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250 Westmoreland Rd Greer SC 29651-9013 | |
| (864) 530-2108 | |
| (864) 530-2121 |
| Full Name | |
|---|---|
| Speciality | Internal Medicine |
| Location | 250 Westmoreland Rd, Greer, South Carolina |
| Authorized Official Name and Position | Kenneth Meinke (CFO) |
| Authorized Official Contact | 8645606000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 198886 Atlanta GA 30384-8886 Ph: (864) 560-4123 | 250 Westmoreland Rd Greer SC 29651-9013 Ph: (864) 530-2108 |
| NPI Number | 1962644773 |
|---|---|
| Provider Enumeration Date | 03/26/2009 |
| Last Update Date | 07/10/2024 |
| Medicare PECOS PAC ID | 2365519097 |
|---|---|
| Medicare Enrollment ID | O20090602000210 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962644773 | NPI | - | NPPES |
| GP5160 | Medicaid | SC |
| Provider Name | Rex A Mcabee |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1285696039 PECOS PAC ID: 5597660639 Enrollment ID: I20031203000207 |
| Provider Name | Joseph S Mullins |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235191891 PECOS PAC ID: 4789589664 Enrollment ID: I20031204000102 |
| Provider Name | David A Melson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1548243041 PECOS PAC ID: 7113824822 Enrollment ID: I20031218000838 |
| Provider Name | Karen Lee Hines |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851357610 PECOS PAC ID: 3870496185 Enrollment ID: I20040202000438 |
| Provider Name | Jeffrey Marshall Craft |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114907128 PECOS PAC ID: 7810883949 Enrollment ID: I20040225001029 |
| Provider Name | Brandon Scott Davis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285605121 PECOS PAC ID: 5294718235 Enrollment ID: I20040610000639 |
| Provider Name | Yoganand J Hiremath |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952377863 PECOS PAC ID: 3274519020 Enrollment ID: I20040712000485 |
| Provider Name | Wendy S Weston |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427027812 PECOS PAC ID: 8022002914 Enrollment ID: I20040719000551 |
| Provider Name | Stefan L Montgomery |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437135944 PECOS PAC ID: 0446222558 Enrollment ID: I20040810000333 |
| Provider Name | Lori S Brooks |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124081518 PECOS PAC ID: 0042269722 Enrollment ID: I20050120000139 |
| Provider Name | Robert Macdonald |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1528035425 PECOS PAC ID: 3274584537 Enrollment ID: I20050203000375 |
| Provider Name | Jennifer Lynn Hawkins |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174562300 PECOS PAC ID: 0042262503 Enrollment ID: I20050214000415 |
| Provider Name | Paul J. Reilly |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023058088 PECOS PAC ID: 8022061969 Enrollment ID: I20050302000937 |
| 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 | 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 | Howard William Klickman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174594477 PECOS PAC ID: 8224012919 Enrollment ID: I20050912000046 |
| Provider Name | Andrea Cherie Binns |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982668554 PECOS PAC ID: 5193730356 Enrollment ID: I20060209000611 |
| Provider Name | Joseph E Mobley |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1669426987 PECOS PAC ID: 1456363571 Enrollment ID: I20060607000275 |
| Provider Name | Heather Houston Winebarger |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962435958 PECOS PAC ID: 5294730958 Enrollment ID: I20061002000404 |
| Provider Name | Melissa Fowler Esce |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699789206 PECOS PAC ID: 7012916950 Enrollment ID: I20061204000314 |
| Provider Name | Kristina Faith Brock |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114078896 PECOS PAC ID: 1052413218 Enrollment ID: I20070220000000 |
| Provider Name | Gary A Lillis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982784567 PECOS PAC ID: 8224131495 Enrollment ID: I20070307000673 |
| Provider Name | Shannon M Jones |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750426813 PECOS PAC ID: 9234233032 Enrollment ID: I20070404000276 |
| Provider Name | Margie Y Discaya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346389699 PECOS PAC ID: 5193820629 Enrollment ID: I20070412000005 |
| Provider Name | Santosh Mohan Bijoor |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225005481 PECOS PAC ID: 3577662022 Enrollment ID: I20070625000020 |
| Provider Name | Katherine Kelly Hertwig |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598805186 PECOS PAC ID: 0345349569 Enrollment ID: I20070628000148 |
| Provider Name | David G Ike |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1033159678 PECOS PAC ID: 1557354842 Enrollment ID: I20070904000043 |
| Provider Name | Kristen P Nawabi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1497702047 PECOS PAC ID: 6406949742 Enrollment ID: I20070904000046 |
| Provider Name | Barry L Huey |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1780636381 PECOS PAC ID: 3577656818 Enrollment ID: I20070904000058 |
| Provider Name | Alejandro N Lopez |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1639126733 PECOS PAC ID: 2567555816 Enrollment ID: I20070904000140 |
| Provider Name | Nalin K Srivastava |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1023065828 PECOS PAC ID: 9537252887 Enrollment ID: I20070904000156 |
| Provider Name | Francis M Eickman |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1578503652 PECOS PAC ID: 7416040779 Enrollment ID: I20070904000192 |
| Provider Name | David J Rodak |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1215983887 PECOS PAC ID: 9133213036 Enrollment ID: I20070924000113 |
| Provider Name | Mary R Shealy |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1285775262 PECOS PAC ID: 8123116159 Enrollment ID: I20071108000575 |
| Provider Name | Curtis G Condra |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033145594 PECOS PAC ID: 3577651629 Enrollment ID: I20071126000754 |
| 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 | Sengdeuane S Wilson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598953200 PECOS PAC ID: 8325121320 Enrollment ID: I20080214000187 |
| Provider Name | Staci S Armocida |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1437336138 PECOS PAC ID: 5092899054 Enrollment ID: I20080229000489 |
| Provider Name | John R Wilson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164507992 PECOS PAC ID: 4981789906 Enrollment ID: I20080313000744 |
| Provider Name | Adam Evec |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1003029323 PECOS PAC ID: 4880794015 Enrollment ID: I20080715000251 |
| Provider Name | Mandrill D Montgomery |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255505665 PECOS PAC ID: 5991878423 Enrollment ID: I20080717000004 |
| Provider Name | Laura L Melton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093983504 PECOS PAC ID: 2264506088 Enrollment ID: I20080728000655 |
| Provider Name | Jaime Hollingsworth Strickland |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780855742 PECOS PAC ID: 2860568136 Enrollment ID: I20080910000531 |
| Provider Name | John Fowler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538131933 PECOS PAC ID: 2961561618 Enrollment ID: I20081110000523 |
| Provider Name | Amanda C Kelley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689829665 PECOS PAC ID: 6800951435 Enrollment ID: I20090216000393 |
| Provider Name | Adam Tony Mckee |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508003427 PECOS PAC ID: 3971669391 Enrollment ID: I20090309000588 |
| Provider Name | Fahima S Heninger |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851441281 PECOS PAC ID: 9931207578 Enrollment ID: I20090407000140 |
| Provider Name | Valerie S Jenks |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649407636 PECOS PAC ID: 7618013053 Enrollment ID: I20091015000182 |
| Provider Name | Wendolyn Jean Link |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154406445 PECOS PAC ID: 1153468061 Enrollment ID: I20091027000124 |
| Provider Name | David Leslie Price |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033346622 PECOS PAC ID: 5597803122 Enrollment ID: I20091118000712 |
| Provider Name | Michael Stephen Dale |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942271838 PECOS PAC ID: 5395888523 Enrollment ID: I20100210000139 |
| Provider Name | Dorotea Gabel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336110410 PECOS PAC ID: 4082759923 Enrollment ID: I20100303000966 |
| Provider Name | James Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134190077 PECOS PAC ID: 9133264088 Enrollment ID: I20100303001017 |
| 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 | Pamela N Davenport |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801867981 PECOS PAC ID: 8628108040 Enrollment ID: I20100611000232 |
| Provider Name | Roberta G Whiteaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437117611 PECOS PAC ID: 3870624406 Enrollment ID: I20100625000865 |
| 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 | Jason L Mortenson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073832051 PECOS PAC ID: 6800920992 Enrollment ID: I20100811000270 |
| Provider Name | Eric Allan Wrenn |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992867691 PECOS PAC ID: 3870548290 Enrollment ID: I20100817000568 |
| Provider Name | Lisa Marie Rogers |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538488713 PECOS PAC ID: 7315071800 Enrollment ID: I20100819000525 |
| Provider Name | Sergey I Minka |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356661656 PECOS PAC ID: 7517091960 Enrollment ID: I20100820000160 |
| Provider Name | Leslie Kennedy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417271677 PECOS PAC ID: 0547452906 Enrollment ID: I20101005000185 |
| Provider Name | Kelli Zellner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205151594 PECOS PAC ID: 2860685898 Enrollment ID: I20101021001177 |
| Provider Name | Rifat Hassan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063677045 PECOS PAC ID: 9032304746 Enrollment ID: I20101108000991 |
| Provider Name | Elizabeth H Mullins |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518278662 PECOS PAC ID: 7416142963 Enrollment ID: I20101110001032 |
| Provider Name | Michelle R Abascal |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730495490 PECOS PAC ID: 6507053832 Enrollment ID: I20101213000100 |
| Provider Name | Laura B Seay |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205139102 PECOS PAC ID: 1153504618 Enrollment ID: I20110322000469 |
| Provider Name | Steven H. Cobb |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316241938 PECOS PAC ID: 1850574310 Enrollment ID: I20110322000502 |
| Provider Name | Tamara L Tackett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861797151 PECOS PAC ID: 8527242510 Enrollment ID: I20110416000045 |
| Provider Name | Deborah L Meek |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992001374 PECOS PAC ID: 0941485833 Enrollment ID: I20110419000288 |
| Provider Name | Melissa Elizabeth Beck |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225334733 PECOS PAC ID: 4789852278 Enrollment ID: I20110728000271 |
| Provider Name | Misty K Deason |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093087785 PECOS PAC ID: 2860659349 Enrollment ID: I20120210000724 |
| Provider Name | Lydia Louise Long |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801165311 PECOS PAC ID: 9537327606 Enrollment ID: I20120221000135 |
| Provider Name | Lindsey Bryan Sobol |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770854333 PECOS PAC ID: 4284892738 Enrollment ID: I20120229000917 |
| Provider Name | Jeff M Berry |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1811135908 PECOS PAC ID: 8224284153 Enrollment ID: I20120809000122 |
| Provider Name | Patricia Leigh Sauls |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861753402 PECOS PAC ID: 4789834193 Enrollment ID: I20121020000045 |
| Provider Name | Sebastian Esteban Libertino |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184983348 PECOS PAC ID: 2961668413 Enrollment ID: I20121020000053 |
| Provider Name | Jarrett H Price |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255675013 PECOS PAC ID: 8820233646 Enrollment ID: I20130327000635 |
| Provider Name | Jack Neil Kendrick |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073532032 PECOS PAC ID: 2769468115 Enrollment ID: I20130418000089 |
| Provider Name | Richard P Boudreau |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871550533 PECOS PAC ID: 3375789100 Enrollment ID: I20130423000172 |
| Provider Name | Brian R Hill |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679814073 PECOS PAC ID: 7113169624 Enrollment ID: I20130813000676 |
| Provider Name | Vaibhav Kamdar |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427494848 PECOS PAC ID: 3971541962 Enrollment ID: I20130906000254 |
| Provider Name | Julie Harley Quick |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245579184 PECOS PAC ID: 2365686045 Enrollment ID: I20130919000138 |
| Provider Name | Ashley Robinson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316368178 PECOS PAC ID: 7113157850 Enrollment ID: I20140225002263 |
| 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 | Amber D Mulak |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558782441 PECOS PAC ID: 4082845961 Enrollment ID: I20140317001619 |
| Provider Name | Seth T Long |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508288390 PECOS PAC ID: 5496986846 Enrollment ID: I20140327001330 |
| Provider Name | Micah Stratton Phillips |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689092488 PECOS PAC ID: 4385860790 Enrollment ID: I20140721001511 |
| 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 | Steven H Davis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528076551 PECOS PAC ID: 3274583729 Enrollment ID: I20140922000167 |
| Provider Name | Jaime Waters Cardozo |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962689299 PECOS PAC ID: 1557448016 Enrollment ID: I20150209001797 |
| Provider Name | Stephanie Sims |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083003065 PECOS PAC ID: 2264759083 Enrollment ID: I20150316001178 |
| Provider Name | Seth House |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134518681 PECOS PAC ID: 0244557338 Enrollment ID: I20150331000228 |
| Provider Name | Laurel D Johnson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922044684 PECOS PAC ID: 0244319044 Enrollment ID: I20150626000093 |
| Provider Name | James Robert Macpherson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912082215 PECOS PAC ID: 2163480211 Enrollment ID: I20150720000188 |
| Provider Name | Neely Renee Soukup |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992184386 PECOS PAC ID: 0749596807 Enrollment ID: I20150903001620 |
| Provider Name | Mathew S Kalapurakal |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1235388224 PECOS PAC ID: 6103069695 Enrollment ID: I20151215002929 |
| Provider Name | Steven J Rosfjord |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033319116 PECOS PAC ID: 5395838155 Enrollment ID: I20160107001411 |
| Provider Name | Maisie H Cahill |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407213739 PECOS PAC ID: 5092011866 Enrollment ID: I20160304001901 |
| Provider Name | Amber Autumn Barnlund |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780041525 PECOS PAC ID: 6901102383 Enrollment ID: I20160310001642 |
| Provider Name | Chason C Carter |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013372507 PECOS PAC ID: 4587960893 Enrollment ID: I20160314000805 |
| Provider Name | Thomson Halley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265898704 PECOS PAC ID: 5193021103 Enrollment ID: I20160316002062 |
| Provider Name | Jamie Kazlauskas Rosebrock |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861840019 PECOS PAC ID: 2769776301 Enrollment ID: I20160804002018 |
| Provider Name | Phyllis K Taylor |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205980034 PECOS PAC ID: 0840482857 Enrollment ID: I20160907000114 |
| Provider Name | Laura Lee Carter |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639182777 PECOS PAC ID: 0345364295 Enrollment ID: I20161007000642 |
| Provider Name | Deepak Joshi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1154506582 PECOS PAC ID: 4789733940 Enrollment ID: I20161017001672 |
| Provider Name | Karalee Amber Collins |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669821872 PECOS PAC ID: 3577858042 Enrollment ID: I20170125000597 |
| Provider Name | Angela Moore Tucker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023136124 PECOS PAC ID: 3173830700 Enrollment ID: I20170728000103 |
| Provider Name | Casey Collins Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578092250 PECOS PAC ID: 9335410265 Enrollment ID: I20170810001246 |
| Provider Name | Christine Rosa |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1437606258 PECOS PAC ID: 7416236344 Enrollment ID: I20170821003098 |
| Provider Name | Brian J Brown |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1639494339 PECOS PAC ID: 7416181771 Enrollment ID: I20170829000452 |
| Provider Name | Heather L Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659893808 PECOS PAC ID: 0244503597 Enrollment ID: I20170907002397 |
| Provider Name | Jessica M Still |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215458195 PECOS PAC ID: 1658645775 Enrollment ID: I20170927003721 |
| Provider Name | Beth Eargle |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720096548 PECOS PAC ID: 3072571926 Enrollment ID: I20171208000392 |
| Provider Name | David Milton Rainville |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659888246 PECOS PAC ID: 6103187836 Enrollment ID: I20180221000266 |
| Provider Name | Erin Heidi Herring |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477060226 PECOS PAC ID: 5698036192 Enrollment ID: I20180226000753 |
| Provider Name | Melissa E Richardson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063920874 PECOS PAC ID: 2769744515 Enrollment ID: I20180315000716 |
| Provider Name | Lesley R Mcclain |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215445010 PECOS PAC ID: 9739441338 Enrollment ID: I20180319002879 |
| Provider Name | Hanna Mckenzie Perez |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891293072 PECOS PAC ID: 9931461993 Enrollment ID: I20180403000807 |
| Provider Name | Brandi Buckalew Merchant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164922498 PECOS PAC ID: 0143583054 Enrollment ID: I20180405002558 |
| Provider Name | Melissa Ann Disch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346749132 PECOS PAC ID: 1153684709 Enrollment ID: I20180411003055 |
| 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 | Sebastiano A Virgadamo |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1336439074 PECOS PAC ID: 1557634854 Enrollment ID: I20180815000063 |
| Provider Name | Hailey Mccarter |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265922454 PECOS PAC ID: 2062766769 Enrollment ID: I20181115002582 |
| Provider Name | Kaitlin C Skelton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659856623 PECOS PAC ID: 8628322336 Enrollment ID: I20181115003040 |
| Provider Name | Ashley Diana Nelson-coates |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891282679 PECOS PAC ID: 1052655362 Enrollment ID: I20181127002218 |
| Provider Name | Holly D Barnlund |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1285134528 PECOS PAC ID: 9739444217 Enrollment ID: I20181219000555 |
| Provider Name | Susan M Welton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073749313 PECOS PAC ID: 9436204724 Enrollment ID: I20190108003981 |
| Provider Name | Heather H Villarreal |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1881032167 PECOS PAC ID: 2264669027 Enrollment ID: I20190122003319 |
| Provider Name | Shatericka Campbell Frederick |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386117547 PECOS PAC ID: 1052659695 Enrollment ID: I20190206003032 |
| Provider Name | Tracey E Coleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780936864 PECOS PAC ID: 3274788476 Enrollment ID: I20190404002601 |
| Provider Name | Megan Dennis Tyson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265811202 PECOS PAC ID: 7911213061 Enrollment ID: I20190501002273 |
| Provider Name | Jamye Buckner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912488941 PECOS PAC ID: 0840532024 Enrollment ID: I20190509000511 |
| 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 | 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 | Jamie Lynne Mason |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851956841 PECOS PAC ID: 6800124454 Enrollment ID: I20190821001814 |
| Provider Name | Meredith L Freiman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649442757 PECOS PAC ID: 9739259839 Enrollment ID: I20190825000017 |
| Provider Name | Nichole Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750852554 PECOS PAC ID: 1456680750 Enrollment ID: I20190912000074 |
| Provider Name | Lauren Elizabeth Dhans |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215433701 PECOS PAC ID: 2668720079 Enrollment ID: I20190926000115 |
| Provider Name | Erica Rousseau Clark |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1255635389 PECOS PAC ID: 9739320128 Enrollment ID: I20191118002307 |
| Provider Name | Michael James Triglia |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174097687 PECOS PAC ID: 4688913205 Enrollment ID: I20191206000988 |
| Provider Name | Adam K Raynes |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003463472 PECOS PAC ID: 4981039435 Enrollment ID: I20200110002336 |
| Provider Name | Glenn B Guarin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1619942133 PECOS PAC ID: 4183801368 Enrollment ID: I20200324000170 |
| Provider Name | David Hellman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376827022 PECOS PAC ID: 5193992543 Enrollment ID: I20200324001188 |
| Provider Name | Benjamin T Wharton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972676252 PECOS PAC ID: 1355392903 Enrollment ID: I20200518000755 |
| Provider Name | Marla Elizabeth Caufield |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942824487 PECOS PAC ID: 6204257660 Enrollment ID: I20200611000016 |
| Provider Name | Lori N Mccoy |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407479553 PECOS PAC ID: 8729400049 Enrollment ID: I20200615002295 |
| Provider Name | Amanda Lyons St. Marie |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528682200 PECOS PAC ID: 1153743273 Enrollment ID: I20200618002287 |
| Provider Name | Kathryn Dewalt Rubel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982229704 PECOS PAC ID: 6305268319 Enrollment ID: I20200622000135 |
| 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 | Hannah Nussman Shue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255953352 PECOS PAC ID: 3971914318 Enrollment ID: I20201116002601 |
| 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 | Taylor Nanney |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316531908 PECOS PAC ID: 1557763455 Enrollment ID: I20210715000616 |
| Provider Name | Claire Elizabeth Sellers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760145023 PECOS PAC ID: 4284022641 Enrollment ID: I20211104000597 |
| Provider Name | Kathleen Marie Callahan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528172020 PECOS PAC ID: 7618930579 Enrollment ID: I20220510000675 |
| Provider Name | Justin Taylor Jones |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669105425 PECOS PAC ID: 1456732940 Enrollment ID: I20220714002206 |
| Provider Name | Lavy Clevenger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235895954 PECOS PAC ID: 7810378791 Enrollment ID: I20220725000307 |
| Provider Name | Cayla Elaine Catrine |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366018202 PECOS PAC ID: 0840673851 Enrollment ID: I20220823003403 |
| Provider Name | Katina Andrea Mcnutt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033745161 PECOS PAC ID: 2860815313 Enrollment ID: I20221227002470 |
| Provider Name | John Haddock |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609334119 PECOS PAC ID: 7719218692 Enrollment ID: I20230110001736 |
| Provider Name | Brian Kopicki |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306930649 PECOS PAC ID: 1456438092 Enrollment ID: I20230220001872 |
| Provider Name | Kenneth Joel Thompson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942373204 PECOS PAC ID: 7012942725 Enrollment ID: I20230405000927 |
| Provider Name | Joshua Michael Eugene Bickford |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134625601 PECOS PAC ID: 5890050496 Enrollment ID: I20230522000973 |
| Provider Name | Edward Drummond Izard |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669980157 PECOS PAC ID: 7810258852 Enrollment ID: I20230619000059 |
| Provider Name | Charity Michelle Taylor |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104493576 PECOS PAC ID: 2567820681 Enrollment ID: I20230622001418 |
| Provider Name | Zachary Scott Scarberry |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164117255 PECOS PAC ID: 9133587975 Enrollment ID: I20230626003418 |
| Provider Name | Parisa Ayn Ghasemi |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1821786617 PECOS PAC ID: 7618336017 Enrollment ID: I20230703001577 |
| Provider Name | Christin Bailey Coggins |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063113504 PECOS PAC ID: 7618336611 Enrollment ID: I20230710001139 |
| Provider Name | Joseph T Nicolazzi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336593276 PECOS PAC ID: 7214220276 Enrollment ID: I20230719001456 |
| Provider Name | Brent H Johnson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205309309 PECOS PAC ID: 1850623794 Enrollment ID: I20230726002931 |
| Provider Name | Aaron Gopal |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1124401609 PECOS PAC ID: 6204127418 Enrollment ID: I20230907001157 |
| Provider Name | Everett Moss |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477231066 PECOS PAC ID: 8921036120 Enrollment ID: I20230918003545 |
| Provider Name | Katie Kussow Deen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154028652 PECOS PAC ID: 1850745191 Enrollment ID: I20230920003319 |
| Provider Name | Shane Gregory Reighard |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1588028880 PECOS PAC ID: 5890081087 Enrollment ID: I20231024000270 |
| Provider Name | Clayton Taylor |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114010816 PECOS PAC ID: 2264537109 Enrollment ID: I20231122000230 |
| Provider Name | Tia Jasmine Carpenter |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861135337 PECOS PAC ID: 6305380858 Enrollment ID: I20240626000856 |
| Provider Name | Jessica M Walker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578860300 PECOS PAC ID: 6406039536 Enrollment ID: I20240701002519 |
| Provider Name | Diana Leigh Sabin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508595588 PECOS PAC ID: 3476091935 Enrollment ID: I20240814004619 |
| Provider Name | Courtney Ann Craine |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225333297 PECOS PAC ID: 3779766050 Enrollment ID: I20240912003054 |
| Provider Name | Mary A Stoddard |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366123069 PECOS PAC ID: 1658812649 Enrollment ID: I20240918000408 |
| Provider Name | Makenzie White Ballard |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316677461 PECOS PAC ID: 0042751315 Enrollment ID: I20240926001877 |
| Provider Name | Bridgette Flaherty Pelletier |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770213910 PECOS PAC ID: 7315479185 Enrollment ID: I20241017002759 |
| Provider Name | Haley Ross |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033278742 PECOS PAC ID: 7618910084 Enrollment ID: I20241017003331 |
| Provider Name | Jason Ryan Norris |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487483905 PECOS PAC ID: 2466988092 Enrollment ID: I20241206000263 |
Allen E Gamble, Do, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1900 S Highway 14 Ste B, Greer, SC 29650 Phone: 864-469-3456 | |
Upstate Medical Care, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1530 S Highway 14, Greer, SC 29650 Phone: 864-530-0000 Fax: 864-530-0001 | |