David Runge (NPI# 1144646589, PAC ID# 2062630635) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1144646589 |
| PAC ID by PECOS | 2062630635 |
| Professional Enrollment ID | I20140822000865 |
| Full Name | David Runge |
| Organization Legal Name | MBSC ANESTHESIA LLC |
| Address |
827 82nd Pkwy Myrtle Beach SC 29572-4607 |
| Phone Number | 8002086014 |
| Gender | M |
| Medical School | UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE |
| Graduation Year | 2014 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 1456681212 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440063 | JOHNSON CITY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 200 Patewood Dr, B200, Greenville, SC 29615-6321 | 8642327338 | GASTROENTEROLOGY ASSOCIATES, PA |
| 1009 Lark St, Johnson City, TN 37604-8218 | 4232830776 | ANESTHESIA AND PAIN CONSULTANTS PC |
| 310 N State of Franklin Rd, Suite 202, Johnson City, TN 37604-6063 | 4234343700 | TENNESSEE VALLEY ANESTHESIA ASSOCIATES LLC |
| 827 82nd Pkwy, Myrtle Beach, SC 29572-4607 | 8002086014 | MBSC ANESTHESIA LLC |
| Organization Legal Name | MBSC ANESTHESIA LLC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jerome D Ciancione | Certified Registered Nurse Anesthetist (crna) | Mbsc Anesthesia LLC | 827 82nd Pkwy, Myrtle Beach, SC 29572-4607 |
| Dale Shannon Neal | Certified Registered Nurse Anesthetist (crna) | Mbsc Anesthesia LLC | 827 82nd Pkwy, Myrtle Beach, SC 29572-4607 |
| Jennifer H Faircloth | Certified Registered Nurse Anesthetist (crna) | Mbsc Anesthesia LLC | 827 82nd Pkwy, Myrtle Beach, SC 29572-4607 |
| Michael J Perillo Jr. | Certified Registered Nurse Anesthetist (crna) | Mbsc Anesthesia LLC | 827 82nd Pkwy, Myrtle Beach, SC 29572-4607 |
| Cathryn L. Ritchie | Certified Registered Nurse Anesthetist (crna) | Mbsc Anesthesia LLC | 827 82nd Pkwy, Myrtle Beach, SC 29572-4607 |
| Street Address |
827 82ND PKWY |
| City | MYRTLE BEACH |
| State | SC |
| Zip | 29572-4607 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michelle L Wilt | Certified Registered Nurse Anesthetist (crna) | Parkway Anesthesia, LLC | 827 82nd Pkwy, Myrtle Beach, SC 29572-4607 |
| Jerome D Ciancione | Certified Registered Nurse Anesthetist (crna) | Mbsc Anesthesia LLC | 827 82nd Pkwy, Myrtle Beach, SC 29572-4607 |
| Jeffrey C Wilt | Certified Registered Nurse Anesthetist (crna) | Parkway Anesthesia, LLC | 827 82nd Pkwy, Myrtle Beach, SC 29572-4607 |
| Dale Shannon Neal | Certified Registered Nurse Anesthetist (crna) | Mbsc Anesthesia LLC | 827 82nd Pkwy, Myrtle Beach, SC 29572-4607 |
| Jennifer H Faircloth | Certified Registered Nurse Anesthetist (crna) | Mbsc Anesthesia LLC | 827 82nd Pkwy, Myrtle Beach, SC 29572-4607 |
| Michael J Perillo Jr. | Certified Registered Nurse Anesthetist (crna) | Mbsc Anesthesia LLC | 827 82nd Pkwy, Myrtle Beach, SC 29572-4607 |
| Cathryn L. Ritchie | Certified Registered Nurse Anesthetist (crna) | Mbsc Anesthesia LLC | 827 82nd Pkwy, Myrtle Beach, SC 29572-4607 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel Staples | Physical Therapy | Benchmark Healthcare Services LLC | 7955 N Kings Hwy, Suite 330, Myrtle Beach, SC 29572-3056 |
| Paul Vojtek | Physical Therapy | Benchmark Healthcare Services LLC | 7955 N Kings Hwy, Suite 330, Myrtle Beach, SC 29572-3056 |
| Stephen Swygert Ford | Physical Therapy | Benchmark Healthcare Services LLC | 7955 N Kings Hwy, Suite 330, Myrtle Beach, SC 29572-3056 |
| Kara Houston | Physical Medicine and Rehabilitation | Benchmark Healthcare Services LLC | 7955 N Kings Hwy, Suite 330, Myrtle Beach, SC 29572-3056 |
| Steven Goodman | Chiropractic | 9612n Kings Hwy, Myrtle Beach, SC 29572-4006 | |
| Barbie Suggs Anderson | Nurse Practitioner | Beach Urgent Care | 9820 N Kings Hwy, Myrtle Beach, SC 29572-4013 |
| Emily Pond Wright | Nurse Practitioner | Beach Urgent Care | 9820 N Kings Hwy, Myrtle Beach, SC 29572-4013 |
| Stephen Gordon Remine | General Surgery | Beach Urgent Care | 9820 N Kings Hwy, Myrtle Beach, SC 29572-4013 |
| Richard G Snyder | General Practice | Beach Urgent Care | 9820 N Kings Hwy, Myrtle Beach, SC 29572-4013 |
| Bleselda G Paragas | Physician Assistant | Beach Urgent Care | 9820 N Kings Hwy, Myrtle Beach, SC 29572-4013 |
| Find all physicians in zip 29572 | |||
| City | MYRTLE BEACH |
| Zip Code | 29572 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | MYRTLE BEACH + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
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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.