Thaddeus Carl Fricke (NPI# 1154372456, PAC ID# 5698661189) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1154372456 |
| PAC ID by PECOS | 5698661189 |
| Professional Enrollment ID | I20040223000779 |
| Full Name | Thaddeus Carl Fricke |
| Organization Legal Name | PRISMA HEALTH UNIVERSITY MEDICAL GROUP |
| Address |
2 A Cleveland Court Greenville SC 29607-2414 |
| Phone Number | 8642717761 |
| Gender | M |
| Credential | PA |
| Graduation Year | 2003 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 8325950983 |
| Number of Group Practice Members | 1439 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420102 | GHS PATEWOOD MEMORIAL HOSPITAL |
| 420009 | GHS OCONEE MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 175 Patewood Dr, Greenville, SC 29615-3570 | 8647971403 | PRISMA HEALTH UNIVERSITY MEDICAL GROUP |
| 2 A Cleveland Court, Greenville, SC 29607-2414 | 8642717761 | PRISMA HEALTH UNIVERSITY MEDICAL GROUP |
| 200 Patewood Dr, C100, Greenville, SC 29615-6322 | 8644547422 | PRISMA HEALTH UNIVERSITY MEDICAL GROUP |
| 298 Memorial Dr, Seneca, SC 29672-9443 | 8644823230 | PRISMA HEALTH UNIVERSITY MEDICAL GROUP |
| Organization Legal Name | PRISMA HEALTH UNIVERSITY MEDICAL GROUP |
| Physicians | 1371 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brittany Edge Thomas | Nurse Practitioner | Prisma Health University Medical Group | 9100 Hwy 14, Gray Court, SC 29645-4152 |
| Shiven S Patel | Allergy/immunology | Prisma Health University Medical Group | 10 Halton Green Way, Greenville, SC 29607-6606 |
| Jamie C Goodman | Family Medicine | Prisma Health University Medical Group | 2400 Boiling Springs Rd, Suite A, Boiling Springs, SC 29316-5304 |
| Karyn Marie Dyehouse | Medical Oncology | Prisma Health University Medical Group | 131 Lila Doyle Dr, Seneca, SC 29672-9495 |
| Doris A Best | Family Medicine | Prisma Health University Medical Group | 3551 A Rutherford Rd, Taylors, SC 29687-2195 |
| Elizabeth Ann Lacy | Nurse Practitioner | Prisma Health University Medical Group | 106 John St, Easley, SC 29640-1415 |
| Rebecca Anne Frost | Psychiatry | Prisma Health University Medical Group | 109 Physicians Dr, Suite B, Greer, SC 29650-2446 |
| Elizabeth Van Huffel Dray | Urology | Prisma Health University Medical Group | 11 Park Creek Dr, University Medical Group, Greenville, SC 29605-4268 |
| Jonathan Douglas Hufford | Obstetrics/gynecology | Prisma Health University Medical Group | 1351 Crestview Rd, Easley, SC 29642-2408 |
| Nathan Michael Moroski | Sports Medicine | Prisma Health University Medical Group | 10630 Clemson Blvd, Suite 100, Seneca, SC 29678-4545 |
| Street Address |
2 A CLEVELAND COURT |
| City | GREENVILLE |
| State | SC |
| Zip | 29607-2414 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Neha Chowdhary | Physical Medicine and Rehabilitation | Prisma Health University Medical Group | 2 A Cleveland Court, Greenville, SC 29607-2414 |
| Laura Colleen Nall | Family Medicine | Prisma Health University Medical Group | 2 A Cleveland Court, Greenville, SC 29607-2414 |
| Noelle Claudine Stanley | Hospice/palliative Care | Prisma Health University Medical Group | 2 A Cleveland Court, Greenville, SC 29607-2414 |
| Kaylee Whalen Kilpatrick | Nurse Practitioner | Prisma Health University Medical Group | 2 A Cleveland Court, Greenville, SC 29607-2414 |
| Christopher A Prasun | Physician Assistant | Prisma Health University Medical Group | 2 A Cleveland Court, Greenville, SC 29607-2414 |
| Dana Raphael Ray | Internal Medicine | Prisma Health University Medical Group | 2 A Cleveland Court, Greenville, SC 29607-2414 |
| Marshall Jasper Shuler | Dermatology | Prisma Health University Medical Group | 2 A Cleveland Court, Greenville, SC 29607-2414 |
| Danielle Thompson Harris | Obstetrics/gynecology | Prisma Health University Medical Group | 2 A Cleveland Court, Greenville, SC 29607-2414 |
| Frank Brown Beacham | Family Medicine | Prisma Health University Medical Group | 2 A Cleveland Court, Greenville, SC 29607-2414 |
| Betty J Lackey | Family Medicine | Prisma Health University Medical Group | 2 A Cleveland Court, Greenville, SC 29607-2414 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chelsea Sineath | Chiropractic | Sineath Chiropractic Centers | 1300 E Washington St B, Greenville, SC 29607-1858 |
| Joy D Bennett | Clinical Social Worker | 109 Laurens Rd, Suite D, Greenville, SC 29607-1860 | |
| Jennifer M Rogers | Nurse Practitioner | Homestead Palliative Care, Inc | 109 Lauren Rd, Bldg 1a, Greenville, SC 29607-1860 |
| Theresa G Lawson | Nurse Practitioner | Homestead Palliative Care, Inc | 109 Lauren Rd, Bldg 1a, Greenville, SC 29607-1860 |
| Heather Gabrielle Bowers | Nurse Practitioner | Homestead Palliative Care, Inc | 109 Lauren Rd, Bldg 1a, Greenville, SC 29607-1860 |
| Maria M Nichols | Nurse Practitioner | Homestead Palliative Care, Inc | 109 Lauren Rd, Bldg 1a, Greenville, SC 29607-1860 |
| Latoya Solomon | Nurse Practitioner | Homestead Palliative Care, Inc | 109 Lauren Rd, Bldg 1a, Greenville, SC 29607-1860 |
| Jeffrey W Brown | Chiropractic | 426 N Pleasantburg Dr, Greenville, SC 29607-2187 | |
| Stacy H Schroder | Nurse Practitioner | Chris M Peterson Md Pa | 7 A Cleveland Ct, Greenville, SC 29607-2414 |
| Wayne Glenn Rogers | Dermatology | Rogers Dermatology, Pa | 3 B Cleveland Ct, Greenville, SC 29607-2414 |
| Find all physicians in zip 29607 | |||
| City | GREENVILLE |
| Zip Code | 29607 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | GREENVILLE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Thaddeus Carl Fricke.
| 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.