Michael J Mcmullen (NPI# 1235450628, PAC ID# 5799913372) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
Nation Provider ID (NPI) | 1235450628 |
PAC ID by PECOS | 5799913372 |
Professional Enrollment ID | I20140910001923 |
Full Name | Michael J Mcmullen |
Organization Legal Name | ORANGEBURG EYE CENTER |
Address |
1190 Summers Ave Ne Orangeburg SC 29115-1226 |
Phone Number | 8035340266 |
Gender | M |
Medical School | TUFTS UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 2010 |
Primary Specialty | OPHTHALMOLOGY |
Group Practice PAC ID | 8628108370 |
Number of Group Practice Members | 4 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
420068 | TRMC OF ORANGEBURG & CALHOUN |
Address | Phone | Organization |
---|---|---|
1190 Summers Ave Ne, Orangeburg, SC 29115-1226 | 8035340266 | ORANGEBURG EYE CENTER |
Organization Legal Name | ORANGEBURG EYE CENTER |
Physicians | 5 |
Name | Specialty | Organization | Address |
---|---|---|---|
Daoling Zhang | Ophthalmology | Orangeburg Eye Center | 1190 Summers Ave Ne, Orangeburg, SC 29115-1226 |
Mark C Mcgannon | Ophthalmology | Orangeburg Eye Center | 1190 Summers Ave Ne, Orangeburg, SC 29115-1226 |
James J Van Hulle | Ophthalmology | Orangeburg Eye Center | 1190 Summers Ave Ne, Orangeburg, SC 29115-1226 |
Fulton Gasper | Ophthalmology | Orangeburg Eye Center | 1190 Summers Ave Ne, Orangeburg, SC 29115-1226 |
Street Address |
1190 SUMMERS AVE NE |
City | ORANGEBURG |
State | SC |
Zip | 29115-1226 |
Name | Specialty | Organization | Address |
---|---|---|---|
Daoling Zhang | Ophthalmology | Orangeburg Eye Center | 1190 Summers Ave Ne, Orangeburg, SC 29115-1226 |
Mark C Mcgannon | Ophthalmology | Orangeburg Eye Center | 1190 Summers Ave Ne, Orangeburg, SC 29115-1226 |
James J Van Hulle | Ophthalmology | Orangeburg Eye Center | 1190 Summers Ave Ne, Orangeburg, SC 29115-1226 |
Fulton Gasper | Ophthalmology | Orangeburg Eye Center | 1190 Summers Ave Ne, Orangeburg, SC 29115-1226 |
Name | Specialty | Organization | Address |
---|---|---|---|
Brittney Cook | Nurse Practitioner | Family Health Centers, Inc. | 3310 Magnolia St, Orangeburg, SC 29115-1468 |
Kiana S Heron | Nurse Practitioner | Family Health Centers, Inc. | 3310 Magnolia St, Orangeburg, SC 29115-1468 |
Hope H Gibson | Nurse Practitioner | Family Health Centers, Inc. | 3310 Magnolia St, Orangeburg, SC 29115-1468 |
Byron Jackson | Podiatry | Family Health Centers, Inc. | 3310 Magnolia St, Orangeburg, SC 29115-1468 |
Julia A Hobson | Nurse Practitioner | Family Health Centers, Inc. | 3310 Magnolia St, Orangeburg, SC 29115-1468 |
Rukudzo Darlington Mazaiwana | General Practice | Family Health Centers, Inc. | 3310 Magnolia St, Orangeburg, SC 29115-1468 |
Julia Mcduffie Watson | Nurse Practitioner | Family Health Centers, Inc. | 3310 Magnolia St, Orangeburg, SC 29115-1468 |
Shanel R Dunkin | Nurse Practitioner | Family Health Centers, Inc. | 3310 Magnolia St, Orangeburg, SC 29115-1468 |
Larresha Blair | Nurse Practitioner | Family Health Centers, Inc. | 3310 Magnolia St, Orangeburg, SC 29115-1468 |
Sabrina A Hanna | Obstetrics/gynecology | Family Health Centers, Inc. | 3310 Magnolia St, Orangeburg, SC 29115-1468 |
Find all physicians in zip 29115 |
City | ORANGEBURG |
Zip Code | 29115 |
Specialty | OPHTHALMOLOGY |
City + Specialty | ORANGEBURG + OPHTHALMOLOGY |
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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.