Stephen G Fedec (NPI# 1629048632, PAC ID# 5395725436) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERVENTIONAL CARDIOLOGY.
| Nation Provider ID (NPI) | 1629048632 |
| PAC ID by PECOS | 5395725436 |
| Professional Enrollment ID | I20180102000681 |
| Full Name | Stephen G Fedec |
| Organization Legal Name | HEART AND VASCULAR CARE |
| Address |
3970 Deputy Bill Cantrell Memorial Rd Cumming GA 30040-3069 |
| Phone Number | 6785132273 |
| Gender | M |
| Credential | DO |
| Medical School | PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1984 |
| Primary Specialty | INTERVENTIONAL CARDIOLOGY |
| Secondary Specialties | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 0941303622 |
| Number of Group Practice Members | 17 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110008 | NORTHSIDE HOSPITAL CHEROKEE |
| 110005 | NORTHSIDE HOSPITAL FORSYTH |
| 110082 | SAINT JOSEPH'S HOSPITAL OF ATLANTA, INC |
| Address | Phone | Organization |
|---|---|---|
| 3970 Deputy Bill Cantrell Memorial Rd, Cumming, GA 30040-3069 | 6785132273 | HEART AND VASCULAR CARE |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 92% | |
| ACI_EC_TRANS_HIE_1 | Health Information Exchange | 4% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 96% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 100% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 12% | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 73% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 11% | |
| MIPS_EC_006_overall | Coronary Artery Disease (CAD): Antiplatelet Therapy | 93% |
| Organization Legal Name | HEART AND VASCULAR CARE |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Travis Woodley | Nurse Practitioner | Heart and Vascular Care | 3970 Deputy Bill Cantrell Memorial Rd, Cumming, GA 30040-3069 |
| Lisa M Perez | Emergency Medicine | Heart and Vascular Care | 3350 Paddock Pkwy, Johns Creek, GA 30024-9119 |
| Shayla A. Raines | Nurse Practitioner | Heart and Vascular Care | 3970 Deputy Bill Cantrell Memorial Rd, Cumming, GA 30040-3069 |
| Laura Morris | Nurse Practitioner | Heart and Vascular Care | 3350 Paddock Pkwy, Johns Creek, GA 30024-9119 |
| Kathleen M Boettcher | Physician Assistant | Heart and Vascular Care | 3350 Paddock Pkwy, Johns Creek, GA 30024-9119 |
| Adam James Buntaine | Cardiovascular Disease (cardiology) | Heart and Vascular Care | 3350 Paddock Pkwy, Johns Creek, GA 30024-9119 |
| Carlos Calle-muller | Cardiac Electrophysiology | Heart and Vascular Care | 3970 Deputy Bill Cantrell Memorial Rd, Cumming, GA 30040-3069 |
| Kristina Nichols | Nurse Practitioner | Heart and Vascular Care | 3350 Paddock Pkwy, Johns Creek, GA 30024-9119 |
| Katie Leigh King | Nurse Practitioner | Heart and Vascular Care | 3970 Deputy Bill Cantrell Memorial Rd, Cumming, GA 30040-3069 |
| Manisha Das | Cardiovascular Disease (cardiology) | Heart and Vascular Care | 3350 Paddock Pkwy, Johns Creek, GA 30024-9119 |
| Street Address |
3970 DEPUTY BILL CANTRELL MEMORIAL RD |
| City | CUMMING |
| State | GA |
| Zip | 30040-3069 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Travis Woodley | Nurse Practitioner | Heart and Vascular Care | 3970 Deputy Bill Cantrell Memorial Rd, Cumming, GA 30040-3069 |
| Shayla A. Raines | Nurse Practitioner | Heart and Vascular Care | 3970 Deputy Bill Cantrell Memorial Rd, Cumming, GA 30040-3069 |
| Carlos Calle-muller | Cardiac Electrophysiology | Heart and Vascular Care | 3970 Deputy Bill Cantrell Memorial Rd, Cumming, GA 30040-3069 |
| Katie Leigh King | Nurse Practitioner | Heart and Vascular Care | 3970 Deputy Bill Cantrell Memorial Rd, Cumming, GA 30040-3069 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey Weber | Psychologist, Clinical | Focus Forward Counseling and Consulting, Inc | 5975 Pkwy N Blvd, Suite 300 D, Cumming, GA 30040 |
| Christopher D Killingsworth | Plastic and Reconstructive Surgery | Northside Surgical Professional Services LLC | Atlanta Aesthetics, 4150 Deputy Bill Cantrall Memorial Road Suite 240, Cumming, GA 30040 |
| Courtney Whitehead | Psychologist, Clinical | Focus Forward Counseling and Consulting, Inc | 5975 Pkwy N Blvd, Suite 300 D, Cumming, GA 30040 |
| Gilberte Bastien | Psychologist, Clinical | Focus Forward Counseling and Consulting, Inc | 5975 Pkwy N Blvd, Suite 300 D, Cumming, GA 30040 |
| Lindsey C Bustamante | Clinical Social Worker | Focus Forward Counseling and Consulting, Inc | 5975 Pkwy N Blvd, Suite 300 D, Cumming, GA 30040 |
| Sondy Cadeau | Clinical Social Worker | Focus Forward Counseling and Consulting, Inc | 5975 Pkwy N Blvd, Suite 300 D, Cumming, GA 30040 |
| Allyson Cole C Baker | Nurse Practitioner | Resurgens, PC | 4150 Deputy Bill Cantrell Memorial Rd, Suite 300, Cumming, GA 30040 |
| Jessica L Styles | Nurse Practitioner | Resurgens, PC | 4150 Deputy Bill Cantrell Memorial Rd, Suite 300, Cumming, GA 30040 |
| Christopher M Brooks | Psychologist, Clinical | Focus Forward Counseling and Consulting, Inc | 5975 Pkwy N Blvd, Suite 300 D, Cumming, GA 30040 |
| Christopher Steven Blanchard | Orthopedic Surgery | Resurgens, PC | 4150 Deputy Bill Cantrell Memorial Rd, Suite 300, Cumming, GA 30040 |
| Find all physicians in zip 30040 | |||
| City | CUMMING |
| Zip Code | 30040 |
| Specialty | INTERVENTIONAL CARDIOLOGY |
| City + Specialty | CUMMING + INTERVENTIONAL CARDIOLOGY |
Please comment or provide details below to improve the information on Stephen G Fedec.
| 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.