| Galileo Medical Group Sc Pc | |
|
220 N Main St Ste 500 Greenville SC 29601-2129 | |
| (800) 731-4254 | |
| Not Available |
| Full Name | Galileo Medical Group Sc Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 220 N Main St Ste 500, Greenville, South Carolina |
| Authorized Official Name and Position | Thomas Lee (PRESIDENT) |
| Authorized Official Contact | 8007314254 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Galileo Medical Group Sc Pc 64 Bleecker St # 151 New York NY 10012-2410 Ph: () - | Galileo Medical Group Sc Pc 220 N Main St Ste 500 Greenville SC 29601-2129 Ph: (800) 731-4254 |
| NPI Number | 1134890775 |
|---|---|
| Provider Enumeration Date | 09/23/2021 |
| Last Update Date | 10/12/2022 |
| Medicare PECOS PAC ID | 1254712136 |
|---|---|
| Medicare Enrollment ID | O20220725000403 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134890775 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Robert M Parrick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679643910 PECOS PAC ID: 8729099437 Enrollment ID: I20060509000869 |
| Provider Name | Andrew B Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265968770 PECOS PAC ID: 8123399482 Enrollment ID: I20170803003830 |
| Provider Name | Jeremy Alex Fuller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841821162 PECOS PAC ID: 4082041660 Enrollment ID: I20200220000004 |
| Provider Name | Rebecca A Belschner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295833085 PECOS PAC ID: 4284635822 Enrollment ID: I20200409000190 |
| Provider Name | Giselle Blair |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013276708 PECOS PAC ID: 3173824448 Enrollment ID: I20220725000506 |
| Provider Name | Ajay Haryani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043603756 PECOS PAC ID: 8527465152 Enrollment ID: I20220729001517 |
| Provider Name | Colleen Surlyn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053649418 PECOS PAC ID: 1456514629 Enrollment ID: I20220908002501 |
| Provider Name | Latina Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669091187 PECOS PAC ID: 2769803774 Enrollment ID: I20221029000118 |
| Provider Name | Derek Richardson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205061553 PECOS PAC ID: 1951570209 Enrollment ID: I20221215002936 |
| Provider Name | Daniel Weisberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841603834 PECOS PAC ID: 5799902003 Enrollment ID: I20230703001193 |
| Provider Name | Elizabeth Arbia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225329238 PECOS PAC ID: 9032337241 Enrollment ID: I20230809000859 |
| Provider Name | Jamila Irene Schwartz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528353430 PECOS PAC ID: 3072740281 Enrollment ID: I20230809003362 |
| Provider Name | Vyacheslav Mikheyev |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649598731 PECOS PAC ID: 2163655796 Enrollment ID: I20230810000070 |
| Provider Name | Christina Palmer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356636138 PECOS PAC ID: 3971827130 Enrollment ID: I20230811003252 |
| Provider Name | Karis Cho |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790909372 PECOS PAC ID: 0648457754 Enrollment ID: I20230814002707 |
| Provider Name | Jude Fleming-vaghjiani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104244532 PECOS PAC ID: 7517235724 Enrollment ID: I20230823000320 |
| Provider Name | Peter Kim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205148632 PECOS PAC ID: 9537358957 Enrollment ID: I20230915003632 |
| Provider Name | Juan Ramirez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396158382 PECOS PAC ID: 4880811132 Enrollment ID: I20230920002099 |
| Provider Name | Kelly Pike |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235524794 PECOS PAC ID: 0042565178 Enrollment ID: I20240329000775 |
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