Dr Travis Shoop, DNP, CRNA | |
1325 Spring St, Greenwood, SC 29646-3860 | |
(864) 725-4111 | |
Not Available |
Full Name | Dr Travis Shoop |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 1325 Spring St, Greenwood, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1124726831 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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367500000X | Nurse Anesthetist, Certified Registered | RN268293 (Georgia) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 27960 (South Carolina) | Primary |
Entity Name | Au Medical Associates Anesthesia Billing Services, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801843933 PECOS PAC ID: 1557256393 Enrollment ID: O20040219000488 |
Entity Name | Wellstar Medical Group, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
Mailing Address | Practice Location Address |
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Dr Travis Shoop, DNP, CRNA 1120 15th St, Augusta, GA 30912-0004 Ph: (706) 721-0211 | Dr Travis Shoop, DNP, CRNA 1325 Spring St, Greenwood, SC 29646-3860 Ph: (864) 725-4111 |
Susan Striegel-edwards, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1325 Spring St, Greenwood, SC 29646 Phone: 864-725-4111 | |
Cody Michael Nye, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1325 Spring St, Greenwood, SC 29646 Phone: 864-725-4111 | |
Karen Marie Tolley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1325 Spring St, Greenwood, SC 29646 Phone: 864-725-4111 | |
Mrs. Mary Parks Anderson, RN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1325 Spring St, Greenwood, SC 29646 Phone: 864-725-4111 | |
Todd Paul Nelson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1325 Spring St, Greenwood, SC 29646 Phone: 864-725-4111 | |
Nathaniel Lever, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1325 Spring St, Greenwood, SC 29646 Phone: 864-725-4111 |