Boris R Blechacz (NPI# 1174718308, PAC ID# 6002904984) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.
| Nation Provider ID (NPI) | 1174718308 |
| PAC ID by PECOS | 6002904984 |
| Professional Enrollment ID | I20180517000196 |
| Full Name | Boris R Blechacz |
| Organization Legal Name | PALMETTO HEALTH-UNIVERSITY OF SOUTH CAROLINA MEDICAL GROUP |
| Address |
2739 Laurel St Suite 1a Columbia SC 29204-2028 |
| Phone Number | 8037994800 |
| Gender | M |
| Graduation Year | 1999 |
| Primary Specialty | GASTROENTEROLOGY |
| Group Practice PAC ID | 5991099707 |
| Number of Group Practice Members | 691 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420018 | PALMETTO HEALTH RICHLAND |
| Address | Phone | Organization |
|---|---|---|
| 2739 Laurel St, Suite 1a, Columbia, SC 29204-2028 | 8037994800 | PALMETTO HEALTH-UNIVERSITY OF SOUTH CAROLINA MEDICAL GROUP |
| Organization Legal Name | PALMETTO HEALTH-UNIVERSITY OF SOUTH CAROLINA MEDICAL GROUP |
| Physicians | 679 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Theodore Cobert Belsches | Internal Medicine | Palmetto Health-university of South Carolina Medical Group | 115 Blarney Dr, Suite 108, Columbia, SC 29223-6291 |
| Lateef Alana Harper | Family Medicine | Palmetto Health-university of South Carolina Medical Group | 300 Rice Meadow Way, Columbia, SC 29229-8424 |
| Marion Claire Geddings | Nurse Practitioner | Palmetto Health-university of South Carolina Medical Group | 115 N Sumter St, Suite 315, Sumter, SC 29150-4967 |
| Samuel Jay Storch | Urology | Palmetto Health-university of South Carolina Medical Group | 2 Medical Park Rd, Suite 300, Columbia, SC 29203-6839 |
| Suchita Shirish Pancholi | Internal Medicine | Palmetto Health-university of South Carolina Medical Group | 1801 Sunset Dr, Columbia, SC 29203-6803 |
| Gwendolyn E Bowers | Internal Medicine | Palmetto Health-university of South Carolina Medical Group | 11 Atrium Ridge Ct, Columbia, SC 29223-6438 |
| Williams C Andrew | Internal Medicine | Palmetto Health-university of South Carolina Medical Group | 1410 Blanding St, Suite 102, Columbia, SC 29201-2967 |
| Victoria L Fenters | Nurse Practitioner | Palmetto Health-university of South Carolina Medical Group | 1316 N Lake Dr, Lexington, SC 29072-7653 |
| Lauren S Barron | Psychiatry | Palmetto Health-university of South Carolina Medical Group | 720 Gracern Rd, Suite 120, Columbia, SC 29210-7657 |
| Anil Purohit | Internal Medicine | Palmetto Health-university of South Carolina Medical Group | 6 Richland Medical Park Dr, Suite 2100, Columbia, SC 29203-6864 |
| Street Address |
2739 LAUREL ST SUITE 1A |
| City | COLUMBIA |
| State | SC |
| Zip | 29204-2028 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anthony D Lowman | Gastroenterology | Palmetto Health-university of South Carolina Medical Group | 2739 Laurel St, Suite 1a, Columbia, SC 29204-2028 |
| Sumyra Kachru | Gastroenterology | Palmetto Health-university of South Carolina Medical Group | 2739 Laurel St, Suite 1a, Columbia, SC 29204-2028 |
| Ann M Bates | Nurse Practitioner | Palmetto Health-university of South Carolina Medical Group | 2739 Laurel St, Suite 1a, Columbia, SC 29204-2028 |
| Farzin Rashti | Gastroenterology | Palmetto Health-university of South Carolina Medical Group | 2739 Laurel St, Suite 1a, Columbia, SC 29204-2028 |
| Walter J Bristow Iii | Gastroenterology | Palmetto Health-university of South Carolina Medical Group | 2739 Laurel St, Suite 1a, Columbia, SC 29204-2028 |
| George Postic | Gastroenterology | Palmetto Health-university of South Carolina Medical Group | 2739 Laurel St, Suite 1a, Columbia, SC 29204-2028 |
| Dawn M. Clark | Certified Registered Nurse Anesthetist (crna) | Amsurg Columbia Anesthesia LLC | 2739 Laurel St, 1b, Columbia, SC 29204-2028 |
| Jorge Galan | Gastroenterology | Palmetto Health-university of South Carolina Medical Group | 2739 Laurel St, Suite 1a, Columbia, SC 29204-2028 |
| Edward Kimbrough | Gastroenterology | Palmetto Health-university of South Carolina Medical Group | 2739 Laurel St, Suite 1a, Columbia, SC 29204-2028 |
| Andrea L Krause | Nurse Practitioner | Palmetto Health-university of South Carolina Medical Group | 2739 Laurel St, Suite 1a, Columbia, SC 29204-2028 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erin Jaynes Belk | Nurse Practitioner | Providence Group Practices II LLC | 2001 Laurel St, Columbia, SC 29204-1018 |
| Benedict R Studnicka | Internal Medicine | Providence Physician Practices, LLC | 2001 Laurel St, Suite 300, Columbia, SC 29204-1018 |
| Charis P Taylor | Internal Medicine | Providence Physician Practices, LLC | 2001 Laurel St, Suite 300, Columbia, SC 29204-1018 |
| Brittany Winestock | Nurse Practitioner | Providence Group Practices II LLC | 2001 Laurel St, Columbia, SC 29204-1018 |
| Susan K Caudle | Physician Assistant | Providence Physician Practices, LLC | 2001 Laurel St, Suite 300, Columbia, SC 29204-1018 |
| Stephen Mullaney | Nurse Practitioner | Providence Physician Practices, LLC | 2001 Laurel St, Suite 300, Columbia, SC 29204-1018 |
| Ala Bianca Naomi Lucky | Nurse Practitioner | Providence Group Practices II LLC | 2001 Laurel St, Columbia, SC 29204-1018 |
| Kaitlin N Corwin | Physician Assistant | Providence Physician Practices, LLC | 2001 Laurel St, Suite 300, Columbia, SC 29204-1018 |
| Lanneau D Lide | Cardiovascular Disease (cardiology) | Providence Group Practices LLC | 2001 Laurel St, Columbia, SC 29204-1018 |
| Stephanie C Peterson | Physician Assistant | Providence Physician Practices, LLC | 2001 Laurel St, Suite 300, Columbia, SC 29204-1018 |
| Find all physicians in zip 29204 | |||
| City | COLUMBIA |
| Zip Code | 29204 |
| Specialty | GASTROENTEROLOGY |
| City + Specialty | COLUMBIA + GASTROENTEROLOGY |
Please comment or provide details below to improve the information on Boris R Blechacz.
| 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.