| Gastroenterology Associates, Pa | |
|
125 Halton Road Suite 200 Greenville SC 29607-3507 | |
| (864) 232-7338 | |
| (864) 239-6645 |
| Full Name | Gastroenterology Associates, Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 125 Halton Road, Greenville, South Carolina |
| Authorized Official Name and Position | John Hickey (ADMINISTRATOR) |
| Authorized Official Contact | 8642327338 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gastroenterology Associates, Pa Po Box 8676 Greenville SC 29604-8676 Ph: (864) 232-7338 | Gastroenterology Associates, Pa 125 Halton Road Suite 200 Greenville SC 29607-3507 Ph: (864) 232-7338 |
| NPI Number | 1487684031 |
|---|---|
| Provider Enumeration Date | 07/03/2006 |
| Last Update Date | 08/30/2022 |
| Medicare PECOS PAC ID | 1951215433 |
|---|---|
| Medicare Enrollment ID | O20031118000794 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487684031 | NPI | - | NPPES |
| ========= | Other | SC | BCBS OF SC |
| PA1845 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Kathleen Irvin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538128145 PECOS PAC ID: 3476459637 Enrollment ID: I20031209000492 |
| Provider Name | Claude S Yarborough |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1538252283 PECOS PAC ID: 6305743907 Enrollment ID: I20031212000583 |
| Provider Name | Joseph W Holt |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1073608451 PECOS PAC ID: 3072410588 Enrollment ID: I20031215000072 |
| Provider Name | Suzy L Kim |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1205929965 PECOS PAC ID: 1052218575 Enrollment ID: I20031215000133 |
| Provider Name | Joseph S Lebel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1790878213 PECOS PAC ID: 9739086265 Enrollment ID: I20031215000171 |
| Provider Name | Glen G Daves |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1598850125 PECOS PAC ID: 5193622645 Enrollment ID: I20031215000306 |
| Provider Name | Gregory S Holt |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1588758908 PECOS PAC ID: 6103723515 Enrollment ID: I20031215000549 |
| Provider Name | Lance W Hudson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760462634 PECOS PAC ID: 4082517347 Enrollment ID: I20040202000752 |
| Provider Name | Diane Marie Ward Fox |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700886413 PECOS PAC ID: 2466434709 Enrollment ID: I20040602000335 |
| Provider Name | Tracy A Pedigo |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831179118 PECOS PAC ID: 8820075799 Enrollment ID: I20040630000166 |
| Provider Name | Donna J Proctor |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801850078 PECOS PAC ID: 6406836576 Enrollment ID: I20040721000507 |
| Provider Name | Jennifer M Patton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730120353 PECOS PAC ID: 6406836444 Enrollment ID: I20040721001055 |
| Provider Name | Maria M Pellegrino |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083628937 PECOS PAC ID: 5092611947 Enrollment ID: I20050119000966 |
| Provider Name | Paul Anthony Mazanec |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1831171081 PECOS PAC ID: 6507845245 Enrollment ID: I20050203000629 |
| Provider Name | Dina N Nelson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942280821 PECOS PAC ID: 1355393802 Enrollment ID: I20050214000375 |
| Provider Name | Todd P Nelson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114907490 PECOS PAC ID: 7214989235 Enrollment ID: I20050217000387 |
| Provider Name | Michael J Perillo |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740239755 PECOS PAC ID: 2860449188 Enrollment ID: I20050407000924 |
| Provider Name | Kristin D Johnson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164588018 PECOS PAC ID: 9638119159 Enrollment ID: I20050504000593 |
| Provider Name | Rebecca J Houmann |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568403251 PECOS PAC ID: 8628004389 Enrollment ID: I20050713000987 |
| Provider Name | Daniel P Jablonski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114989480 PECOS PAC ID: 9032140272 Enrollment ID: I20050826000545 |
| Provider Name | David Isaac Gaines |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1689618753 PECOS PAC ID: 1052339181 Enrollment ID: I20051108000260 |
| Provider Name | John E Polony |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346284700 PECOS PAC ID: 1052320165 Enrollment ID: I20060418000761 |
| Provider Name | Stephen Paul Brackbill |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437190428 PECOS PAC ID: 3476566415 Enrollment ID: I20060717000261 |
| Provider Name | Deborah B Lowery |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346397346 PECOS PAC ID: 5092817320 Enrollment ID: I20070216000414 |
| Provider Name | Julie L Hammond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437143856 PECOS PAC ID: 1355446808 Enrollment ID: I20070412000212 |
| Provider Name | Robert Goulart |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669429064 PECOS PAC ID: 5890894281 Enrollment ID: I20070626000512 |
| Provider Name | Dana Faust |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306041546 PECOS PAC ID: 7012009368 Enrollment ID: I20070816000634 |
| Provider Name | Holly Marie O'loughlin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396835856 PECOS PAC ID: 1254428576 Enrollment ID: I20071102000710 |
| Provider Name | Michael I Rickoff |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1851373724 PECOS PAC ID: 9931099694 Enrollment ID: I20071227000094 |
| Provider Name | Jane Smith Greene |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336107861 PECOS PAC ID: 8527099035 Enrollment ID: I20080129000081 |
| Provider Name | Ronald Eslick |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295715159 PECOS PAC ID: 1052212248 Enrollment ID: I20080312000756 |
| Provider Name | Luanne J Nuttall |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962608687 PECOS PAC ID: 6800974502 Enrollment ID: I20080422000226 |
| Provider Name | Linda R Woodward |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851473052 PECOS PAC ID: 9133208481 Enrollment ID: I20080512000448 |
| Provider Name | Janet Barry Mullins |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558493817 PECOS PAC ID: 1254499585 Enrollment ID: I20081015000318 |
| Provider Name | John Mark Harbin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174791503 PECOS PAC ID: 5597825554 Enrollment ID: I20081120000301 |
| Provider Name | Lisa O Riddle |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083850085 PECOS PAC ID: 5698821239 Enrollment ID: I20090923000085 |
| Provider Name | James D Calvert |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811122278 PECOS PAC ID: 6507903440 Enrollment ID: I20091026000071 |
| Provider Name | Ayub Merchant |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1871575175 PECOS PAC ID: 9133108871 Enrollment ID: I20091203000737 |
| Provider Name | Richard E Zander |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1619950862 PECOS PAC ID: 3274423934 Enrollment ID: I20100223000866 |
| Provider Name | Brandi Ford |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689904013 PECOS PAC ID: 7810024437 Enrollment ID: I20100429000773 |
| Provider Name | Ryan James Richards |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053633834 PECOS PAC ID: 8022147446 Enrollment ID: I20100524000580 |
| Provider Name | Mong Thien Lam |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902121205 PECOS PAC ID: 3870626435 Enrollment ID: I20100803000422 |
| Provider Name | Lindsay Heaton Jones |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1710218524 PECOS PAC ID: 0941333132 Enrollment ID: I20100810000023 |
| Provider Name | David Palma |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1578775854 PECOS PAC ID: 8123152139 Enrollment ID: I20100812000787 |
| Provider Name | Lee Pursley Cooley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154641470 PECOS PAC ID: 5991839276 Enrollment ID: I20100823000832 |
| Provider Name | Catherine Eileen Land |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326141128 PECOS PAC ID: 1759397870 Enrollment ID: I20110601000309 |
| Provider Name | Christopher J Fyock |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1073738696 PECOS PAC ID: 6608044300 Enrollment ID: I20110725000516 |
| Provider Name | Shushan Elam |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1548568355 PECOS PAC ID: 5698946291 Enrollment ID: I20110912000120 |
| Provider Name | Stacie M Parker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376848275 PECOS PAC ID: 5193996551 Enrollment ID: I20110915000850 |
| Provider Name | Gabriel Mitchell Mcalister |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1437393030 PECOS PAC ID: 6103095310 Enrollment ID: I20120224000005 |
| Provider Name | Peter A Naas |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1215135199 PECOS PAC ID: 4486813961 Enrollment ID: I20120302000546 |
| Provider Name | Teresa Danielle Truman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427319847 PECOS PAC ID: 3476700592 Enrollment ID: I20120824000438 |
| Provider Name | Amy Louise Baker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508865734 PECOS PAC ID: 8527101302 Enrollment ID: I20121226000313 |
| Provider Name | Gabriel Mitchell Mcalister |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1437393030 PECOS PAC ID: 6103095310 Enrollment ID: I20130605000179 |
| Provider Name | Tracy M Luther |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164424222 PECOS PAC ID: 3476593310 Enrollment ID: I20130705000521 |
| Provider Name | Preston Allen Jones |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1821268368 PECOS PAC ID: 3577616879 Enrollment ID: I20130807000652 |
| Provider Name | David Q Gulley |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1538344007 PECOS PAC ID: 1658443965 Enrollment ID: I20130826000716 |
| Provider Name | April G Klein |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1619317138 PECOS PAC ID: 0648414581 Enrollment ID: I20130916000788 |
| Provider Name | William Doss Howell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023108958 PECOS PAC ID: 7517923915 Enrollment ID: I20131003000274 |
| Provider Name | Tiffany Nicole Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083913305 PECOS PAC ID: 6800072166 Enrollment ID: I20140129001943 |
| Provider Name | Lora Allison Overacre |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083045207 PECOS PAC ID: 3870723216 Enrollment ID: I20140304000032 |
| Provider Name | Jessica Jane Moroney |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750712907 PECOS PAC ID: 9032349477 Enrollment ID: I20140304000092 |
| Provider Name | Nathan Emory Smith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891126256 PECOS PAC ID: 4284865957 Enrollment ID: I20140321000587 |
| Provider Name | Catherine A Harris |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518385590 PECOS PAC ID: 5698720480 Enrollment ID: I20140721001952 |
| Provider Name | David Christopher Runge |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1144646589 PECOS PAC ID: 2062630635 Enrollment ID: I20140822000865 |
| Provider Name | Madhusudhan Sunkavalli |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1578894176 PECOS PAC ID: 6406080514 Enrollment ID: I20140826002316 |
| Provider Name | Cody Michael Nye |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023426368 PECOS PAC ID: 5799905600 Enrollment ID: I20140926002157 |
| Provider Name | Kristen H Mills |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730507716 PECOS PAC ID: 9638399264 Enrollment ID: I20141002002615 |
| Provider Name | Gregory Nelson Edwards |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508880691 PECOS PAC ID: 5799721106 Enrollment ID: I20150119000221 |
| Provider Name | Joel A Johnson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417352147 PECOS PAC ID: 8022335546 Enrollment ID: I20150323000299 |
| Provider Name | Ritu Saha |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1639439748 PECOS PAC ID: 9537388350 Enrollment ID: I20150806010029 |
| Provider Name | Camille Yvonne Higdon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801265145 PECOS PAC ID: 7416266952 Enrollment ID: I20151022002124 |
| Provider Name | Amir Sadri |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1194182477 PECOS PAC ID: 2264739036 Enrollment ID: I20160322000424 |
| Provider Name | Debra Jo Bauer Smith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316965874 PECOS PAC ID: 5496708380 Enrollment ID: I20160404001676 |
| Provider Name | Shelly K Snow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932560752 PECOS PAC ID: 7012215916 Enrollment ID: I20160408001348 |
| Provider Name | Jane E Donnan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255702007 PECOS PAC ID: 4082903323 Enrollment ID: I20160510001427 |
| Provider Name | Laura G Siefert |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477921823 PECOS PAC ID: 4385933662 Enrollment ID: I20160511000123 |
| Provider Name | Susanna Sullivan Tharpe |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063877629 PECOS PAC ID: 8224329313 Enrollment ID: I20160621001024 |
| Provider Name | William Jackson Perkins |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1871813733 PECOS PAC ID: 3476853383 Enrollment ID: I20160722000680 |
| Provider Name | John Hamilton Christ |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477900827 PECOS PAC ID: 0749578102 Enrollment ID: I20161018001284 |
| Provider Name | James Allan Belling |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568480291 PECOS PAC ID: 2163557695 Enrollment ID: I20170127001785 |
| Provider Name | Jennifer Ramsey Garren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851833974 PECOS PAC ID: 0840572699 Enrollment ID: I20170131001467 |
| Provider Name | Charles M Harrington |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770017824 PECOS PAC ID: 2668742206 Enrollment ID: I20170714000873 |
| Provider Name | Ajith Skariah |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386155265 PECOS PAC ID: 4183984305 Enrollment ID: I20180208002169 |
| Provider Name | Gabriela Beatriz Castro |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922506450 PECOS PAC ID: 3678837259 Enrollment ID: I20180507002600 |
| Provider Name | Matthew Elan Stroud |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720577968 PECOS PAC ID: 0446506919 Enrollment ID: I20180713001265 |
| Provider Name | Kelsey Marie Hawkins |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1952807497 PECOS PAC ID: 7012264831 Enrollment ID: I20180724003336 |
| Provider Name | Hiren I Vallabh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1043539471 PECOS PAC ID: 9638310220 Enrollment ID: I20180725003387 |
| Provider Name | Jared Thomas Geist |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1700078276 PECOS PAC ID: 6002040672 Enrollment ID: I20180912001841 |
| Provider Name | Thomas W Hullett |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861994758 PECOS PAC ID: 2961751227 Enrollment ID: I20181025001507 |
| Provider Name | Tifani A Mercado |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1881198083 PECOS PAC ID: 8527311240 Enrollment ID: I20181026001477 |
| Provider Name | Julianna Marie Bookman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1952835100 PECOS PAC ID: 3072866714 Enrollment ID: I20181026002102 |
| Provider Name | Beverly Annmarie Clark |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770583924 PECOS PAC ID: 9931001930 Enrollment ID: I20181204001096 |
| Provider Name | Weslyn Jones Melson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023571635 PECOS PAC ID: 7517293095 Enrollment ID: I20190722000587 |
| Provider Name | Andrew Stoeber |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700349685 PECOS PAC ID: 0840526240 Enrollment ID: I20190723002434 |
| Provider Name | Erica Poole Brown |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326502030 PECOS PAC ID: 4284667270 Enrollment ID: I20190725002671 |
| Provider Name | Matthew Ryan Barnes |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1699118133 PECOS PAC ID: 0547408478 Enrollment ID: I20200609001733 |
| Provider Name | Ashley Dawn Loftis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063049716 PECOS PAC ID: 4385066034 Enrollment ID: I20200625000819 |
| Provider Name | Kylie Renee Hite |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588071070 PECOS PAC ID: 3971722349 Enrollment ID: I20200921000443 |
| Provider Name | Joshua Lyle |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922576131 PECOS PAC ID: 7911246897 Enrollment ID: I20201209000151 |
| Provider Name | Robin Sauve |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598838898 PECOS PAC ID: 1456439769 Enrollment ID: I20210428001857 |
| Provider Name | Sarah Elizabeth Ricci |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1194152397 PECOS PAC ID: 0648405175 Enrollment ID: I20210506001118 |
| Provider Name | Alexis Dianne Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053076232 PECOS PAC ID: 7315338886 Enrollment ID: I20211217001304 |
| Provider Name | Candice Hickey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386728921 PECOS PAC ID: 2567568884 Enrollment ID: I20220103000880 |
| Provider Name | Jamie D Skellie |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831760594 PECOS PAC ID: 3375927528 Enrollment ID: I20220907001785 |
| Provider Name | Anthony J Horton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700319167 PECOS PAC ID: 1557742194 Enrollment ID: I20230720003593 |
| Provider Name | Olga Vitorsky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174055271 PECOS PAC ID: 9436428521 Enrollment ID: I20230724000759 |
| Provider Name | Sam David Abdehou |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134651656 PECOS PAC ID: 3476913369 Enrollment ID: I20230725000459 |
| Provider Name | Beejal Parimal Vadhar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740972827 PECOS PAC ID: 3870956907 Enrollment ID: I20230823000174 |
| Provider Name | Pedro Gabriel Calderon Ocana |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1821794538 PECOS PAC ID: 2062867682 Enrollment ID: I20231017000542 |
| Provider Name | Sarah T Oss |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1194223628 PECOS PAC ID: 2466705207 Enrollment ID: I20240806002856 |
| Provider Name | Alexander Jason Kovalic |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1760836175 PECOS PAC ID: 4183917222 Enrollment ID: I20240813002748 |
Cooke's Continence Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 330-c Pelham Road, Suite B-102, Greenville, SC 29615 Phone: 864-412-8424 Fax: 864-412-8012 | |
Midtown Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7 Pointe Cir, Greenville, SC 29615 Phone: 864-525-5400 | |
Greenville Functional Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 Halton Rd, Suite A, Greenville, SC 29607 Phone: 864-558-0200 Fax: 864-520-1245 | |
H And M Labs And Clinics, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 137 Commons Way, Greenville, SC 29611 Phone: 864-979-0846 | |