Lisa M Gondek Kelly (NPI# 1720061203, PAC ID# 4385681824) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1720061203 |
| PAC ID by PECOS | 4385681824 |
| Professional Enrollment ID | I20050415000133 |
| Full Name | Lisa M Gondek Kelly |
| Organization Legal Name | PRISMA HEALTH-UPSTATE |
| Address |
298 Memorial Dr Seneca SC 29672-9443 |
| Phone Number | 8648857156 |
| Gender | F |
| Credential | CNA |
| Graduation Year | 2000 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 5698063162 |
| Number of Group Practice Members | 188 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420009 | GHS OCONEE MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 298 Memorial Dr, Seneca, SC 29672-9443 | 8648857156 | PRISMA HEALTH-UPSTATE |
| Organization Legal Name | PRISMA HEALTH-UPSTATE |
| Physicians | 162 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Megan G Owens | Certified Registered Nurse Anesthetist (crna) | Prisma Health-upstate | 830 S Buncombe Rd, Greer, SC 29650-2400 |
| Marla Melana Cline | Certified Registered Nurse Anesthetist (crna) | Prisma Health-upstate | 729 Se Main St, Simpsonville, SC 29681-3218 |
| Jeffry M Holweger | Certified Registered Nurse Anesthetist (crna) | Prisma Health-upstate | 175 Patewood Dr, Greenville, SC 29615-3570 |
| Steven D Paveglio | Certified Registered Nurse Anesthetist (crna) | Prisma Health-upstate | 200 Fleetwood Dr, Easley, SC 29640-2022 |
| George R Sweet | Certified Registered Nurse Anesthetist (crna) | Prisma Health-upstate | 701 Grove Rd, Greenville, SC 29605-4210 |
| Tyler Clayton Withrow | Certified Registered Nurse Anesthetist (crna) | Prisma Health-upstate | 701 Grove Rd, Greenville, SC 29605-4210 |
| Kim Evans Clark | Certified Registered Nurse Anesthetist (crna) | Prisma Health-upstate | 701 Grove Rd, Greenville, SC 29605-4210 |
| Ashlie Pruett Ceips | Certified Registered Nurse Anesthetist (crna) | Prisma Health-upstate | 200 Fleetwood Dr, Easley, SC 29640-2022 |
| Rachel Marie Nocito | Certified Registered Nurse Anesthetist (crna) | Prisma Health-upstate | 701 Grove Rd, Greenville, SC 29605-4210 |
| Sara Taylor Wooding | Certified Registered Nurse Anesthetist (crna) | Prisma Health-upstate | 701 Grove Rd, Greenville, SC 29605-4210 |
| Street Address |
298 MEMORIAL DR |
| City | SENECA |
| State | SC |
| Zip | 29672-9443 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul Charles Hopey | Physician Assistant | Prisma Health University Medical Group | 298 Memorial Dr, Seneca, SC 29672-9443 |
| Derek J Parker | Physician Assistant | Prisma Health University Medical Group | 298 Memorial Dr, Seneca, SC 29672-9443 |
| Charity Alexis Williams | Anesthesiology | Anesthesiology Consultants of The Upstate, Pa | 298 Memorial Dr, Seneca, SC 29672-9443 |
| Joel Kenneth Kidd | Family Medicine | Prisma Health University Medical Group | 298 Memorial Dr, Seneca, SC 29672-9443 |
| Raymond C Zeimet | Certified Registered Nurse Anesthetist | Upstate Affiliate Organization | 298 Memorial Dr, Seneca, SC 29672-9443 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bonnie L Anderson | Diagnostic Radiology | Red River Consultants Inc | 698 Tall Oaks Farms Rd, Seneca, SC 29672-0348 |
| David Liebman | Family Medicine | 106 Waldrop St, Seneca, SC 29672-2354 | |
| Paul R Johnson | Chiropractic | 1741 Blue Ridge Blvd, Seneca, SC 29672-6613 | |
| Osceola Gilbert | General Surgery | 112 Surgical Blvd A, Seneca, SC 29672-6654 | |
| Kathryn Beth Rawdan | Hospice/palliative Care | Prisma Health University Medical Group | 390 Keowee School Rd, Seneca, SC 29672-6743 |
| Jo Hazlehurst | Nurse Practitioner | Ghs Partners In Health Inc | 390 Keowee School Rd, Seneca, SC 29672-6743 |
| William A King | Geriatric Medicine | Upstate Home Care Md, LLC | 212 Horse Head Point Dr, Seneca, SC 29672-8010 |
| Rakhi Shah Barkowski | Internal Medicine | Prisma Health University Medical Group | 301 Memorial Dr F, Seneca, SC 29672-9445 |
| Robert Brunson Cartledge Jr. | Hospitalist | Prisma Health University Medical Group | 301 Memorial Dr, Suite F, Seneca, SC 29672-9445 |
| Carolyn Jacobson Strain | Nurse Practitioner | Prisma Health University Medical Group | 301 Memorial Dr, Suite F, Seneca, SC 29672-9445 |
| Find all physicians in zip 29672 | |||
| City | SENECA |
| Zip Code | 29672 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | SENECA + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Lisa M Gondek Kelly.
| 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.