| St Francis Physician Services Inc | |
|
1200 Brookfield Blvd Greenville SC 29607 | |
| (513) 853-8520 | |
| (513) 442-7695 |
| Full Name | St Francis Physician Services Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 1200 Brookfield Blvd, Greenville, South Carolina |
| Authorized Official Name and Position | Wilbur Gay (CFO) |
| Authorized Official Contact | 8646053762 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St Francis Physician Services Inc 1200 Brookfield Blvd Greenville SC 29607 Ph: (513) 853-8520 | St Francis Physician Services Inc 1200 Brookfield Blvd Greenville SC 29607 Ph: (513) 853-8520 |
| NPI Number | 1457057622 |
|---|---|
| Provider Enumeration Date | 01/31/2023 |
| Last Update Date | 03/08/2023 |
| Medicare PECOS PAC ID | 6608826821 |
|---|---|
| Medicare Enrollment ID | O20050126000259 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457057622 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| Provider Name | Collis L Barksdale |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316999709 PECOS PAC ID: 2961307079 Enrollment ID: I20031203000133 |
| Provider Name | Andrew S Mccraw |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992762611 PECOS PAC ID: 9436056066 Enrollment ID: I20031212000765 |
| Provider Name | Rebecca Faith Barksdale |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215915343 PECOS PAC ID: 4688572159 Enrollment ID: I20031222000315 |
| Provider Name | Thomas C Mann |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1255422168 PECOS PAC ID: 5698661767 Enrollment ID: I20040225000701 |
| Provider Name | Arthur Thomas Siachos |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1598757171 PECOS PAC ID: 2769471226 Enrollment ID: I20040510000891 |
| Provider Name | Silas Emmett Lucas |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1982661492 PECOS PAC ID: 8729078670 Enrollment ID: I20040513001117 |
| Provider Name | Mark R Jackson |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1033177530 PECOS PAC ID: 6204817109 Enrollment ID: I20040526001360 |
| Provider Name | Rebecca Anne Keith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417979709 PECOS PAC ID: 6103802996 Enrollment ID: I20040624000512 |
| Provider Name | Kyle Ernest Watford |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1225000573 PECOS PAC ID: 4385622166 Enrollment ID: I20040708001206 |
| Provider Name | Robert E Elvington |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1679587232 PECOS PAC ID: 2264410794 Enrollment ID: I20040712000506 |
| Provider Name | Barbara A Moran-faile |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1396737995 PECOS PAC ID: 8426038449 Enrollment ID: I20040721001000 |
| Provider Name | Leah A Aragon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144253790 PECOS PAC ID: 8022088798 Enrollment ID: I20040729000643 |
| Provider Name | Hugh M Dennis |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1346331295 PECOS PAC ID: 2961473806 Enrollment ID: I20040804000144 |
| Provider Name | Timothy H Williams |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1801987763 PECOS PAC ID: 6901877943 Enrollment ID: I20040804000218 |
| Provider Name | Tracy King Fasolino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427006170 PECOS PAC ID: 9133190911 Enrollment ID: I20040804001266 |
| Provider Name | Deidre Jane Hudson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902878218 PECOS PAC ID: 5496729592 Enrollment ID: I20040824000954 |
| Provider Name | Renu Bhatia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093817058 PECOS PAC ID: 4486622164 Enrollment ID: I20040921000279 |
| Provider Name | Lisa G Harding |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467447631 PECOS PAC ID: 9133197460 Enrollment ID: I20040923000619 |
| Provider Name | Jeff A Benjamin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1821057779 PECOS PAC ID: 3678533858 Enrollment ID: I20041012001350 |
| Provider Name | Scott C Weikle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487618914 PECOS PAC ID: 6204899511 Enrollment ID: I20041108000985 |
| Provider Name | Todd Robert Lantz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114913324 PECOS PAC ID: 8921062779 Enrollment ID: I20041112000262 |
| Provider Name | Lynwood Breeden Hollis |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1649237793 PECOS PAC ID: 4082663638 Enrollment ID: I20050120000761 |
| Provider Name | John E Cebe |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1972595536 PECOS PAC ID: 0840237178 Enrollment ID: I20050408000408 |
| Provider Name | Ralph E Lattimore |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790886018 PECOS PAC ID: 0749229649 Enrollment ID: I20050429000584 |
| Provider Name | Harvey A Sikes |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922109248 PECOS PAC ID: 2163462425 Enrollment ID: I20050505000570 |
| Provider Name | Vanessa A Mazzoli |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437250768 PECOS PAC ID: 2769422021 Enrollment ID: I20050505000600 |
| Provider Name | Gregory San |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1679565279 PECOS PAC ID: 2163464181 Enrollment ID: I20050531000569 |
| Provider Name | Ben W Wilson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558364109 PECOS PAC ID: 1850335076 Enrollment ID: I20050617000353 |
| Provider Name | Rico Amancio Aragon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528017860 PECOS PAC ID: 1557306156 Enrollment ID: I20050623000894 |
| Provider Name | Ned D Freeman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1578555173 PECOS PAC ID: 3779519723 Enrollment ID: I20050712000450 |
| Provider Name | Raana P Naidu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275584039 PECOS PAC ID: 1850328972 Enrollment ID: I20050720000808 |
| Provider Name | Reed A Mathias |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174563704 PECOS PAC ID: 4688602675 Enrollment ID: I20050801000495 |
| Provider Name | Kim Waldenmaier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851373021 PECOS PAC ID: 7719917012 Enrollment ID: I20050816001159 |
| Provider Name | Tracie D Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053381319 PECOS PAC ID: 4183654122 Enrollment ID: I20050818000715 |
| Provider Name | Charles Vincent Mullen |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1447358478 PECOS PAC ID: 9234161043 Enrollment ID: I20050901000065 |
| Provider Name | Judith Zink |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881760841 PECOS PAC ID: 8123047560 Enrollment ID: I20051115000963 |
| Provider Name | Lucretia P Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134220932 PECOS PAC ID: 4183644685 Enrollment ID: I20051129000783 |
| Provider Name | Edward Perry Heidtman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659472991 PECOS PAC ID: 1658391032 Enrollment ID: I20051130000344 |
| Provider Name | Shannon D Johnson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063513307 PECOS PAC ID: 1456371830 Enrollment ID: I20051130000358 |
| Provider Name | James Donald Franklin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932117298 PECOS PAC ID: 1355364530 Enrollment ID: I20060113000567 |
| Provider Name | Shannon P Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992772073 PECOS PAC ID: 9931112547 Enrollment ID: I20060727000354 |
| Provider Name | Jennifer Martin |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1083642045 PECOS PAC ID: 4981617495 Enrollment ID: I20060731000354 |
| Provider Name | Howland E Crosswell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811943871 PECOS PAC ID: 7911900907 Enrollment ID: I20060811000207 |
| Provider Name | Stephen R Ridgeway |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1184682239 PECOS PAC ID: 3173527249 Enrollment ID: I20060831000511 |
| Provider Name | Christopher H Kavolus |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1427015155 PECOS PAC ID: 7719981588 Enrollment ID: I20060908000497 |
| Provider Name | James E Jennings |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1396702452 PECOS PAC ID: 4981608759 Enrollment ID: I20060908000503 |
| Provider Name | Joanne Daniel-saunders |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164536918 PECOS PAC ID: 8729086236 Enrollment ID: I20061116000553 |
| Provider Name | Lynn A Curry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285714956 PECOS PAC ID: 0042313355 Enrollment ID: I20070307000086 |
| Provider Name | John B Eberly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093719320 PECOS PAC ID: 0143324491 Enrollment ID: I20070327000413 |
| Provider Name | Cassandra E Bray |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700935897 PECOS PAC ID: 8325024607 Enrollment ID: I20070507000058 |
| Provider Name | Walter Pugh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770632762 PECOS PAC ID: 0446356505 Enrollment ID: I20070507000164 |
| Provider Name | James P Macmillan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194797290 PECOS PAC ID: 6608972542 Enrollment ID: I20070509000380 |
| Provider Name | Lidia Catrinel Baldea |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952321341 PECOS PAC ID: 8123110525 Enrollment ID: I20070815000200 |
| Provider Name | Daniel M Jacques |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1699750075 PECOS PAC ID: 4981797818 Enrollment ID: I20070907000452 |
| Provider Name | Connie J Blackstone |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497766588 PECOS PAC ID: 2769576115 Enrollment ID: I20070917000436 |
| Provider Name | Marcus Blackstone |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366453458 PECOS PAC ID: 0547204315 Enrollment ID: I20070926001203 |
| Provider Name | Kellie D Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548453509 PECOS PAC ID: 2062507221 Enrollment ID: I20071003000005 |
| Provider Name | Phillip C Greig |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851491633 PECOS PAC ID: 4688650690 Enrollment ID: I20071003000247 |
| Provider Name | Julia Paduano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497818736 PECOS PAC ID: 0547358582 Enrollment ID: I20071108000618 |
| Provider Name | Michael L Ruppenthal |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1437131232 PECOS PAC ID: 7113980764 Enrollment ID: I20071210000456 |
| Provider Name | Linda L Redderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265402192 PECOS PAC ID: 0840372231 Enrollment ID: I20080124000041 |
| Provider Name | Mark T White |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114997640 PECOS PAC ID: 0345323440 Enrollment ID: I20080213000253 |
| Provider Name | Calvin M Snipes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225023484 PECOS PAC ID: 6305814658 Enrollment ID: I20080319000698 |
| Provider Name | Katarina S Harris |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1003963141 PECOS PAC ID: 8426152042 Enrollment ID: I20080501000439 |
| Provider Name | William Johnson Taylor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003886532 PECOS PAC ID: 7618056177 Enrollment ID: I20080508000530 |
| Provider Name | Matthew G Nessmith |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1265490684 PECOS PAC ID: 7810909355 Enrollment ID: I20080514000590 |
| Provider Name | Brad M Simpson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1699767277 PECOS PAC ID: 1951470095 Enrollment ID: I20080515000535 |
| Provider Name | Gretchen C Kaneb |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164506002 PECOS PAC ID: 2365439940 Enrollment ID: I20080521000596 |
| Provider Name | John W Womack |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1366579666 PECOS PAC ID: 8921105073 Enrollment ID: I20080723000641 |
| Provider Name | Joseph R Millican |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235250960 PECOS PAC ID: 9638242654 Enrollment ID: I20080723000649 |
| Provider Name | Melissa R Richardson |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1639199201 PECOS PAC ID: 3678647492 Enrollment ID: I20080728000699 |
| Provider Name | Ezzat El Bayoumi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1962440149 PECOS PAC ID: 1456429729 Enrollment ID: I20081014000516 |
| Provider Name | Geanice Yates Holton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053306225 PECOS PAC ID: 0648338756 Enrollment ID: I20081017000694 |
| Provider Name | Elizabeth A King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487733309 PECOS PAC ID: 2567522337 Enrollment ID: I20081124000518 |
| Provider Name | Kevin M Phillips |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649381294 PECOS PAC ID: 8527117803 Enrollment ID: I20090515000124 |
| Provider Name | Edward Burrus |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1780656595 PECOS PAC ID: 7416008859 Enrollment ID: I20090625000303 |
| Provider Name | Bing Yi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245452366 PECOS PAC ID: 0941352926 Enrollment ID: I20090722000537 |
| Provider Name | Bijal N Desai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679593909 PECOS PAC ID: 6406901339 Enrollment ID: I20090828000362 |
| Provider Name | Julie M Dangler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649234386 PECOS PAC ID: 2062567894 Enrollment ID: I20090901000055 |
| Provider Name | Patrick G Lollis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033173778 PECOS PAC ID: 0143200840 Enrollment ID: I20090901000079 |
| Provider Name | Gregory W Edens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952365173 PECOS PAC ID: 1254486954 Enrollment ID: I20090902000064 |
| Provider Name | Colin R Stephenson |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1194776641 PECOS PAC ID: 7517012214 Enrollment ID: I20090902000072 |
| Provider Name | Alan G Posta |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1841388675 PECOS PAC ID: 3678563814 Enrollment ID: I20100215000030 |
| Provider Name | Steven M Newman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013028000 PECOS PAC ID: 2466596846 Enrollment ID: I20100223000698 |
| Provider Name | Vincent P Torres |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922119940 PECOS PAC ID: 8628104429 Enrollment ID: I20100331000782 |
| Provider Name | Kurt R Budelmann |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295760973 PECOS PAC ID: 1658407242 Enrollment ID: I20100408000106 |
| Provider Name | Laura A Hunt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780606780 PECOS PAC ID: 7719017821 Enrollment ID: I20100617000036 |
| Provider Name | Karen A Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851398747 PECOS PAC ID: 3577605633 Enrollment ID: I20100726000172 |
| Provider Name | Amy E Roemmich |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720313893 PECOS PAC ID: 9335263334 Enrollment ID: I20100827000310 |
| Provider Name | Edward A Stewart |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1013094234 PECOS PAC ID: 5395860712 Enrollment ID: I20100908001083 |
| Provider Name | Paul Duane Freel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528088721 PECOS PAC ID: 0941316020 Enrollment ID: I20101014000442 |
| Provider Name | Erin Michelle Beasley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336398601 PECOS PAC ID: 9335333921 Enrollment ID: I20101027001104 |
| Provider Name | James R Monroe |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1225067556 PECOS PAC ID: 9335242908 Enrollment ID: I20101229000347 |
| Provider Name | Thomas E Hamilton |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1053349555 PECOS PAC ID: 1153424726 Enrollment ID: I20110104000112 |
| Provider Name | Amber C Fowler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780814327 PECOS PAC ID: 5698964955 Enrollment ID: I20110118001131 |
| Provider Name | Katherine Lindsay Ellis Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063732048 PECOS PAC ID: 2961681259 Enrollment ID: I20110119000153 |
| Provider Name | Sushil C Mittal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679533491 PECOS PAC ID: 5092994111 Enrollment ID: I20110121000351 |
| Provider Name | Lisa B Speach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386971448 PECOS PAC ID: 4385823780 Enrollment ID: I20110131000679 |
| Provider Name | Michael Chase Chappell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326104878 PECOS PAC ID: 8527198514 Enrollment ID: I20110223000317 |
| Provider Name | Benjamin Anderson Hester |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538225206 PECOS PAC ID: 9436289428 Enrollment ID: I20110223000329 |
| Provider Name | Vidya R Ajaradder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275543928 PECOS PAC ID: 3870598451 Enrollment ID: I20110512000279 |
| Provider Name | Travis Greer |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1083811384 PECOS PAC ID: 3577749647 Enrollment ID: I20110525000763 |
| Provider Name | John E Lacy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992964159 PECOS PAC ID: 6204014780 Enrollment ID: I20110705000304 |
| Provider Name | Brian Marshall Thompson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1821024993 PECOS PAC ID: 3577468594 Enrollment ID: I20110707000229 |
| Provider Name | Kathleen V Woschkolup |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003013616 PECOS PAC ID: 5496926149 Enrollment ID: I20110929000139 |
| Provider Name | Lillian M Nicks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558641670 PECOS PAC ID: 3678746336 Enrollment ID: I20111026000111 |
| Provider Name | Rebecca Alsip Iskandar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235367699 PECOS PAC ID: 1658544119 Enrollment ID: I20111027000652 |
| Provider Name | Angela Kay Plumer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548311772 PECOS PAC ID: 5890690317 Enrollment ID: I20111116000014 |
| Provider Name | Natalie Lovell-sherman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275595860 PECOS PAC ID: 2163698499 Enrollment ID: I20120106000823 |
| Provider Name | Philip Caron |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003803040 PECOS PAC ID: 7810088002 Enrollment ID: I20120125000114 |
| Provider Name | Erik Baker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225071673 PECOS PAC ID: 8729034046 Enrollment ID: I20120213000260 |
| Provider Name | Laura S Anthony |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427349281 PECOS PAC ID: 1153580931 Enrollment ID: I20120314000566 |
| Provider Name | Divya Kulkarni |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740597178 PECOS PAC ID: 0446445779 Enrollment ID: I20120628000700 |
| Provider Name | Sonya L Cothran-pate |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447335633 PECOS PAC ID: 9931282647 Enrollment ID: I20120803000582 |
| Provider Name | Andrea Cover Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619261393 PECOS PAC ID: 9133375165 Enrollment ID: I20120807000917 |
| Provider Name | Benjamin S Koch |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1356375414 PECOS PAC ID: 3678743309 Enrollment ID: I20120829000373 |
| Provider Name | Parampal S Bhullar |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1164662318 PECOS PAC ID: 4486779972 Enrollment ID: I20121023000780 |
| Provider Name | Shawn K Mathias |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417163064 PECOS PAC ID: 9234389099 Enrollment ID: I20121101000500 |
| Provider Name | Jeffrey J Senfield |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1871727073 PECOS PAC ID: 6204076037 Enrollment ID: I20130628000006 |
| Provider Name | Erin J Dickert |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609041292 PECOS PAC ID: 4183758568 Enrollment ID: I20130702000011 |
| Provider Name | Amanda L Austin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548584204 PECOS PAC ID: 1850533415 Enrollment ID: I20130809000574 |
| Provider Name | Stephen Greer |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1306868666 PECOS PAC ID: 7618866153 Enrollment ID: I20130820001109 |
| Provider Name | John S Minasi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1386920593 PECOS PAC ID: 4284890369 Enrollment ID: I20130905000127 |
| Provider Name | Irum M Idrees |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1568786630 PECOS PAC ID: 4789811019 Enrollment ID: I20131212000905 |
| Provider Name | Fahd Quddus |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1952530677 PECOS PAC ID: 5799819553 Enrollment ID: I20140115000437 |
| Provider Name | Ryan W Supler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891129177 PECOS PAC ID: 8628207065 Enrollment ID: I20140206001028 |
| Provider Name | Robert D Siegel |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1518901545 PECOS PAC ID: 0446289086 Enrollment ID: I20140605000580 |
| Provider Name | Jake A Krieg,md |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1184886996 PECOS PAC ID: 0345466611 Enrollment ID: I20140722001425 |
| Provider Name | Rachel E Pruitt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992089841 PECOS PAC ID: 0547496952 Enrollment ID: I20140724000633 |
| Provider Name | Celeste B Beaudoin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639481690 PECOS PAC ID: 5991923781 Enrollment ID: I20140819002252 |
| Provider Name | Jennifer L Ashley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184038853 PECOS PAC ID: 9133349665 Enrollment ID: I20141006001585 |
| Provider Name | David Williams |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1962609347 PECOS PAC ID: 3375764418 Enrollment ID: I20141015000366 |
| Provider Name | Stacie M Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902206147 PECOS PAC ID: 7911129176 Enrollment ID: I20141104001423 |
| Provider Name | Michael Lloyd Peters |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386902286 PECOS PAC ID: 4082851670 Enrollment ID: I20150106002154 |
| Provider Name | Lani N Hendrix |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174931380 PECOS PAC ID: 5799000469 Enrollment ID: I20150223000182 |
| Provider Name | Jennifer Smart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871770891 PECOS PAC ID: 3577630011 Enrollment ID: I20150707003337 |
| Provider Name | Ngan Kim Moran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013398031 PECOS PAC ID: 5799099628 Enrollment ID: I20150805007427 |
| Provider Name | Dylan Jerome Watson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1689802225 PECOS PAC ID: 6507015930 Enrollment ID: I20150810001279 |
| Provider Name | Ana Katrina Endaya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962802124 PECOS PAC ID: 7810204690 Enrollment ID: I20150910001741 |
| Provider Name | Meredith T Bergey Vejnar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184986580 PECOS PAC ID: 0648435909 Enrollment ID: I20150910002843 |
| Provider Name | James Shrouder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972865384 PECOS PAC ID: 6305096116 Enrollment ID: I20150918001231 |
| Provider Name | Matthew B Sellers |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1528225356 PECOS PAC ID: 6507040706 Enrollment ID: I20150926000169 |
| Provider Name | Krishna Manhar Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942631585 PECOS PAC ID: 8820229123 Enrollment ID: I20151020002896 |
| Provider Name | Danielle N Andrews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245557768 PECOS PAC ID: 3577873405 Enrollment ID: I20151105001197 |
| Provider Name | Mary Simon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902282270 PECOS PAC ID: 9739489428 Enrollment ID: I20151202001472 |
| Provider Name | Gertrude O Bassey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457717761 PECOS PAC ID: 5294030292 Enrollment ID: I20160301000765 |
| Provider Name | Jessica L Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285059774 PECOS PAC ID: 5193946531 Enrollment ID: I20160614002328 |
| Provider Name | Stelina D Jennings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679928428 PECOS PAC ID: 6608167317 Enrollment ID: I20160627001569 |
| Provider Name | Scott Thomas Watson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1881914430 PECOS PAC ID: 5698924025 Enrollment ID: I20160725001634 |
| Provider Name | Jason M Coben |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316385099 PECOS PAC ID: 2961636329 Enrollment ID: I20160811002378 |
| Provider Name | Mary Laurel Varghese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548600547 PECOS PAC ID: 0840431433 Enrollment ID: I20160922001460 |
| Provider Name | Glenn T Brothers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871549055 PECOS PAC ID: 9830184613 Enrollment ID: I20160926000941 |
| Provider Name | Jennifer L Standard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942758594 PECOS PAC ID: 4688953375 Enrollment ID: I20161121001946 |
| Provider Name | George R Belton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639536311 PECOS PAC ID: 3971880220 Enrollment ID: I20170515002158 |
| Provider Name | Heather D Hannon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336699172 PECOS PAC ID: 2668742057 Enrollment ID: I20170718001057 |
| Provider Name | Abby E Meagher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437673423 PECOS PAC ID: 3375818297 Enrollment ID: I20171003006115 |
| Provider Name | Gabrielle Bramblett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396261822 PECOS PAC ID: 1759657802 Enrollment ID: I20171018000699 |
| Provider Name | Marcia Luis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750809612 PECOS PAC ID: 9739455049 Enrollment ID: I20171031002484 |
| Provider Name | Kathleen H Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548789019 PECOS PAC ID: 7911265749 Enrollment ID: I20171227001247 |
| Provider Name | William Carson Felkel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821309998 PECOS PAC ID: 8628221090 Enrollment ID: I20180102002475 |
| Provider Name | Brittany Parsons |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538449335 PECOS PAC ID: 1456526011 Enrollment ID: I20180126002130 |
| Provider Name | Michael Mcinnis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811402910 PECOS PAC ID: 3779843115 Enrollment ID: I20180205000873 |
| Provider Name | Daniel Robert Green |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1790929230 PECOS PAC ID: 2466673769 Enrollment ID: I20180220003084 |
| Provider Name | Sarah E Whitehead |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699041160 PECOS PAC ID: 0042439911 Enrollment ID: I20180521001978 |
| Provider Name | Alexa La Rae Middleton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508216342 PECOS PAC ID: 1850689662 Enrollment ID: I20180821000738 |
| Provider Name | Courtney Lynn Carsten |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720462948 PECOS PAC ID: 5496062184 Enrollment ID: I20180906002571 |
| Provider Name | Kendall N Shirley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487003216 PECOS PAC ID: 2062790298 Enrollment ID: I20180918001384 |
| Provider Name | Philip Fontenot |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1790121424 PECOS PAC ID: 7810293370 Enrollment ID: I20180925002184 |
| Provider Name | Kyle M Ryberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891144648 PECOS PAC ID: 0143518159 Enrollment ID: I20180928002117 |
| Provider Name | Rebecca C Rinko |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528379054 PECOS PAC ID: 6709108368 Enrollment ID: I20181019001461 |
| Provider Name | Celeste Marie Sitton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558845321 PECOS PAC ID: 6800130295 Enrollment ID: I20181212001970 |
| Provider Name | Lynnette K Beyerle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194206540 PECOS PAC ID: 7012252331 Enrollment ID: I20181214000580 |
| Provider Name | Jessica Gonzalez Hernandez |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1962792580 PECOS PAC ID: 9133418718 Enrollment ID: I20181214000689 |
| Provider Name | Fiesky A Nunez |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1770840928 PECOS PAC ID: 2264700798 Enrollment ID: I20190215001141 |
| Provider Name | Jennifer Leigh Watts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235576448 PECOS PAC ID: 4688913361 Enrollment ID: I20190222002789 |
| Provider Name | Lori K Ellenburg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043738057 PECOS PAC ID: 8921349440 Enrollment ID: I20190410002737 |
| Provider Name | Katie Elizabeth Roux |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538625751 PECOS PAC ID: 9133461247 Enrollment ID: I20190419000496 |
| Provider Name | Sarah Burre Loudermilk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770049009 PECOS PAC ID: 3678814506 Enrollment ID: I20190422000510 |
| Provider Name | Elizabeth Ann Lacy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457816928 PECOS PAC ID: 7517209299 Enrollment ID: I20190429002161 |
| Provider Name | Jared Williams Atkinson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629424114 PECOS PAC ID: 4587955893 Enrollment ID: I20190703000287 |
| Provider Name | William N Gasque |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740713668 PECOS PAC ID: 4981970373 Enrollment ID: I20190812002475 |
| Provider Name | Elias Joseph Arbid |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1578561528 PECOS PAC ID: 0042391112 Enrollment ID: I20190829003836 |
| Provider Name | Cody S Freeman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1659719862 PECOS PAC ID: 5991028664 Enrollment ID: I20190910001884 |
| Provider Name | Christina Diane Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518511229 PECOS PAC ID: 4789914961 Enrollment ID: I20191001003362 |
| Provider Name | Kathleen Patricia Cotten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467453704 PECOS PAC ID: 6305971136 Enrollment ID: I20191017002027 |
| Provider Name | Patrick J Hurley |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417215906 PECOS PAC ID: 8527378538 Enrollment ID: I20191028002559 |
| Provider Name | Lori Michelle Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972152403 PECOS PAC ID: 0840622924 Enrollment ID: I20191111001749 |
| Provider Name | Dianne Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174906416 PECOS PAC ID: 0143537795 Enrollment ID: I20200123002572 |
| Provider Name | Nancy Whaley Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700429701 PECOS PAC ID: 0244665099 Enrollment ID: I20200124000635 |
| Provider Name | Heather Freeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700347374 PECOS PAC ID: 7517397664 Enrollment ID: I20200414001239 |
| Provider Name | Sanjana Iddyadinesh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548641871 PECOS PAC ID: 1951647916 Enrollment ID: I20200706000746 |
| Provider Name | Stacy R Alexander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053947820 PECOS PAC ID: 2365865037 Enrollment ID: I20200714001410 |
| Provider Name | Kevin Hamilton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770071177 PECOS PAC ID: 6406100171 Enrollment ID: I20200804001997 |
| Provider Name | Christina Fleshman Hamby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912397621 PECOS PAC ID: 5890111538 Enrollment ID: I20200812002585 |
| Provider Name | Andrew Heffernan |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1851788749 PECOS PAC ID: 5799095535 Enrollment ID: I20200819001852 |
| Provider Name | Mary Bonner Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548880743 PECOS PAC ID: 9537587712 Enrollment ID: I20200921001812 |
| Provider Name | Keith Freeman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003357948 PECOS PAC ID: 5193154888 Enrollment ID: I20200929001244 |
| Provider Name | Zachary Dowdy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1982970646 PECOS PAC ID: 1951612142 Enrollment ID: I20201002001478 |
| Provider Name | Laura J Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265030209 PECOS PAC ID: 4385054758 Enrollment ID: I20201113002163 |
| Provider Name | Allie Dowe Brooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104433127 PECOS PAC ID: 0143631655 Enrollment ID: I20201203002976 |
| Provider Name | Stacey Wilson Sharp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609498849 PECOS PAC ID: 9931514528 Enrollment ID: I20210211002672 |
| Provider Name | Maggie Attia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326435538 PECOS PAC ID: 2365788379 Enrollment ID: I20210318001598 |
| Provider Name | Megan Friend |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1447541719 PECOS PAC ID: 1254624570 Enrollment ID: I20210517000445 |
| Provider Name | Jennifer Province |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003437617 PECOS PAC ID: 6901226091 Enrollment ID: I20210622000450 |
| Provider Name | Brittany Lynn Seawright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154901213 PECOS PAC ID: 8921400722 Enrollment ID: I20210716000361 |
| Provider Name | Lisa Renfrow-betker |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235129123 PECOS PAC ID: 9830145598 Enrollment ID: I20210716002365 |
| Provider Name | Kyle Childers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801383815 PECOS PAC ID: 6901200740 Enrollment ID: I20210802001701 |
| Provider Name | David Carter |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578943833 PECOS PAC ID: 6800196072 Enrollment ID: I20210817004210 |
| Provider Name | Jordan Grnak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922501204 PECOS PAC ID: 4981012689 Enrollment ID: I20210830002439 |
| Provider Name | Andrew G De Nazareth |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1861690802 PECOS PAC ID: 3577708635 Enrollment ID: I20210907000137 |
| Provider Name | Eric Douglas Kane |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770076168 PECOS PAC ID: 9638594393 Enrollment ID: I20211007000253 |
| Provider Name | Dana N Hodges |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1114256971 PECOS PAC ID: 9436549961 Enrollment ID: I20211124000405 |
| Provider Name | Stephanie Buhr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902464738 PECOS PAC ID: 6800124058 Enrollment ID: I20220221002364 |
| Provider Name | Carrie Lichtenstein |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1508248139 PECOS PAC ID: 6406131234 Enrollment ID: I20220307001809 |
| Provider Name | James Eugene Fogartie |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1053359836 PECOS PAC ID: 9234027558 Enrollment ID: I20220314000560 |
| Provider Name | Michael Castelvecchi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467112763 PECOS PAC ID: 2961898994 Enrollment ID: I20220331000557 |
| Provider Name | Ilda Betancur Restrepo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255560272 PECOS PAC ID: 7113178682 Enrollment ID: I20220504002902 |
| Provider Name | Jacob S Kozacki |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396205878 PECOS PAC ID: 6204166069 Enrollment ID: I20220822003404 |
| Provider Name | Marjory H Pesek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255890513 PECOS PAC ID: 7719213180 Enrollment ID: I20220824002328 |
| Provider Name | Rayma Reyes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336812742 PECOS PAC ID: 8921483538 Enrollment ID: I20220919001289 |
| Provider Name | Lina Marcela Lopez-meneses |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417615311 PECOS PAC ID: 5890166540 Enrollment ID: I20230117002990 |
| Provider Name | Anna Chappell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366170292 PECOS PAC ID: 9335504315 Enrollment ID: I20230426001204 |
| Provider Name | Mary F Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750615282 PECOS PAC ID: 0143405399 Enrollment ID: I20230619000998 |
| Provider Name | Anand Swamy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063049658 PECOS PAC ID: 9234553017 Enrollment ID: I20230815004208 |
| Provider Name | Lindsay Gregory Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174232946 PECOS PAC ID: 9638533540 Enrollment ID: I20230911004285 |
| Provider Name | Julie Mackin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588440507 PECOS PAC ID: 5092163659 Enrollment ID: I20231121002126 |
| Provider Name | Mary Catherine Loftus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912638941 PECOS PAC ID: 6406205905 Enrollment ID: I20231208003028 |
| Provider Name | Pamela A Fine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295901023 PECOS PAC ID: 0749318889 Enrollment ID: I20231213001550 |
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 | |
Aid Upstate Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 811 Pendleton St, Suite 11, Greenville, SC 29601 Phone: 864-250-0607 Fax: 864-250-0608 | |
Midtown Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7 Pointe Cir, Greenville, SC 29615 Phone: 864-525-5400 | |
Center For Adult And Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 305 Tanner Rd, Greenville, SC 29607 Phone: 864-627-1220 Fax: 864-627-1221 | |
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 | |
The Wellness Center Operated By Premise Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 244 Terminal Rd Bldg 1045, Greenville, SC 29605 Phone: 864-299-7193 Fax: 864-299-7639 | |
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 |