Andrew Peter Mangano (NPI# 1043402480, PAC ID# 4486779212) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1043402480 |
| PAC ID by PECOS | 4486779212 |
| Professional Enrollment ID | I20130517000235 |
| Full Name | Andrew Peter Mangano |
| Organization Legal Name | SOUTHEASTERN HOSPITALIST SERVICES, PC |
| Address |
809 82nd Pkwy Myrtle Beach SC 29572-4607 |
| Phone Number | 8436921000 |
| Gender | M |
| Medical School | PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2007 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 3476855420 |
| Number of Group Practice Members | 243 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420085 | GRAND STRAND REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 | 8436921000 | SOUTHEASTERN HOSPITALIST SERVICES, PC |
| 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 | 8432917182 | COASTAL CAROLINA PRIMARY CARE, LLC |
| 8170 Rourk St, Suite 100, Myrtle Beach, SC 29572-4127 | 8432361950 | COASTAL CAROLINA PRIMARY CARE, LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% |
| Organization Legal Name | SOUTHEASTERN HOSPITALIST SERVICES, PC |
| Physicians | 182 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Benjamin Ellis Rawls | Internal Medicine | Southeastern Hospitalist Services, PC | 222 S Herlong Ave, Rock Hill, SC 29732-1158 |
| Robin Malik | Family Medicine | Southeastern Hospitalist Services, PC | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 |
| Darlene R Crittenden | Nurse Practitioner | Southeastern Hospitalist Services, PC | 2122 Manchester Expy, Columbus, GA 31904-6878 |
| Rima P Patel | Internal Medicine | Southeastern Hospitalist Services, PC | 9330 Medical Plaza Dr, Charleston, SC 29406-9104 |
| Gabriele Polk-seldon | Nurse Practitioner | Southeastern Hospitalist Services, PC | 2122 Manchester Expy, Columbus, GA 31904-6878 |
| Fritz E Jean-gilles | Internal Medicine | Southeastern Hospitalist Services, PC | 9330 Medical Plaza Dr, Charleston, SC 29406-9104 |
| Farnel F Backer | Family Medicine | Southeastern Hospitalist Services, PC | 9330 Medical Plaza Dr, Charleston, SC 29406-9104 |
| Thanigaiarsu Thiyagarajan | Internal Medicine | Southeastern Hospitalist Services, PC | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 |
| Joshua Paul Myers | Internal Medicine | Southeastern Hospitalist Services, PC | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 |
| Gerald W Bennett | Family Medicine | Southeastern Hospitalist Services, PC | 222 S Herlong Ave, Rock Hill, SC 29732-1158 |
| Street Address |
809 82ND PKWY |
| City | MYRTLE BEACH |
| State | SC |
| Zip | 29572-4607 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robin Malik | Family Medicine | Southeastern Hospitalist Services, PC | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 |
| Steven A Matzinger | General Surgery | Grand Strand Surgical Specialists LLC | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 |
| Melissa Rosado | Emergency Medicine | Acs Primary Care Physicians - Southeast PC | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 |
| Nyein W Garner | Anesthesiology Assistant | Coastal Anesthesia Medical Group, LLC | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 |
| Thanigaiarsu Thiyagarajan | Internal Medicine | Southeastern Hospitalist Services, PC | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 |
| Joshua Paul Myers | Internal Medicine | Southeastern Hospitalist Services, PC | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 |
| Robert E Jones Iv | Anesthesiology Assistant | Coastal Anesthesia Medical Group, LLC | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 |
| Ernest W Stokes Iii | Physician Assistant | Grand Strand Surgical Specialists LLC | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 |
| Mohamed Faris | Internal Medicine | Southeastern Hospitalist Services, PC | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 |
| Jessica R Strickland | Nurse Practitioner | Southeastern Hospitalist Services, PC | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 |
| Find all physicians in the same address | |||
| 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 | INTERNAL MEDICINE |
| City + Specialty | MYRTLE BEACH + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Andrew Peter Mangano.
| 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.