Susan George Knoche (NPI# 1306013321, PAC ID# 3971721887) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is COLORECTAL SURGERY (PROCTOLOGY).
| Nation Provider ID (NPI) | 1306013321 |
| PAC ID by PECOS | 3971721887 |
| Professional Enrollment ID | I20190513000751 |
| Full Name | Susan George Knoche |
| Organization Legal Name | EAST COOPER PHYSICIAN NETWORK, LLC |
| Address |
903 N Fraser St Suite B Georgetown SC 29440-2879 |
| Phone Number | 8438845133 |
| Gender | F |
| Medical School | UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE |
| Graduation Year | 2008 |
| Primary Specialty | COLORECTAL SURGERY (PROCTOLOGY) |
| Secondary Specialties | GENERAL SURGERY |
| Group Practice PAC ID | 4587920145 |
| Number of Group Practice Members | 54 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420089 | EAST COOPER MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 903 N Fraser St, Suite B, Georgetown, SC 29440-2879 | 8438845133 | EAST COOPER PHYSICIAN NETWORK, LLC |
| 570 Long Point Rd, Suite 130, Mount Pleasant, SC 29464-7931 | 8438842133 | EAST COOPER PHYSICIAN NETWORK, LLC |
| Organization Legal Name | EAST COOPER PHYSICIAN NETWORK, LLC |
| Physicians | 56 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Margaret Jean Boyer | Registered Dietitian Or Nutrition Professional | East Cooper Physician Network, LLC | 1280 Hospital Dr, Unit 302, Mount Pleasant, SC 29464-1901 |
| John A Knepper | Family Medicine | East Cooper Physician Network, LLC | 874 Whipple Rd, Suite 100, Mount Pleasant, SC 29464-8900 |
| Maggie W Evans | Obstetrics/gynecology | East Cooper Physician Network, LLC | 851 Leonard Fulghum Dr, Suite 201, Mount Pleasant, SC 29464-3793 |
| Kay H Durst | Family Medicine | East Cooper Physician Network, LLC | 306 Station 22, Sullivans Island, SC 29482-9756 |
| Bridget T Williamson | Obstetrics/gynecology | East Cooper Physician Network, LLC | 851 Leonard Fulghum Dr, Suite 200, Mount Pleasant, SC 29464-3793 |
| William J Estes | Orthopedic Surgery | East Cooper Physician Network, LLC | 851 Leonard Fulghum Dr, Suite 101, Mount Pleasant, SC 29464-3793 |
| Sarah Branyon Voges | Nurse Practitioner | East Cooper Physician Network, LLC | 2000 Hospital Dr, Mount Pleasant, SC 29464-3764 |
| George Durst Jr. | Family Medicine | East Cooper Physician Network, LLC | 306 Station 22, Sullivans Island, SC 29482-9756 |
| Jason D Stroud | Family Medicine | East Cooper Physician Network, LLC | 851 Leonard Fulghum Dr, Suite 100, Mount Pleasant, SC 29464-3793 |
| Justine D Decastro | Family Medicine | East Cooper Physician Network, LLC | 874 Whipple Rd, Suite 100, Mount Pleasant, SC 29464-8900 |
| Street Address |
903 N FRASER ST SUITE B |
| City | GEORGETOWN |
| State | SC |
| Zip | 29440-2879 |
| 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 |
| 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 |
| Find all physicians in zip 29440 | |||
| City | GEORGETOWN |
| Zip Code | 29440 |
| Specialty | COLORECTAL SURGERY (PROCTOLOGY) |
| City + Specialty | GEORGETOWN + COLORECTAL SURGERY (PROCTOLOGY) |
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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.