| Carolinas Medical Center | |
|
11 Gateway Corners Park Columbia SC 29203-8902 | |
| (704) 355-6569 | |
| Not Available |
| Full Name | Carolinas Medical Center |
|---|---|
| Speciality | Internal Medicine |
| Location | 11 Gateway Corners Park, Columbia, South Carolina |
| Authorized Official Name and Position | Scott Rissmiller (ENTERPRISE EVP) |
| Authorized Official Contact | 7043558675 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolinas Medical Center Po Box 19305 Charlotte NC 28219-9305 Ph: (704) 631-0002 | Carolinas Medical Center 11 Gateway Corners Park Columbia SC 29203-8902 Ph: (704) 355-6569 |
| NPI Number | 1780197335 |
|---|---|
| Provider Enumeration Date | 11/06/2017 |
| Last Update Date | 03/09/2023 |
| Medicare PECOS PAC ID | 4789597477 |
|---|---|
| Medicare Enrollment ID | O20180108002502 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780197335 | NPI | - | NPPES |
| Provider Name | Theodore Alan Frank |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1942211164 PECOS PAC ID: 6204728454 Enrollment ID: I20040325000238 |
| Provider Name | Sanjeev K Gulati |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1578574638 PECOS PAC ID: 3274587803 Enrollment ID: I20171113000505 |
| Provider Name | Joseph D Mishkin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1376692640 PECOS PAC ID: 9032218482 Enrollment ID: I20171122002066 |
| Provider Name | Mark William Russo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1588745392 PECOS PAC ID: 0042294068 Enrollment ID: I20180109001294 |
| Provider Name | Paul A Schmeltzer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1861671554 PECOS PAC ID: 8628101185 Enrollment ID: I20180109001505 |
| Provider Name | Andrew S Delemos |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1619098183 PECOS PAC ID: 1254487366 Enrollment ID: I20180109001590 |
| Provider Name | Lucy Neal Rashid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326410770 PECOS PAC ID: 0648571323 Enrollment ID: I20180802000807 |
| Provider Name | Kelli N White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538551338 PECOS PAC ID: 7618297136 Enrollment ID: I20180802001046 |
| Provider Name | Corey Allyson Guess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144329251 PECOS PAC ID: 6800898396 Enrollment ID: I20181029003167 |
| Provider Name | Kristin Hayes Monza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437692035 PECOS PAC ID: 7719269398 Enrollment ID: I20181203002658 |
| Provider Name | Amanda S Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063657823 PECOS PAC ID: 9931450327 Enrollment ID: I20190116003516 |
| Provider Name | Paula Jeanette Lastoria |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013164979 PECOS PAC ID: 5597826818 Enrollment ID: I20190221003096 |
| Provider Name | Rachel A Garcia |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1891016556 PECOS PAC ID: 2961705934 Enrollment ID: I20190502002874 |
| Provider Name | Nicole B Cyrille-superville |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1497047633 PECOS PAC ID: 7012275423 Enrollment ID: I20191119003357 |
| Provider Name | Shuktika Nandkeolyar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518353077 PECOS PAC ID: 3072896976 Enrollment ID: I20220902000753 |
| Provider Name | Amar Hirendra Doshi |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1144607581 PECOS PAC ID: 1658683545 Enrollment ID: I20221103000726 |
Lexington Health Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 109 Barton Creek Ct, Columbia, SC 29229 Phone: 803-256-2286 Fax: 803-419-8430 | |
Landmark Medical Of Tennessee Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1320 Main St Ste 300, Columbia, SC 29201 Phone: 657-400-5180 | |
Northlake Family Medical Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3000 Ne Medical Park, Ste 101, Columbia, SC 29223 Phone: 803-419-5131 Fax: 803-419-5130 | |
Richland Community Health Care Association Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3010 Farrow Rd, Suite 230, Columbia, SC 29203 Phone: 803-799-1284 Fax: 803-799-8148 | |
Lagniappe Medical Clinics, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 74 Polo Rd, Columbia, SC 29223 Phone: 803-419-7780 Fax: 803-419-7781 | |
Eau Claire Cooperative Health Center ,inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1228 Harden St Ste B, Columbia, SC 29204 Phone: 803-748-7002 Fax: 803-252-5259 | |
Providence Physician Practices Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2435 Forest Dr, Columbia, SC 29204 Phone: 803-256-5300 |