Nathan J Shores (NPI# 1417173378, PAC ID# 1052406709) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.
| Nation Provider ID (NPI) | 1417173378 |
| PAC ID by PECOS | 1052406709 |
| Professional Enrollment ID | I20140821001188 |
| Full Name | Nathan J Shores |
| Organization Legal Name | CHARLESTON GASTROENTEROLOGY SPECIALISTS |
| Address |
328 Midland Pkwy Summerville SC 29485-8102 |
| Phone Number | 8437228000 |
| Gender | M |
| Medical School | MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE |
| Graduation Year | 2004 |
| Primary Specialty | GASTROENTEROLOGY |
| Group Practice PAC ID | 3173437472 |
| Number of Group Practice Members | 31 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420087 | ROPER HOSPITAL |
| 420065 | BON SECOURS-ST FRANCIS XAVIER HOSPITAL |
| 420104 | MOUNT PLEASANT HOSPITAL |
| 420079 | TRIDENT MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 328 Midland Pkwy, Summerville, SC 29485-8102 | 8437228000 | CHARLESTON GASTROENTEROLOGY SPECIALISTS |
| Organization Legal Name | CHARLESTON GASTROENTEROLOGY SPECIALISTS |
| Physicians | 32 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashley Lauren Kowal | Anesthesiology | Charleston Gastroenterology Specialists | 1962 Charlie Hall Blvd, Charleston, SC 29414-5837 |
| Thomas D Carico | Pathology | Charleston Gastroenterology Specialists | 328 Midland Pkwy, Summerville, SC 29485-8102 |
| Tara A Queener | Anesthesiology | Charleston Gastroenterology Specialists | 1962 Charlie Hall Blvd, Charleston, SC 29414-5837 |
| Frank Overdyk | Anesthesiology | Charleston Gastroenterology Specialists | 1962 Charlie Hall Blvd, Charleston, SC 29414-5837 |
| Summar C Phillips | Anesthesiology | Charleston Gastroenterology Specialists | 1962 Charlie Hall Blvd, Charleston, SC 29414-5837 |
| Mark W West | Anesthesiology | Charleston Gastroenterology Specialists | 1962 Charlie Hall Blvd, Charleston, SC 29414-5837 |
| Robert S Smith | Internal Medicine | Charleston Gastroenterology Specialists | 1962 Charlie Hall Blvd, Charleston, SC 29414-5837 |
| Shaughnessy V Mullen | Anesthesiology | Charleston Gastroenterology Specialists | 1962 Charlie Hall Blvd, Charleston, SC 29414-5837 |
| Eddie L Irions Jr. | Gastroenterology | Charleston Gastroenterology Specialists | 1962 Charlie Hall Blvd, Charleston, SC 29414-5837 |
| Norman H Brahen | Anesthesiology | Charleston Gastroenterology Specialists | 1962 Charlie Hall Blvd, Charleston, SC 29414-5837 |
| Street Address |
328 MIDLAND PKWY |
| City | SUMMERVILLE |
| State | SC |
| Zip | 29485-8102 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas D Carico | Pathology | Charleston Gastroenterology Specialists | 328 Midland Pkwy, Summerville, SC 29485-8102 |
| Jeffrey M Basile | Gastroenterology | Charleston Gastroenterology Specialists | 328 Midland Pkwy, Summerville, SC 29485-8102 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathryn J Gershkowitz | Nurse Practitioner | Equilibrium Endocrinology, Pa | 4340 Ladson Rd, Summerville, SC 29485 |
| Robert Stephen Iannace Jr. | Chiropractic | 1357 Bacons Bridge Rd, Summerville, SC 29485-3335 | |
| Marci H Woods | Nurse Practitioner | Roper Saint Francis Physicians Network | 9500 Dorchester Rd, Suite 362, Summerville, SC 29485-4304 |
| Judith L Hoffman | Clinical Social Worker | 89 B Old Trolley Rd, Suite 209, Summerville, SC 29485-4933 | |
| Christopher John Jones | Psychiatry | 709 Old Trolley Rd, Summerville, SC 29485-5203 | |
| Susan S Crocker | Psychiatry | 709 Old Trolley Rd, Summerville, SC 29485-5203 | |
| Christine Diane Hamolia | Certified Clinical Nurse Specialist (cns) | 709 Old Trolley Rd, Summerville, SC 29485-5203 | |
| James C Turn | Chiropractic | Willturn PC | 705 Old Trolley Rd E, Summerville, SC 29485-5212 |
| Thomas Edewaard | Optometry | 705 Old Trolley Rd A, Summerville, SC 29485-5212 | |
| Virginia Chetverikov | Optometry | Mobile Vision of South Carolina LLC | 717 Trolley Rd, Summerville, SC 29485-5287 |
| Find all physicians in zip 29485 | |||
| City | SUMMERVILLE |
| Zip Code | 29485 |
| Specialty | GASTROENTEROLOGY |
| City + Specialty | SUMMERVILLE + GASTROENTEROLOGY |
Please comment or provide details below to improve the information on Nathan J Shores.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.