| Senior Health Associates, Pa | |
|
2858 Sunset Blvd West Columbia SC 29169-3420 | |
| (803) 699-9073 | |
| (866) 527-0937 |
| Full Name | Senior Health Associates, Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 2858 Sunset Blvd, West Columbia, South Carolina |
| Authorized Official Name and Position | Tracy Owens (OPERATIONS MANAGER) |
| Authorized Official Contact | 8036999073 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Senior Health Associates, Pa 2858 Sunset Blvd West Columbia SC 29169-3420 Ph: (803) 699-9073 | Senior Health Associates, Pa 2858 Sunset Blvd West Columbia SC 29169-3420 Ph: (803) 699-9073 |
| NPI Number | 1023155728 |
|---|---|
| Provider Enumeration Date | 01/31/2007 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 6204739881 |
|---|---|
| Medicare Enrollment ID | O20040130000360 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023155728 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (South Carolina) | Primary |
| Provider Name | Charles Wendell Outz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962472084 PECOS PAC ID: 8325948581 Enrollment ID: I20040412000696 |
| Provider Name | David Troy Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205832995 PECOS PAC ID: 8325016496 Enrollment ID: I20040917000393 |
| Provider Name | Peggy S Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598729709 PECOS PAC ID: 6305895327 Enrollment ID: I20050118000199 |
| Provider Name | Timothy S Shaver |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275598674 PECOS PAC ID: 4284661869 Enrollment ID: I20050726000274 |
| Provider Name | Monica N Milas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427182005 PECOS PAC ID: 9931264587 Enrollment ID: I20090213000220 |
| Provider Name | Louie A Anquilo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275649618 PECOS PAC ID: 2163427394 Enrollment ID: I20090330000532 |
| Provider Name | Keith Alexander Guest |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1285630020 PECOS PAC ID: 6608771977 Enrollment ID: I20101019001295 |
| Provider Name | Igor Sister |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518149467 PECOS PAC ID: 4981787975 Enrollment ID: I20101101001018 |
| Provider Name | Floyd Ashton Cribbs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164553020 PECOS PAC ID: 1951580729 Enrollment ID: I20110125001265 |
| Provider Name | Angela Mae Riddle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104121730 PECOS PAC ID: 7315126828 Enrollment ID: I20110128000585 |
| Provider Name | Scottie M Shelley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689948911 PECOS PAC ID: 9739342494 Enrollment ID: I20120917000010 |
| Provider Name | Gerald Alan L Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760722029 PECOS PAC ID: 6103062153 Enrollment ID: I20130417000226 |
| Provider Name | Beverly Ann Reilly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750579967 PECOS PAC ID: 9739375445 Enrollment ID: I20130426000614 |
| Provider Name | Jaclyn B Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548500036 PECOS PAC ID: 8820233786 Enrollment ID: I20130828001048 |
| Provider Name | Stephanie A Mccravy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629378054 PECOS PAC ID: 2264667286 Enrollment ID: I20131029001810 |
| Provider Name | Lavon P Fenderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285040329 PECOS PAC ID: 7810116969 Enrollment ID: I20140922002695 |
| Provider Name | Wendy Kloesz |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1174577522 PECOS PAC ID: 1052364114 Enrollment ID: I20150305000693 |
| Provider Name | Tony L Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558615997 PECOS PAC ID: 5890949804 Enrollment ID: I20160112000599 |
| Provider Name | Keyonta M Crawford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871975805 PECOS PAC ID: 0941517767 Enrollment ID: I20160909001154 |
| Provider Name | Lauren Melissa Booth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780115428 PECOS PAC ID: 4385915651 Enrollment ID: I20171011001631 |
| Provider Name | Corinne R Ingle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558648576 PECOS PAC ID: 0345484622 Enrollment ID: I20180705002983 |
| Provider Name | Jill Marie Stevenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417200239 PECOS PAC ID: 1254585227 Enrollment ID: I20180925002953 |
| Provider Name | Janette S Shelley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699257196 PECOS PAC ID: 0143574368 Enrollment ID: I20181106003259 |
| Provider Name | Shelley Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073582987 PECOS PAC ID: 2860397288 Enrollment ID: I20181117000372 |
| Provider Name | Yolanda Boyd-gantt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851953574 PECOS PAC ID: 5395074009 Enrollment ID: I20190905001763 |
| Provider Name | Laura J Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265030209 PECOS PAC ID: 4385054758 Enrollment ID: I20201113002163 |
| Provider Name | Kristy M Alamadine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447853098 PECOS PAC ID: 1355754888 Enrollment ID: I20201230001429 |
| Provider Name | Matthew Warner Cusano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740257831 PECOS PAC ID: 9739166125 Enrollment ID: I20210520002379 |
| Provider Name | Beverly Powell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275054157 PECOS PAC ID: 5698041291 Enrollment ID: I20220624001598 |
Lexington Hospitalists Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2720 Sunset Blvd, West Columbia, SC 29169 Phone: 803-791-2480 Fax: 803-936-4102 | |
Jay M Markowitz Md & Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 Saluda Ridge Ct, West Columbia, SC 29169 Phone: 803-794-3320 Fax: 803-794-3157 | |
Lexington Weight Management Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2728 Sunset Blvd Ste 303, West Columbia, SC 29169 Phone: 803-936-7505 | |
Intramed Plus Infusion & Medical Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 112 Saluda Ridge Ct Ste 200, West Columbia, SC 29169 Phone: 803-794-0200 Fax: 803-794-0404 | |
Lexington Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 East Medical Lane, West Columbia, SC 29169 Phone: 803-936-7210 Fax: 803-736-8854 | |
Select Physicians Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Still Hopes Dr, West Columbia, SC 29169 Phone: 803-796-6490 |