| Southeastern Spine Institute,llc | |
|
1625 Hospital Dr Ste 200 Mt Pleasant SC 29464-3698 | |
| (843) 849-1551 | |
| Not Available |
| Full Name | Southeastern Spine Institute,llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1625 Hospital Dr Ste 200, Mt Pleasant, South Carolina |
| Authorized Official Name and Position | Richard F. Frisch (PARTNER) |
| Authorized Official Contact | 8438491551 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeastern Spine Institute,llc 1625 Hospital Dr Ste 200 Mt Pleasant SC 29464-3892 Ph: (843) 849-1551 | Southeastern Spine Institute,llc 1625 Hospital Dr Ste 200 Mt Pleasant SC 29464-3698 Ph: (843) 849-1551 |
| NPI Number | 1760534358 |
|---|---|
| Provider Enumeration Date | 01/17/2007 |
| Last Update Date | 03/30/2023 |
| Certification Date | 03/30/2023 |
| Medicare PECOS PAC ID | 7416842299 |
|---|---|
| Medicare Enrollment ID | O20040219000832 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760534358 | NPI | - | NPPES |
| Provider Name | Thomas S Anderson |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1275609489 PECOS PAC ID: 5799681326 Enrollment ID: I20040108000268 |
| Provider Name | Justin Swain |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417009499 PECOS PAC ID: 2062436116 Enrollment ID: I20060117000653 |
| Provider Name | Mark D Netherton |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1437267473 PECOS PAC ID: 6406807809 Enrollment ID: I20070626000074 |
| Provider Name | Bassam Kassab |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093985285 PECOS PAC ID: 8527115286 Enrollment ID: I20090415000270 |
| Provider Name | Amanda T Harridge |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912143819 PECOS PAC ID: 9234276304 Enrollment ID: I20091021000675 |
| Provider Name | Daniel R Butler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386796365 PECOS PAC ID: 9739210220 Enrollment ID: I20100628000303 |
| Provider Name | Steven C Poletti |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1508841859 PECOS PAC ID: 9234292251 Enrollment ID: I20100810000304 |
| Provider Name | Kirsten Dawson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194015156 PECOS PAC ID: 0042496333 Enrollment ID: I20110523000185 |
| Provider Name | Richard Francis Frisch |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1053528752 PECOS PAC ID: 4981796224 Enrollment ID: I20110805000001 |
| Provider Name | Ryan H Nobles |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1114188810 PECOS PAC ID: 9537303276 Enrollment ID: I20130918000521 |
| Provider Name | Meghan Nix |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750711701 PECOS PAC ID: 5597994848 Enrollment ID: I20140206001570 |
| Provider Name | Caitlin Lane Tuggle |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790197820 PECOS PAC ID: 3870719735 Enrollment ID: I20140729002802 |
| Provider Name | Sloane U Convey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568790699 PECOS PAC ID: 8527219799 Enrollment ID: I20150720002129 |
| Provider Name | German Levin |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1639117807 PECOS PAC ID: 6002888989 Enrollment ID: I20150722005991 |
| Provider Name | Timothy P Bryan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1841589538 PECOS PAC ID: 5597050179 Enrollment ID: I20170920003079 |
| Provider Name | Anna K Glenn |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619519360 PECOS PAC ID: 3476989088 Enrollment ID: I20200130000147 |
| Provider Name | Benjamin Alexander Schell |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1861802126 PECOS PAC ID: 7810226677 Enrollment ID: I20200924002204 |
| Provider Name | Blaire Howell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497300099 PECOS PAC ID: 6901215987 Enrollment ID: I20210503002414 |
| Provider Name | Caitlin Vereen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497423768 PECOS PAC ID: 8628476009 Enrollment ID: I20211015001186 |
| Provider Name | Mark B Hartman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1972592772 PECOS PAC ID: 5496772394 Enrollment ID: I20221207000515 |
| Provider Name | Michael Mosier |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1093241911 PECOS PAC ID: 0345649810 Enrollment ID: I20230228001771 |
| Provider Name | Harrison Plunkett |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1649682774 PECOS PAC ID: 4385971027 Enrollment ID: I20230712002519 |
| Provider Name | Megan Elisabeth Wedekind |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649029778 PECOS PAC ID: 9931632387 Enrollment ID: I20241024000847 |
Amnesty Health Group LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1280 Hospital Dr Unit 100, Mt Pleasant, SC 29464 Phone: 843-329-7555 Fax: 843-329-7561 |
Mt Pleasant Family Practice,pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 Bowman Rd, Suite 203, Mt Pleasant, SC 29464 Phone: 843-884-1341 Fax: 843-884-1345 |
Roper St. Francis Physician Partners Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3510 Highway 17 N, Suite 320, Mt Pleasant, SC 29466 Phone: 843-971-3361 Fax: 843-606-8003 |
United Wound & Vascular Institute South Carolina PLLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1240 Winnowing Way Unit 102, Mt Pleasant, SC 29466 Phone: 888-402-0202 Fax: 888-860-2960 |
Mt Pleasant Family Practice Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 Bowman Rd, Suite 203, Mt Pleasant, SC 29464 Phone: 843-884-1341 Fax: 843-884-1345 |
Sc-seweefamily Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 874 Whipple Rd, Suite 100, Mt Pleasant, SC 29464 Phone: 843-884-2133 Fax: 843-849-9466 |