Jack A Stauffer (NPI# 1396703740, PAC ID# 2062503410) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1396703740 |
| PAC ID by PECOS | 2062503410 |
| Professional Enrollment ID | I20070814000560 |
| Full Name | Jack A Stauffer |
| Organization Legal Name | PALMETTO PRIMARY CARE PHYSICIANS |
| Address |
435 N Cedar St Summerville SC 29483-6495 |
| Phone Number | 8438731592 |
| Gender | M |
| Graduation Year | 1995 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4880508068 |
| Number of Group Practice Members | 96 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420079 | TRIDENT MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 102 W 8th N St A, Summerville, SC 29483-6656 | 8438719440 | PALMETTO PRIMARY CARE PHYSICIANS |
| 208 E 2nd N St, Summerville, SC 29483 | 8438736873 | PALMETTO PRIMARY CARE PHYSICIANS |
| 213 W 4th N St, Summerville, SC 29483 | 8438730681 | PALMETTO PRIMARY CARE PHYSICIANS |
| 300 W 4th N St, Summerville, SC 29483-6550 | PALMETTO PRIMARY CARE PHYSICIANS | |
| 404 N Pine St, Summerville, SC 29483-6557 | 8438730202 | PALMETTO PRIMARY CARE PHYSICIANS |
| 412 N Gum St, Summerville, SC 29483-6830 | 8438731720 | PALMETTO PRIMARY CARE PHYSICIANS |
| 435 N Cedar St, Summerville, SC 29483-6495 | 8438731592 | PALMETTO PRIMARY CARE PHYSICIANS |
| 507 N Laurel, Summerville, SC 29483-6558 | 8438750600 | PALMETTO PRIMARY CARE PHYSICIANS |
| 809 N Cedar St, Summerville, SC 29483-6605 | 8438719440 | PALMETTO PRIMARY CARE PHYSICIANS |
| Organization Legal Name | PALMETTO PRIMARY CARE PHYSICIANS |
| Physicians | 137 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Phillips | Nurse Practitioner | Palmetto Primary Care Physicians | 7 S Alliance Dr, Suite 211b, Goose Creek, SC 29445-7269 |
| Lori M Roses | Qualified Audiologist | Palmetto Primary Care Physicians | 3495 Iron Horse Rd, Ladson, SC 29456-4319 |
| Kori A Frank | Nurse Practitioner | Palmetto Primary Care Physicians | 115 Executive Pkwy, Moncks Corner, SC 29461-3955 |
| Sasha Milleman Perez | Family Medicine | Palmetto Primary Care Physicians | 3030 Ashley Town Ctr Dr, Suite 102a, Charleston, SC 29414-5678 |
| Jillian Clesi | Physician Assistant | Palmetto Primary Care Physicians | 5325 Appian Way, Charleston, SC 29420-7234 |
| Lynn Ann Leclerc | Nurse Practitioner | Palmetto Primary Care Physicians | 113 Willbrook Blvd, Unit F, Pawleys Island, SC 29585-8245 |
| Candice Alise Jones | Nurse Practitioner | Palmetto Primary Care Physicians | 809 N Cedar St, Summerville, SC 29483-6605 |
| Cielita K Halyard | Nurse Practitioner | Palmetto Primary Care Physicians | 119 Springhall Dr, Goose Creek, SC 29445-5368 |
| Reid D Castellone | Family Medicine | Palmetto Primary Care Physicians | 213 W 4th N St, Summerville, SC 29483-6541 |
| Jennifer R Stolin | Family Medicine | Palmetto Primary Care Physicians | 110 Springhall Dr, Suite B, Goose Creek, SC 29445-5335 |
| Street Address |
435 N CEDAR ST |
| City | SUMMERVILLE |
| State | SC |
| Zip | 29483-6495 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian K Keller | Family Medicine | Palmetto Primary Care Physicians | 435 N Cedar St, Summerville, SC 29483-6495 |
| Jennifer L Repaskey | Physician Assistant | Palmetto Primary Care Physicians | 435 N Cedar St, Summerville, SC 29483-6495 |
| Alisa Whittington | Nurse Practitioner | Palmetto Primary Care Physicians | 435 N Cedar St, Summerville, SC 29483-6495 |
| Clarence William Wimberly Jr. | Family Practice | 435 N Cedar St, Summerville, SC 29483-6407 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer C Bonner | Audiologist | Audiology Services Company Usa LLC | 107 W 5th N St, Summerville, SC 29483 |
| Kelsea Jordan Shiner | Physical Therapy | Rsfh - Ati Physical Therapy LLC | 330 E 5th N St, Suite Dande, Summerville, SC 29483-0702 |
| Elizabeth Grace Klauss | Physical Therapy | Rsfh - Ati Physical Therapy LLC | 330 E 5th N St, Suite Dande, Summerville, SC 29483-0702 |
| Jason Roy Fisher | Physical Therapy | Rsfh - Ati Physical Therapy LLC | 330 E 5th N St, Suite Dande, Summerville, SC 29483-0702 |
| Jennifer M Pero | Chiropractic | Precision Chiropractic LLC | 330 E 5th N St, Suite A, Summerville, SC 29483-0702 |
| Samara M Warrick | Chiropractic | Precision Chiropractic LLC | 330 E 5th N St, Suite A, Summerville, SC 29483-0702 |
| Matthew Angelo Hassig | Physical Therapy | Rsfh - Ati Physical Therapy LLC | 330 E 5th N St, Suite Dande, Summerville, SC 29483-0702 |
| Thomas Mercante | Chiropractic | 1115 Central Ave, Unit C, Summerville, SC 29483-3072 | |
| Kristin M Pirolli | Physical Therapy | 1240 Central Ave B, Summerville, SC 29483-3148 | |
| Jeffrey Patrick Kraichely | Chiropractic | 1240 A Central Ave, Summerville, SC 29483-3148 | |
| Find all physicians in zip 29483 | |||
| City | SUMMERVILLE |
| Zip Code | 29483 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SUMMERVILLE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jack A Stauffer.
| 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.