Joseph Daniel Ewens (NPI# 1639187123, PAC ID# 5890727374) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1639187123 |
| PAC ID by PECOS | 5890727374 |
| Professional Enrollment ID | I20050906000595 |
| Full Name | Joseph Daniel Ewens |
| Organization Legal Name | ATLANTIC COAST INTEGRATIVE MEDICINE LLC |
| Address |
1203 Old Trolley Rd F Summerville SC 29485-5296 |
| Phone Number | 8434860999 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF SOUTHERN CALIFORNIA SCHOOL OF MEDICINE |
| Graduation Year | 1990 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 5698904316 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420004 | MUSC MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1203 Old Trolley Rd F, Summerville, SC 29485-5296 | 8434860999 | ATLANTIC COAST INTEGRATIVE MEDICINE LLC |
| Organization Legal Name | ATLANTIC COAST INTEGRATIVE MEDICINE LLC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tamara Kyle Smith | Nurse Practitioner | Atlantic Coast Integrative Medicine LLC | 725 Long Point Rd, Mt Pleasant, SC 29464-8226 |
| Deeana Lane Burr | Nurse Practitioner | Atlantic Coast Integrative Medicine LLC | 725 Long Point Rd, Mt Pleasant, SC 29464-8226 |
| Roxanne Serohi | Nurse Practitioner | Atlantic Coast Integrative Medicine LLC | 725 Long Point Rd, Mt Pleasant, SC 29464-8226 |
| Selena Anderson | Nurse Practitioner | Atlantic Coast Integrative Medicine LLC | 725 Long Point Rd, Mt Pleasant, SC 29464-8226 |
| Toni Manos | Emergency Medicine | Atlantic Coast Integrative Medicine LLC | 725 Long Point Rd, Mt Pleasant, SC 29464-8226 |
| Street Address |
1203 OLD TROLLEY RD F |
| City | SUMMERVILLE |
| State | SC |
| Zip | 29485-5296 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathryn J Gershkowitz | Nurse Practitioner | Equilibrium Endocrinology, Pa | 4340 Ladson Rd, Summerville, SC 29485 |
| Robert Stephen Iannace Jr. | Chiropractic | 1357 Bacons Bridge Rd, Summerville, SC 29485-3335 | |
| Marci H Woods | Nurse Practitioner | Roper Saint Francis Physicians Network | 9500 Dorchester Rd, Suite 362, Summerville, SC 29485-4304 |
| Judith L Hoffman | Clinical Social Worker | 89 B Old Trolley Rd, Suite 209, Summerville, SC 29485-4933 | |
| Christopher John Jones | Psychiatry | 709 Old Trolley Rd, Summerville, SC 29485-5203 | |
| Susan S Crocker | Psychiatry | 709 Old Trolley Rd, Summerville, SC 29485-5203 | |
| Christine Diane Hamolia | Certified Clinical Nurse Specialist (cns) | 709 Old Trolley Rd, Summerville, SC 29485-5203 | |
| James C Turn | Chiropractic | Willturn PC | 705 Old Trolley Rd E, Summerville, SC 29485-5212 |
| Thomas Edewaard | Optometry | 705 Old Trolley Rd A, Summerville, SC 29485-5212 | |
| Virginia Chetverikov | Optometry | Mobile Vision of South Carolina LLC | 717 Trolley Rd, Summerville, SC 29485-5287 |
| Find all physicians in zip 29485 | |||
| City | SUMMERVILLE |
| Zip Code | 29485 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | SUMMERVILLE + FAMILY PRACTICE |
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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.