Ronald J Long (NPI# 1033194337, PAC ID# 1456311166) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1033194337 |
| PAC ID by PECOS | 1456311166 |
| Professional Enrollment ID | I20041018000355 |
| Full Name | Ronald J Long |
| Organization Legal Name | GEORGETOWN PHYSICIAN ASSOCIATES LLC |
| Address |
1306 N Fraser St Georgetown SC 29440-2800 |
| Phone Number | 8435463132 |
| Gender | M |
| Credential | MD |
| Medical School | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1978 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 2365697398 |
| Number of Group Practice Members | 85 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420020 | TIDELANDS HEALTH |
| Address | Phone | Organization |
|---|---|---|
| 1306 N Fraser St, Georgetown, SC 29440-2800 | 8435463132 | GEORGETOWN PHYSICIAN ASSOCIATES LLC |
| Organization Legal Name | GEORGETOWN PHYSICIAN ASSOCIATES LLC |
| Physicians | 101 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mylena Ann Yee | Physician Assistant | Georgetown Physician Associates LLC | 2200 Crow Ln, Myrtle Beach, SC 29577-1663 |
| Kaleigh Elizabeth Hudak | Physician Assistant | Georgetown Physician Associates LLC | 469 Marina Dr, Georgetown, SC 29440-2410 |
| Stephanie Marie Gonshor | Nurse Practitioner | Georgetown Physician Associates LLC | 2347s Hwy 17 Business S, Garden City, SC 29576 |
| Earl James Han | Orthopedic Surgery | Georgetown Physician Associates LLC | 2185 N Fraser St, Georgetown, SC 29440-6418 |
| Erica D Kouns | Nurse Practitioner | Georgetown Physician Associates LLC | 1011 N Fraser St, Georgetown, SC 29440-2848 |
| Melanie Houston Sanders | Family Medicine | Georgetown Physician Associates LLC | 4320 Holmestown Rd, Myrtle Beach, SC 29588-7837 |
| Robert Jason Heineck | Obstetrics/gynecology | Georgetown Physician Associates LLC | 1306 N Fraser St, Georgetown, SC 29440-2800 |
| Michelle Lynn Rottner | Nurse Practitioner | Georgetown Physician Associates LLC | 11916 Hwy 707, Murrells Inlet, SC 29576-9610 |
| Jacob Hurlan Brazee | Internal Medicine | Georgetown Physician Associates LLC | 4301 Dick Pond Rd, Myrtle Beach, SC 29588-6807 |
| Glen Neal Lilly Ii | Physician Assistant | Georgetown Physician Associates LLC | 12117 Ocean Hwy, Pawleys Island, SC 29585-7941 |
| Street Address |
1306 N FRASER ST |
| City | GEORGETOWN |
| State | SC |
| Zip | 29440-2800 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert Jason Heineck | Obstetrics/gynecology | Georgetown Physician Associates LLC | 1306 N Fraser St, Georgetown, SC 29440-2800 |
| Ashley Marie Miller | Nurse Practitioner | Georgetown Physician Associates LLC | 1306 N Fraser St, Georgetown, SC 29440-2800 |
| Xaviera M Carter | Obstetrics/gynecology | Georgetown Physician Associates LLC | 1306 N Fraser St, Georgetown, SC 29440-2800 |
| Monica Lynn Selander-han | Obstetrics/gynecology | Georgetown Physician Associates LLC | 1306 N Fraser St, Georgetown, SC 29440-2800 |
| Eduardo Miguel Martinez | Obstetrics/gynecology | Georgetown Physician Associates LLC | 1306 N Fraser St, Georgetown, SC 29440-2800 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Suzanne M Blakeley | Nurse Practitioner | Patricia R. Grant, Md Pa | 219 Church St, Georgetown, SC 29440-2403 |
| Patricia R Grant | Interventional Pain Management | Patricia R. Grant, Md Pa | 219 Church St, Georgetown, SC 29440-2403 |
| Barbara Lynn Horn-weisgerber | Optometry | Indigo Vision Center Pa | 302 Church St, Georgetown, SC 29440-2406 |
| Owen Cannon Johnson | Optometry | Indigo Vision Center Pa | 302 Church St, Georgetown, SC 29440-2406 |
| Kaleigh Elizabeth Hudak | Physician Assistant | Georgetown Physician Associates LLC | 469 Marina Dr, Georgetown, SC 29440-2410 |
| Terry L Fry | Otolaryngology | 401 Marina Dr, Georgetown, SC 29440-2410 | |
| Alfred J Daniels | Family Medicine | St. James-santee Family Health Center Inc. | 2020 Highmarket St, Georgetown, SC 29440-2618 |
| Erica D Kouns | Nurse Practitioner | Georgetown Physician Associates LLC | 1011 N Fraser St, Georgetown, SC 29440-2848 |
| Richard A Philipp Ii | Emergency Medicine | Georgetown Physician Associates LLC | 1075 N Fraser St, Georgetown, SC 29440-2848 |
| Gayle Serafini Richmond | Obstetrics/gynecology | Carolina Ob-gyn LLC | 1007 N Fraser St, Georgetown, SC 29440-2848 |
| Find all physicians in zip 29440 | |||
| City | GEORGETOWN |
| Zip Code | 29440 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | GEORGETOWN + OBSTETRICS/GYNECOLOGY |
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| 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.