CAITLIN ELIZABETH AZZARELLO (NPI# 1295129377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295129377 |
| Entity Type | Individual |
| Full Name | CAITLIN ELIZABETH AZZARELLO |
| Credential | PA-C |
| Practice Address |
800 N Fant St Anderson SC 29621-5708 |
| Mailing Address |
Po Box 179 Anderson SC 29622-0179 |
| Practice Telephone | 8646173813 |
| Mailing Telephone | 8646173813 |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2015-06-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 2278 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 2138PA | 05 | |
| SC | BLUE CHOICE, COMMERCIAL & MEDICAID | NPI # | 01 |
| GA | 003160448A | 05 | |
| SC | BLUE CROSS | NPI # | 01 |
| SC | TRICARE (AFFILIATION ONLY) | NPI # | 01 |
| SC | WELLCARE | 1068956 | 01 |
| Street Address |
800 N FANT ST |
| City | ANDERSON |
| State | SC |
| Zip Code | 29621-5708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730182262 | Sarah Anne Cummings | Nurse Anesthetist, Certified Registered | 800 N Fant St, Anderson, SC 29621-5708 | 2005-05-30 |
| 1922623677 | Ivy Ray | Nurse Practitioner | 800 N Fant St, Anderson, SC 29621-5708 | 2020-06-09 |
| 1003431701 | Jennifer E Thompson | Pharmacist | 800 N Fant St, Anderson, SC 29621-5708 | 2020-06-09 |
| 1174165054 | Heather Marshall Ford | Nurse Practitioner | 800 N Fant St, Anderson, SC 29621-5708 | 2019-10-12 |
| 1700349206 | Carleen O'connell | Registered Nurse | 800 N Fant St, Anderson, SC 29621-5708 | 2019-04-11 |
| 1942769666 | Dharti Patel | Nurse Practitioner | 800 N Fant St, Anderson, SC 29621-5708 | 2019-03-13 |
| 1760940225 | Meredith H Hargrove | Nurse Practitioner | 800 N Fant St, Anderson, SC 29621-5708 | 2019-03-04 |
| 1780169276 | Brent Austin Harris | Nurse Practitioner | 800 N Fant St, Anderson, SC 29621-5708 | 2018-10-01 |
| 1356826929 | Donna Annette Patterson | Registered Nurse | 800 N Fant St, Anderson, SC 29621-5708 | 2018-09-30 |
| 1174002059 | Ich Er Services, LLC | Emergency Medicine | 800 N Fant St, Anderson, SC 29621-5708 | 2018-08-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114574241 | Kathryn L Harwick | Social Worker | 3030 Sc-81, Anderson, SC 29621 | 2019-08-22 |
| 1326517194 | Ashlea Bronwen Bates | Nurse Practitioner | 3424 Clemson Blvd., Anderson, SC 29621 | 2018-11-21 |
| 1770051708 | Bailee Vernon Mccarley | Nurse Practitioner | 800 Fant St, Anderson, SC 29621 | 2018-11-07 |
| 1790278893 | Morgan Cutts | Speech-Language Pathologist | 126 Broadbent Way, Suite A, Anderson, SC 29621 | 2018-06-13 |
| 1427546233 | Amanda Coker Burnette | Family Medicine | 3000 East Greenville Street, Suite 3700, Anderson, SC 29621 | 2018-04-26 |
| 1205342169 | Robert Allen Dameron Jr. | Orthopaedic Surgery | 130 Longview Drive, Anderson, SC 29621 | 2017-12-14 |
| 1578085411 | Michael Jason Bell | Contractor | 520 Hwy 29 Bypass N, Anderson, SC 29621 | 2017-07-12 |
| 1639629983 | Todd E. Hamilton | Dentist | 1112 Cornelia Road, Anderson, SC 29621 | 2016-10-11 |
| 1760939110 | Crystal Vaughn | Nurse Practitioner | Sac Anmed Health 2000 East Greenville Street, Anderson, SC 29621 | 2016-09-01 |
| 1992151328 | Veronica Williams | Non-emergency Medical Transport (VAN) | 2314 Old Williamston Road, Anderson, SC 29621 | 2016-05-04 |
| Find all providers in zip 29621 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609492495 | Chloe Miller | Physician Assistant | 1417 S Winding Way, Anderson, IN 46011-3062 | 2020-06-17 |
| 1912536665 | Shivani Patel | Physician Assistant | 4020 Clemson Blvd, Anderson, SC 29621-1106 | 2020-04-05 |
| 1831757053 | Sarah Marie Calaway | Physician Assistant | 8 Justice Ln, Anderson, SC 29621-2354 | 2019-06-03 |
| 1316429111 | Seth Brendle | Physician Assistant | 2809 Woodridge Dr, Anderson, SC 29621-1940 | 2018-08-29 |
| 1285839449 | Ron Frank Poli | Physician Assistant | 2760 N. Balls Ferry Rd., Anderson, CA 96007-3537 | 2007-06-18 |
| 1013931476 | Shasta Community Health Center | Physician Assistant | 16300 Cloverdale Rd, Anderson, CA 96007-8209 | 2006-07-27 |
| 1225054794 | Rita C Raih | Physician Assistant | 520 E 8th St, Anderson, IN 46012-4017 | 2006-07-15 |
| 1306829551 | Melanie A Thorpe | Physician Assistant | 100 Healthy Way Ste 1260, Anderson, SC 29621-7918 | 2005-11-22 |
| 1215570353 | Edward Burnett Wells | Physician Assistant | 100 Healthy Way Ste 1260, Anderson, SC 29621-7918 | 2019-10-22 |
| 1356983878 | Katherine Salter Huff | Physician Assistant | 100 Healthy Way Ste 1200, Anderson, SC 29621-7916 | 2019-10-16 |
| Find all providers in ANDERSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.