Melton Roof Stuckey (NPI# 1861463432, PAC ID# 5597950949) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.
| Nation Provider ID (NPI) | 1861463432 |
| PAC ID by PECOS | 5597950949 |
| Professional Enrollment ID | I20101110001163 |
| Full Name | Melton Roof Stuckey |
| Address |
1415 Blanding St Suite 2 Columbia SC 29201-2922 |
| Gender | M |
| Medical School | MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE |
| Graduation Year | 1967 |
| Primary Specialty | GENERAL PRACTICE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420086 | PALMETTO HEALTH BAPTIST |
| 420018 | PALMETTO HEALTH RICHLAND |
| 420073 | LEXINGTON MEDICAL CENTER |
| 420106 | PALMETTO HEALTH BAPTIST PARKRIDGE |
| 420026 | PROVIDENCE HEALTH |
| Address | Phone | Organization |
|---|---|---|
| 1415 Blanding St, Suite 2, Columbia, SC 29201-2922 |
| Street Address |
1415 BLANDING ST SUITE 2 |
| City | COLUMBIA |
| State | SC |
| Zip | 29201-2922 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy Malone | Psychiatry | 1415 Blanding St, Suite 4, Columbia, SC 29201-2922 | |
| Deidre L Toomer-clowney | Internal Medicine | 1415 Blanding St, Suite 3, Columbia, SC 29201-2922 | |
| Robert Schnackenberg | Psychiatry | 1415 Blanding St, Suite 4, Columbia, SC 29201-2922 | |
| Angela D Harper | Psychiatry | 1415 Blanding St, Suite 4, Columbia, SC 29201-2922 | |
| Kelly W Dion | Psychiatry | 1415 Blanding St, Suite 4, Columbia, SC 29201-2922 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth A Burguieres | Psychiatry | South Carolina Dept of Mental Health Accounting Office | 2414 Bull St, Columbia, SC 29201-1906 |
| Aleta Marie Mcgough | Psychiatry | South Carolina Dept of Mental Health Accounting Office | 2414 Bull St, Columbia, SC 29201-1906 |
| Elizabeth L Baker | Psychiatry | South Carolina Dept of Mental Health Accounting Office | 2414 Bull St, Columbia, SC 29201-1906 |
| Katelin J Williamson | Psychiatry | South Carolina Dept of Mental Health Accounting Office | 2414 Bull St, Columbia, SC 29201-1906 |
| Emily Jones Cullen | Psychiatry | South Carolina Dept of Mental Health Accounting Office | 2414 Bull St, Columbia, SC 29201-1906 |
| Lisa A Cometto | Nurse Practitioner | South Carolina Dept of Mental Health Accounting Office | 2414 Bull St, Columbia, SC 29201-1906 |
| Dale Eugene Marko | Psychiatry | South Carolina Dept of Mental Health Accounting Office | 2414 Bull St, Columbia, SC 29201-1906 |
| Eric Karl Winter | Psychiatry | South Carolina Dept of Mental Health Accounting Office | 2414 Bull St, Columbia, SC 29201-1906 |
| Amy Eileen Jones | Psychiatry | South Carolina Dept of Mental Health Accounting Office | 2414 Bull St, Columbia, SC 29201-1906 |
| Sarah S Kuhn | Psychiatry | South Carolina Dept of Mental Health Accounting Office | 2414 Bull St, Columbia, SC 29201-1906 |
| Find all physicians in zip 29201 | |||
| City | COLUMBIA |
| Zip Code | 29201 |
| Specialty | GENERAL PRACTICE |
| City + Specialty | COLUMBIA + GENERAL PRACTICE |
Please comment or provide details below to improve the information on Melton Roof Stuckey.
| 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.