899 PECOS PAC ID: 9638453020 Enrollment ID: I20170302001979 |
| Provider Name | Christopher Michael Holland |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1235373218 PECOS PAC ID: 9638497373 Enrollment ID: I20170306001001 |
| Provider Name | Jeffrey S Delo |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1295776383 PECOS PAC ID: 9032171905 Enrollment ID: I20170314001211 |
| Provider Name | Andrew Torre Healy |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1699949669 PECOS PAC ID: 6204074776 Enrollment ID: I20170404001019 |
| Provider Name | Karla L Cook |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033322193 PECOS PAC ID: 6406132984 Enrollment ID: I20170418001033 |
| Provider Name | Kelly O Tiller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457897837 PECOS PAC ID: 6901182369 Enrollment ID: I20170419001451 |
| 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 | Mary F Finney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275947376 PECOS PAC ID: 5193013456 Enrollment ID: I20170621001750 |
| Provider Name | Jessica G Bolden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144754680 PECOS PAC ID: 9335418565 Enrollment ID: I20170703001404 |
| Provider Name | Robert C Bryant |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114331154 PECOS PAC ID: 6507154762 Enrollment ID: I20170808000686 |
| Provider Name | Vipin Verma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093156580 PECOS PAC ID: 9931494200 Enrollment ID: I20170822001299 |
| Provider Name | Sarah M Wheat |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689018327 PECOS PAC ID: 7214209220 Enrollment ID: I20170824002760 |
| Provider Name | Lisa R Cobb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417485129 PECOS PAC ID: 0143593129 Enrollment ID: I20170913003456 |
| Provider Name | Tracey G Schofield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184931081 PECOS PAC ID: 4284909987 Enrollment ID: I20171005002298 |
| Provider Name | Kelly A Caldwell |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1295117406 PECOS PAC ID: 1850659475 Enrollment ID: I20180103000139 |
| Provider Name | Andrew Hagenauer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063894590 PECOS PAC ID: 8123316262 Enrollment ID: I20180314002294 |
| Provider Name | Arthur Buist Jordan |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1548642325 PECOS PAC ID: 6709164981 Enrollment ID: I20180319001953 |
| Provider Name | Nicole Megan Portela |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255824611 PECOS PAC ID: 9638426588 Enrollment ID: I20180724000075 |
| Provider Name | Ziad A Hage |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1720251887 PECOS PAC ID: 6002124682 Enrollment ID: I20180727002201 |
| Provider Name | Ricky E Olson |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1700966157 PECOS PAC ID: 1254423163 Enrollment ID: I20180813000852 |
| Provider Name | Teresa Lynn Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366530768 PECOS PAC ID: 9234122649 Enrollment ID: I20180815000105 |
| Provider Name | Harlan J Bruner |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1487826079 PECOS PAC ID: 0840345146 Enrollment ID: I20180824000413 |
| Provider Name | David E Cothran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356844757 PECOS PAC ID: 7416206396 Enrollment ID: I20180827001276 |
| Provider Name | Douglas L Stofko |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1942525704 PECOS PAC ID: 7517100308 Enrollment ID: I20180907001353 |
| Provider Name | Kendall N Shirley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487003216 PECOS PAC ID: 2062790298 Enrollment ID: I20180918001384 |
| Provider Name | Richard P Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427406305 PECOS PAC ID: 7416245782 Enrollment ID: I20180918001748 |
| Provider Name | Christian H Richey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497105910 PECOS PAC ID: 7517255870 Enrollment ID: I20181001001801 |
| Provider Name | Chelsea A Thomason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528546702 PECOS PAC ID: 5597017681 Enrollment ID: I20181018001221 |
| 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 | Frendester S Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457839714 PECOS PAC ID: 3173876356 Enrollment ID: I20181106000959 |
| Provider Name | Lauren Elizabeth Craig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356817449 PECOS PAC ID: 7618213323 Enrollment ID: I20190116001785 |
| 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 | William N Gasque |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740713668 PECOS PAC ID: 4981970373 Enrollment ID: I20190812002475 |
| Provider Name | Rachel Suzanne Kee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740714641 PECOS PAC ID: 0143596544 Enrollment ID: I20190813002302 |
| Provider Name | Eric Cromer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366975286 PECOS PAC ID: 2961778444 Enrollment ID: I20190821001725 |
| Provider Name | Travis Michael Patterson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1306285978 PECOS PAC ID: 1355636085 Enrollment ID: I20190826001756 |
| Provider Name | Erin R Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124675194 PECOS PAC ID: 3072844547 Enrollment ID: I20191015000227 |
| Provider Name | William Min |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1841495710 PECOS PAC ID: 4284759010 Enrollment ID: I20191015001651 |
| Provider Name | Jay Naresh Shah |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1497989164 PECOS PAC ID: 6709007453 Enrollment ID: I20191016002716 |
| Provider Name | Andrew M Steiner |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1871768788 PECOS PAC ID: 9931272937 Enrollment ID: I20191022002847 |
| Provider Name | Mary A Gould |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265804041 PECOS PAC ID: 4880904044 Enrollment ID: I20191031000278 |
| Provider Name | Joseph William Pullekines |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1184628570 PECOS PAC ID: 2567439300 Enrollment ID: I20200109001474 |
| Provider Name | Catherine Roberts Bartholomew |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1689674095 PECOS PAC ID: 2062502396 Enrollment ID: I20200221002669 |
| Provider Name | Michael Martin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396727574 PECOS PAC ID: 2769663475 Enrollment ID: I20200323002914 |
| Provider Name | Zachary Griggs |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1063805992 PECOS PAC ID: 4486967189 Enrollment ID: I20200717002576 |
| Provider Name | Kimberly Lovejoy Baier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265058374 PECOS PAC ID: 1456776046 Enrollment ID: I20200729002935 |
| Provider Name | Tedra Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821586645 PECOS PAC ID: 5890049902 Enrollment ID: I20200729003450 |
| Provider Name | Dean Horacio Trantham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740778513 PECOS PAC ID: 9234489196 Enrollment ID: I20200731002601 |
| Provider Name | Meridith Ferguson Odom |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659891059 PECOS PAC ID: 3173898657 Enrollment ID: I20200803002454 |
| Provider Name | Jonathan Sappington |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437647278 PECOS PAC ID: 1153675269 Enrollment ID: I20200804000509 |
| Provider Name | Kevin Hamilton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770071177 PECOS PAC ID: 6406100171 Enrollment ID: I20200804001997 |
| Provider Name | Hollie Elizabeth Ables |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528556362 PECOS PAC ID: 1557615663 Enrollment ID: I20200810000737 |
| Provider Name | Gerald Bertiger |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1265470140 PECOS PAC ID: 5597654533 Enrollment ID: I20200810001387 |
| Provider Name | Matthew Hardy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659869972 PECOS PAC ID: 0840544946 Enrollment ID: I20200812002888 |
| Provider Name | Brian Miller |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1952668964 PECOS PAC ID: 3577798164 Enrollment ID: I20200813000704 |
| Provider Name | Spencer Matthews |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073001491 PECOS PAC ID: 0547514655 Enrollment ID: I20200813003834 |
| Provider Name | Blake A Rudeseal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275021420 PECOS PAC ID: 3173877859 Enrollment ID: I20200818001193 |
| Provider Name | James Wilkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619465663 PECOS PAC ID: 2264786375 Enrollment ID: I20200824002418 |
| Provider Name | Michael Courtney Windham |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1861697740 PECOS PAC ID: 2668668393 Enrollment ID: I20200911000988 |
| Provider Name | Amanda Burnette |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427546233 PECOS PAC ID: 1658625769 Enrollment ID: I20200914002424 |
| Provider Name | Hunter Hsu |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1285052753 PECOS PAC ID: 5890915524 Enrollment ID: I20200914002956 |
| Provider Name | Jeffrey Larson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1013166990 PECOS PAC ID: 4082857594 Enrollment ID: I20200914002962 |
| Provider Name | Hamza Khalid |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1063667608 PECOS PAC ID: 2668788902 Enrollment ID: I20201020002156 |
| Provider Name | Kathryn Hallman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841802238 PECOS PAC ID: 1153741442 Enrollment ID: I20201027001014 |
| Provider Name | Gretchen Hsu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578982351 PECOS PAC ID: 2860612181 Enrollment ID: I20210212000202 |
| Provider Name | Carly Dixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831706589 PECOS PAC ID: 0143639484 Enrollment ID: I20210517002292 |
| Provider Name | Walter Burke Lackey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851854830 PECOS PAC ID: 2567793904 Enrollment ID: I20210617001255 |
| Provider Name | Amanda D Dorn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982164810 PECOS PAC ID: 7810229648 Enrollment ID: I20210618000340 |
| Provider Name | Anietra Deneen Lashawn Bailey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851854764 PECOS PAC ID: 7719319516 Enrollment ID: I20210618000833 |
| Provider Name | Sajiv Alias |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992266910 PECOS PAC ID: 1759613573 Enrollment ID: I20210623000918 |
| Provider Name | Zachary J Brownlee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982166617 PECOS PAC ID: 9335571306 Enrollment ID: I20210624000302 |
| Provider Name | Nathan Seeberger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336600477 PECOS PAC ID: 4880925411 Enrollment ID: I20210624000385 |
| Provider Name | Phillip Roper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629539671 PECOS PAC ID: 3870925985 Enrollment ID: I20210624000582 |
| Provider Name | Logan Brenk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194287037 PECOS PAC ID: 4587996319 Enrollment ID: I20210630000382 |
| Provider Name | Drew A Flemming |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437611290 PECOS PAC ID: 9638501943 Enrollment ID: I20210804003886 |
| Provider Name | Caitlin Collier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548405244 PECOS PAC ID: 4385954072 Enrollment ID: I20210903001266 |
| Provider Name | Laurie A Rousseau |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134230501 PECOS PAC ID: 7416003900 Enrollment ID: I20210916002089 |
| Provider Name | Kayla Reynolds Thomason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942828090 PECOS PAC ID: 2062800907 Enrollment ID: I20211027000262 |
| Provider Name | Korey Richard Graettinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497997209 PECOS PAC ID: 4981093242 Enrollment ID: I20211109000380 |
| Provider Name | John Bell |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1235517202 PECOS PAC ID: 4486076981 Enrollment ID: I20211110000537 |
| Provider Name | Michelle Benes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225141211 PECOS PAC ID: 2769589191 Enrollment ID: I20211124001444 |
| Provider Name | Mitchell Austin |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1639288749 PECOS PAC ID: 5698861094 Enrollment ID: I20220623000061 |
| Provider Name | Collin Jack Andrus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497383988 PECOS PAC ID: 4981022167 Enrollment ID: I20220707000771 |
| Provider Name | Preet Bagi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1245432145 PECOS PAC ID: 1254584006 Enrollment ID: I20220713000662 |
| Provider Name | Lauren Nicole Goodwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790426526 PECOS PAC ID: 4385025691 Enrollment ID: I20220718003554 |
| Provider Name | Christian Michael Askew |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952939001 PECOS PAC ID: 6002234267 Enrollment ID: I20220720000538 |
| Provider Name | Allie C Redding |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427686047 PECOS PAC ID: 0446678627 Enrollment ID: I20220728000406 |
| Provider Name | Joseph Daniel Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679100796 PECOS PAC ID: 8123446317 Enrollment ID: I20220803001956 |
| Provider Name | Taylor N Haines |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467089474 PECOS PAC ID: 4082032685 Enrollment ID: I20220808001958 |
| 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 | 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 | Tarra D Wasilchen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518231968 PECOS PAC ID: 0648559195 Enrollment ID: I20220827000033 |
| Provider Name | Elizabeth Kitt Rankin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407574247 PECOS PAC ID: 9830573955 Enrollment ID: I20220908001414 |
| Provider Name | Brooke Barker Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558089813 PECOS PAC ID: 0143604215 Enrollment ID: I20220908003101 |
| Provider Name | Megan Elizabeth Doyle Mcclam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740644343 PECOS PAC ID: 2163713629 Enrollment ID: I20220909002719 |
| Provider Name | Jessica W Draisen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659877868 PECOS PAC ID: 0840675310 Enrollment ID: I20220920000491 |
| Provider Name | Jack Roh Oak |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1326269648 PECOS PAC ID: 2062477573 Enrollment ID: I20220927002242 |
| Provider Name | Viktoriya Rose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427782929 PECOS PAC ID: 8426425331 Enrollment ID: I20221107001708 |
| Provider Name | Jonelle George |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1700226693 PECOS PAC ID: 4486984465 Enrollment ID: I20221212001964 |
| Provider Name | Elizabeth Anne Stuart Whitman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013621721 PECOS PAC ID: 0244601557 Enrollment ID: I20230125000768 |
| 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 Chen |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1871974428 PECOS PAC ID: 1355658865 Enrollment ID: I20230310002598 |
| Provider Name | Laura J Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841328739 PECOS PAC ID: 7911362355 Enrollment ID: I20230508001703 |
| Provider Name | Giang T Ha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114513124 PECOS PAC ID: 6204239684 Enrollment ID: I20230703002817 |
| Provider Name | Austin Wesley Mahaffey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376121178 PECOS PAC ID: 8628471265 Enrollment ID: I20230706001169 |
| Provider Name | Michael R Kopscik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952989048 PECOS PAC ID: 7416350699 Enrollment ID: I20230706004014 |
| Provider Name | John Elliott Calvert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720668700 PECOS PAC ID: 3375946346 Enrollment ID: I20230719000629 |
| Provider Name | Kevin P Rinek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891375168 PECOS PAC ID: 0840693883 Enrollment ID: I20230720004051 |
| Provider Name | Graham Mann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396366332 PECOS PAC ID: 8224450283 Enrollment ID: I20230807000801 |
| Provider Name | Charles Rowland Burns |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639755002 PECOS PAC ID: 0143623850 Enrollment ID: I20230807002709 |
| Provider Name | Amy Elizabeth Bradshaw |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508444803 PECOS PAC ID: 9537562582 Enrollment ID: I20230810003477 |
| Provider Name | Vasant Jayasankar |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1881763704 PECOS PAC ID: 0143313650 Enrollment ID: I20230823001609 |
| Provider Name | Alexander Louis Bisch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093394611 PECOS PAC ID: 3072915230 Enrollment ID: I20230828004034 |
| Provider Name | Carianna Sherrell Beck Coston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336761188 PECOS PAC ID: 8426476490 Enrollment ID: I20230830003477 |
| Provider Name | John Muhonen |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1376994053 PECOS PAC ID: 6507151784 Enrollment ID: I20230830004406 |
| Provider Name | Ashley Mcneal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881272169 PECOS PAC ID: 6507260171 Enrollment ID: I20230908003662 |
| Provider Name | Michael Thomas Weingarten |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508446659 PECOS PAC ID: 7618371360 Enrollment ID: I20230926001025 |
| Provider Name | Andrew Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225727423 PECOS PAC ID: 8325492028 Enrollment ID: I20230928004056 |
| Provider Name | Krystal Mattison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396425971 PECOS PAC ID: 7517314081 Enrollment ID: I20231106003063 |
| Provider Name | Cherie Baggett Shuler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760062301 PECOS PAC ID: 2062816770 Enrollment ID: I20231108001345 |
| Provider Name | Mary Marie Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215637301 PECOS PAC ID: 8022465756 Enrollment ID: I20231116003390 |
| Provider Name | Donna Gray Tingle |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497939615 PECOS PAC ID: 7810346327 Enrollment ID: I20231208003230 |
| Provider Name | Amir Prushani |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275762858 PECOS PAC ID: 4981837473 Enrollment ID: I20240117003434 |
Anmed Primary Care-family Medicine Residency Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2000 E Greenville St, Suite 3700, Anderson, SC 29621 Phone: 864-512-1475 Fax: 864-512-1930 | |
Clifton Straughn, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 E Greenville St Ste S, Anderson, SC 29621 Phone: 864-224-5689 Fax: 864-255-2349 | |
Anmed Primary Care - Lakeside Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4120 Highway 24, Anderson, SC 29626 Phone: 864-512-5830 Fax: 864-224-4999 | |
Family Medicine Specialists Of Anderson, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 813 N Fant St, Anderson, SC 29621 Phone: 864-260-1590 Fax: 864-260-1596 | |
Upstate Family Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1517 N Fant St, Anderson, SC 29621 Phone: 864-226-1899 Fax: 864-226-5847 | |
Paradigm Medical Services,pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 110 Perpetual Square Drive, Anderson, SC 29621 Phone: 864-261-9888 Fax: 864-226-0407 | |
Wickiser Rehab & Wellness Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3618 E River St, Anderson, SC 29621 Phone: 864-224-0246 Fax: 864-224-2524 |