Theodore E Gagliano (NPI# 1073614756, PAC ID# 6002801099) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1073614756 |
| PAC ID by PECOS | 6002801099 |
| Professional Enrollment ID | I20040419000899 |
| Full Name | Theodore E Gagliano |
| Address |
1662 Seitter St Georgetown SC 29440-6630 |
| Phone Number | 8432372530 |
| Gender | M |
| Credential | MD |
| Medical School | COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS |
| Graduation Year | 1951 |
| Primary Specialty | PSYCHIATRY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1662 Seitter St, Georgetown, SC 29440-6630 | 8432372530 |
| Street Address |
1662 SEITTER ST |
| City | GEORGETOWN |
| State | SC |
| Zip | 29440-6630 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Suzanne M Blakeley | Nurse Practitioner | Patricia R. Grant, Md Pa | 219 Church St, Georgetown, SC 29440-2403 |
| Patricia R Grant | Interventional Pain Management | Patricia R. Grant, Md Pa | 219 Church St, Georgetown, SC 29440-2403 |
| Barbara Lynn Horn-weisgerber | Optometry | Indigo Vision Center Pa | 302 Church St, Georgetown, SC 29440-2406 |
| Owen Cannon Johnson | Optometry | Indigo Vision Center Pa | 302 Church St, Georgetown, SC 29440-2406 |
| Kaleigh Elizabeth Hudak | Physician Assistant | Georgetown Physician Associates LLC | 469 Marina Dr, Georgetown, SC 29440-2410 |
| Terry L Fry | Otolaryngology | 401 Marina Dr, Georgetown, SC 29440-2410 | |
| Alfred J Daniels | Family Medicine | St. James-santee Family Health Center Inc. | 2020 Highmarket St, Georgetown, SC 29440-2618 |
| Robert Jason Heineck | Obstetrics/gynecology | Georgetown Physician Associates LLC | 1306 N Fraser St, Georgetown, SC 29440-2800 |
| Ashley Marie Miller | Nurse Practitioner | Georgetown Physician Associates LLC | 1306 N Fraser St, Georgetown, SC 29440-2800 |
| Xaviera M Carter | Obstetrics/gynecology | Georgetown Physician Associates LLC | 1306 N Fraser St, Georgetown, SC 29440-2800 |
| Find all physicians in zip 29440 | |||
| City | GEORGETOWN |
| Zip Code | 29440 |
| Specialty | PSYCHIATRY |
| City + Specialty | GEORGETOWN + PSYCHIATRY |
Please comment or provide details below to improve the information on Theodore E Gagliano.
| 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.