Anmed Primary Care - Easley | |
111 W Roper Rd Easley SC 29640-8805 | |
(864) 897-8280 | |
(864) 897-8281 |
Full Name | Anmed Primary Care - Easley |
---|---|
Speciality | Clinic/Center |
Location | 111 W Roper Rd, Easley, South Carolina |
Authorized Official Name and Position | Michael Cunningham (PRESIDENT/CEO) |
Authorized Official Contact | 8648981133 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Anmed Primary Care - Easley Po Box 100174 Columbia SC 29202-3174 Ph: (864) 897-8286 | Anmed Primary Care - Easley 111 W Roper Rd Easley SC 29640-8805 Ph: (864) 897-8280 |
NPI Number | 1700890084 |
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Provider Enumeration Date | 07/29/2006 |
Last Update Date | 07/28/2022 |
Medicare PECOS PAC ID | 8123930666 |
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Medicare Enrollment ID | O20040315000489 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700890084 | NPI | - | NPPES |
RHC171 | Medicaid | SC | |
GP4560 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261QR1300X | Clinic/center - Rural Health | (South Carolina) | Primary |
Provider Name | Robert Goodwin Person |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1740294305 PECOS PAC ID: 3476442658 Enrollment ID: I20040315000555 |
Provider Name | Daniel J Dahlhausen |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1568448561 PECOS PAC ID: 1355328386 Enrollment ID: I20040707000575 |
Provider Name | Glenda G Snyder |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346206380 PECOS PAC ID: 6709857592 Enrollment ID: I20040804001308 |
Provider Name | Lisa G Bryant |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679661748 PECOS PAC ID: 8527075118 Enrollment ID: I20060307000244 |
Provider Name | Peter Clark Schriver |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1124061445 PECOS PAC ID: 3274535711 Enrollment ID: I20070212000639 |
Provider Name | Trang D Lusk |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437345675 PECOS PAC ID: 6406943661 Enrollment ID: I20071105000249 |
Provider Name | Travis W Davis |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1669590477 PECOS PAC ID: 9739253642 Enrollment ID: I20080811000175 |
Provider Name | Byron P Marsh |
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Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1316902950 PECOS PAC ID: 9436225240 Enrollment ID: I20080902000384 |
Provider Name | Kimberly R Ostrowski |
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Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1932399136 PECOS PAC ID: 6204082365 Enrollment ID: I20120807000067 |
Provider Name | Elmer G Brown |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669804647 PECOS PAC ID: 2163650532 Enrollment ID: I20140109000759 |
Provider Name | Stacy L Browder |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699114561 PECOS PAC ID: 7012147556 Enrollment ID: I20140303001701 |
Provider Name | Jennifer L Cheek |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447665468 PECOS PAC ID: 1153543665 Enrollment ID: I20141118002303 |
Provider Name | Christine J Lawrence |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1053750257 PECOS PAC ID: 6406080050 Enrollment ID: I20161227000469 |
Provider Name | Joshua T Stone |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1700290814 PECOS PAC ID: 1153609151 Enrollment ID: I20170619001569 |
Provider Name | Heather Renee Turner |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558843664 PECOS PAC ID: 7810233376 Enrollment ID: I20190104001225 |
Provider Name | Lori K Ellenburg |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043738057 PECOS PAC ID: 8921349440 Enrollment ID: I20190410002737 |
Provider Name | Joseph William Pullekines |
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Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1184628570 PECOS PAC ID: 2567439300 Enrollment ID: I20200109001474 |
Provider Name | Dean Horacio Trantham |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1740778513 PECOS PAC ID: 9234489196 Enrollment ID: I20200731002601 |
Provider Name | Joshua Michael Roberts |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558851485 PECOS PAC ID: 3779965025 Enrollment ID: I20220802003878 |
Family Practice Associates Of Easley Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 Brushy Creek Rd, Easley, SC 29642 Phone: 864-306-9661 Fax: 864-306-8560 | |
Easley Family Practice & Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 106 John Street, Easley, SC 29640 Phone: 864-859-2220 Fax: 864-859-5744 | |
Bon Secours - Virtual Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 700 Brushy Creek Rd, Easley, SC 29642 Phone: 513-752-8000 | |
Easley Family Practice & Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 106 John Street, Easley, SC 29640 Phone: 864-442-7557 Fax: 864-442-7579 | |
Foothills Community Health Care Easley Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 403 Hillcrest Dr Ste E, Easley, SC 29640 Phone: 864-722-0283 | |
Fleetwood Internal Medicine Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 109b Fleetwood Dr, Easley, SC 29640 Phone: 864-855-1036 Fax: 864-855-3318 | |
Baptist Easley Hospital Based Providers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Fleetwood Dr Fl 2, Easley, SC 29640 Phone: 864-855-5104 Fax: 864-859-9362 |