Chester Medical Group, Llc | |
1 Medical Park Dr Building 4, Suite A Chester SC 29706-9769 | |
(803) 581-2001 | |
Not Available |
Full Name | Chester Medical Group, Llc |
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Speciality | Family Medicine |
Location | 1 Medical Park Dr, Chester, South Carolina |
Authorized Official Name and Position | Michael L Gingras (VICE PRESIDENT) |
Authorized Official Contact | 2395983131 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Chester Medical Group, Llc 5811 Pelican Bay Blvd Suite 500 Naples FL 34108-2704 Ph: (239) 598-3131 | Chester Medical Group, Llc 1 Medical Park Dr Building 4, Suite A Chester SC 29706-9769 Ph: (803) 581-2001 |
NPI Number | 1174753024 |
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Provider Enumeration Date | 07/24/2009 |
Last Update Date | 11/26/2012 |
Medicare PECOS PAC ID | 5496891038 |
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Medicare Enrollment ID | O20091012000495 |
Identifier | Type | State | Issuer |
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1174753024 | NPI | - | NPPES |
Provider Name | Samuel R Stone |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1063426955 PECOS PAC ID: 8325034382 Enrollment ID: I20040423000893 |
Provider Name | Julie W Bowers |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700884327 PECOS PAC ID: 6103876636 Enrollment ID: I20050124000170 |
Provider Name | Lorrie R Mello-shropshire |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1306865373 PECOS PAC ID: 5698728327 Enrollment ID: I20050223000032 |
Provider Name | Marion L Gibbons |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1003823931 PECOS PAC ID: 2961455696 Enrollment ID: I20050223000042 |
Provider Name | Malik E Ashe |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1366477788 PECOS PAC ID: 7416963442 Enrollment ID: I20060301000222 |
Provider Name | Paul F Zubel |
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Provider Type | Practitioner - Urology |
Provider Identifiers | NPI Number: 1225231061 PECOS PAC ID: 6901865898 Enrollment ID: I20110104001174 |
Provider Name | Swapna Paladugu |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1194037853 PECOS PAC ID: 2769618339 Enrollment ID: I20131204001226 |
Provider Name | James Dallis |
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Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1003850496 PECOS PAC ID: 4486641198 Enrollment ID: I20150120000859 |
Provider Name | Suresh Shripat Patil |
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Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1568790921 PECOS PAC ID: 4688826134 Enrollment ID: I20160121000835 |
Provider Name | Gregg C Mason |
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Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1922063353 PECOS PAC ID: 4082685714 Enrollment ID: I20161012000196 |
Provider Name | Siddharth Ved Malhotra |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1790004950 PECOS PAC ID: 6204011729 Enrollment ID: I20180104001073 |
Provider Name | Chandrakanth Boddu |
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Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1477936615 PECOS PAC ID: 4880943281 Enrollment ID: I20180817002302 |
North Central Family Medical, Chester Facility Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 Cestrain Sq, Chester, SC 29706 Phone: 803-581-0574 | |
Community Medicine Foundation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 524 Doctors Ct, Chester, SC 29706 Phone: 803-325-7744 | |
Ohio Valley Physicians Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 Hudson St, Chester, SC 29706 Phone: 803-377-8111 | |
Chester Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Park Dr, Bldg 4, Ste A, Chester, SC 29706 Phone: 803-581-2001 | |
Abner Creek Family Medicine, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Park Dr, Chester, SC 29706 Phone: 803-581-3163 Fax: 803-385-5388 | |
North Central Family Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 121 Saluda St, Chester, SC 29706 Phone: 803-325-7744 Fax: 803-377-2853 |