Lorie Stumpo, MD | |
173 Blue Heron Ln, North Augusta, SC 29841-6063 | |
(904) 388-6949 | |
Not Available |
Full Name | Lorie Stumpo |
---|---|
Gender | Female |
Speciality | Diagnostic Radiology |
Experience | 12 Years |
Location | 173 Blue Heron Ln, North Augusta, South Carolina |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932532900 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 80580 (Georgia) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | ME153225 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ascension St Vincent's Clay County | Middleburg, FL | Hospital |
Ascension St Vincent's Riverside | Jacksonville, FL | Hospital |
Ascension St Vincent's Southside | Jacksonville, FL | Hospital |
Au Medical Center | Augusta, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Drs. Mcclow, Clark And Berk Pa | 4587607577 | 23 |
Au Medical Associates Inc | 9931013513 | 585 |
Drs. Mcclow, Clark And Berk Pa | 4587607577 | 23 |
Entity Name | Au Medical Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841230620 PECOS PAC ID: 9931013513 Enrollment ID: O20040107000188 |
Entity Name | Wellstar Medical Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
Entity Name | Au Health Imaging, Llc |
---|---|
Entity Type | Part B Supplier - Independent Diagnostic Testing Facility (idtf) |
Entity Identifiers | NPI Number: 1487285193 PECOS PAC ID: 4688094105 Enrollment ID: O20201021001583 |
Entity Name | Drs. Mcclow, Clark & Berk Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669420436 PECOS PAC ID: 4587607577 Enrollment ID: O20211202000251 |
Mailing Address | Practice Location Address |
---|---|
Lorie Stumpo, MD Po Box 161180, Altamonte Springs, FL 32716-1180 Ph: (904) 388-6949 | Lorie Stumpo, MD 173 Blue Heron Ln, North Augusta, SC 29841-6063 Ph: (904) 388-6949 |
Suzanne M Thigpen, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 42 Overlook Ct, North Augusta, SC 29841 Phone: 803-474-6028 |