Ifekan-shango Simon (NPI# 1992742837, PAC ID# 2668440355) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1992742837 |
| PAC ID by PECOS | 2668440355 |
| Professional Enrollment ID | I20040921000292 |
| Full Name | Ifekan-shango Simon |
| Organization Legal Name | MEDCARE EXPRESS NORTH CHARLESTON LLC |
| Address |
301 E Wood St Spartanburg SC 29303-3020 |
| Phone Number | 8642081960 |
| Gender | M |
| Credential | MD |
| Medical School | MEDICAL COLLEGE OF GEORGIA |
| Graduation Year | 1994 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 7618074899 |
| Number of Group Practice Members | 49 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 8720 Dorchester Rd, North Charleston, SC 29420-7303 | 8435523629 | MEDCARE EXPRESS NORTH CHARLESTON LLC |
| 301 E Wood St, Spartanburg, SC 29303-3020 | 8642081960 | MEDCARE EXPRESS NORTH CHARLESTON LLC |
| Organization Legal Name | MEDCARE EXPRESS NORTH CHARLESTON LLC |
| Physicians | 46 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimbi Glenn Marenakos | Nurse Practitioner | Medcare Express North Charleston LLC | 1850 Sam Rittenberg Blvd, Suite A, Charleston, SC 29407-4936 |
| Lisa K Von Moll | Internal Medicine | Medcare Express North Charleston LLC | 6120 White Horse Rd, Greenville, SC 29611-3852 |
| Elizabeth Freer | Physician Assistant | Medcare Express North Charleston LLC | 8740 Rivers Ave, North Charleston, SC 29406-9211 |
| Thomas Sunshine | Emergency Medicine | Medcare Express North Charleston LLC | 301 E Wood St, Spartanburg, SC 29303-3020 |
| James F Koon | Family Medicine | Medcare Express North Charleston LLC | 7418 Garners Ferry Rd, Columbia, SC 29209-2601 |
| Henry Spradlin | Physician Assistant | Medcare Express North Charleston LLC | 1115 Savannah Hwy, Charleston, SC 29407-7805 |
| George L Clark | Emergency Medicine | Medcare Express North Charleston LLC | 8720 Dorchester Rd, North Charleston, SC 29420-7303 |
| Jane Laroche | Internal Medicine | Medcare Express North Charleston LLC | 2863 N Hwy 17, Mt Pleasant, SC 29466-8962 |
| Tinsley Simonds Iselin | Physician Assistant | Medcare Express North Charleston LLC | 8740 Rivers Ave, North Charleston, SC 29406-9211 |
| Thomas Fb Hilliard | Family Medicine | Medcare Express North Charleston LLC | 1850 Sam Rittenberg Blvd, Suite A, Charleston, SC 29407-4936 |
| Street Address |
301 E WOOD ST |
| City | SPARTANBURG |
| State | SC |
| Zip | 29303-3020 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas Sunshine | Emergency Medicine | Medcare Express North Charleston LLC | 301 E Wood St, Spartanburg, SC 29303-3020 |
| Thomas Epperson | Family Medicine | Medcare Express North Charleston LLC | 301 E Wood St, Spartanburg, SC 29303-3020 |
| Michael E Donald | Family Medicine | Medcare Express North Charleston LLC | 301 E Wood St, Spartanburg, SC 29303-3020 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edward Anthony Turowski Iii | Chiropractic | 1479 Boiling Springs Rd, Spartanburg, SC 29303-1966 | |
| Gregg Weedon Howell | Chiropractic | 1400 Boiling Springs Rd, Spartanburg, SC 29303-1995 | |
| Ashley Nicole Mckinney | Nurse Practitioner | Bg Neurology LLC | 1071 Boiling Springs Rd, Spartanburg, SC 29303-2201 |
| Bogdan P Gheorghiu | Neurology | Bg Neurology LLC | 1071 Boiling Springs Rd, Spartanburg, SC 29303-2201 |
| Roxanne Singer-gheorhiu | Nurse Practitioner | Bg Neurology LLC | 1071 Boiling Springs Rd, Spartanburg, SC 29303-2201 |
| Bill E Hannouche | Chiropractic | Hannouche Family Chiropractic Clinic Pa.. | 1203 A Boiling Springs Rd, Spartanburg, SC 29303-2243 |
| Nicholas J Hannouche | Chiropractic | Hannouche Family Chiropractic Clinic Pa.. | 1203 A Boiling Springs Rd, Spartanburg, SC 29303-2243 |
| Christina Garrett | Nurse Practitioner | Carolinas Center for Advanced Management of Pain, Pa | 1330 Boiling Springs Rd, Suite 2700, Spartanburg, SC 29303-2244 |
| Renju T Joseph | Physical Medicine and Rehabilitation | Carolinas Center for Advanced Management of Pain, Pa | 1330 Boiling Springs Rd, Suite 2700, Spartanburg, SC 29303-2244 |
| Charles David Tollison | Psychologist, Clinical | Carolinas Center for Advanced Management of Pain, Pa | 1330 Boiling Springs Rd, Suite 2700, Spartanburg, SC 29303-2244 |
| Find all physicians in zip 29303 | |||
| City | SPARTANBURG |
| Zip Code | 29303 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | SPARTANBURG + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Ifekan-shango Simon.
| 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.