Elizabeth A Boessneck (NPI# 1255738878, PAC ID# 7113242538) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1255738878 |
| PAC ID by PECOS | 7113242538 |
| Professional Enrollment ID | I20150205002509 |
| Full Name | Elizabeth A Boessneck |
| Organization Legal Name | TRIDENT CARDIOLOGY ASSOCIATES, PA |
| Address |
3601 Ladson Rd Suite 100 Ladson SC 29456-4304 |
| Phone Number | 8432852500 |
| Gender | F |
| Graduation Year | 2013 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8729008529 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420079 | TRIDENT MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3601 Ladson Rd, Suite 100, Ladson, SC 29456-4304 | 8432852500 | TRIDENT CARDIOLOGY ASSOCIATES, PA |
| Organization Legal Name | TRIDENT CARDIOLOGY ASSOCIATES, PA |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sofy Landes | Cardiovascular Disease (cardiology) | Trident Cardiology Associates, Pa | 3601 Ladson Rd, Suite 100, Ladson, SC 29456-4304 |
| Christine E Cannon | Nurse Practitioner | Trident Cardiology Associates, Pa | 3601 Ladson Rd, Suite 100, Ladson, SC 29456-4304 |
| Trinka A Douglas | Nurse Practitioner | Trident Cardiology Associates, Pa | 3601 Ladson Rd, Suite 100, Ladson, SC 29456-4304 |
| Mark A Mataosky | Cardiovascular Disease (cardiology) | Trident Cardiology Associates, Pa | 3601 Ladson Rd, Suite 100, Ladson, SC 29456-4304 |
| Street Address |
3601 LADSON RD SUITE 100 |
| City | LADSON |
| State | SC |
| Zip | 29456-4304 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sofy Landes | Cardiovascular Disease (cardiology) | Trident Cardiology Associates, Pa | 3601 Ladson Rd, Suite 100, Ladson, SC 29456-4304 |
| Christine E Cannon | Nurse Practitioner | Trident Cardiology Associates, Pa | 3601 Ladson Rd, Suite 100, Ladson, SC 29456-4304 |
| Trinka A Douglas | Nurse Practitioner | Trident Cardiology Associates, Pa | 3601 Ladson Rd, Suite 100, Ladson, SC 29456-4304 |
| Mark A Mataosky | Cardiovascular Disease (cardiology) | Trident Cardiology Associates, Pa | 3601 Ladson Rd, Suite 100, Ladson, SC 29456-4304 |
| Joseph J Salerno | Cardiovascular Disease (cardiology) | Cardiology Consultants Pa of Charleston | 3601 Ladson Rd, Suite 101, Ladson, SC 29456-4304 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jill A Kirar | Chiropractic | Kirar Chiropractic Wellness Inc | 551 College Park Rd, Ladson, SC 29456-3329 |
| Zachary A Edmonds | Chiropractic | Kirar Chiropractic Wellness Inc | 551 College Park Rd, Ladson, SC 29456-3329 |
| Vance C Kirar | Chiropractic | Kirar Chiropractic Wellness Inc | 551 College Park Rd, Ladson, SC 29456-3329 |
| Millin C Budev | Ophthalmology | Carolina Cataract and Vision Center LLC | 137 Gateway Dr, Ladson, SC 29456-3552 |
| Kristiana D Neff | Ophthalmology | Carolina Cataract and Vision Center LLC | 137 Gateway Dr, Ladson, SC 29456-3552 |
| David Vroman | Ophthalmology | Carolina Cataract and Vision Center LLC | 137 Gateway Dr, Ladson, SC 29456-3552 |
| Michelle Ying | Ophthalmology | Carolina Cataract and Vision Center LLC | 137 Gateway Dr, Ladson, SC 29456-3552 |
| Jason F Baldwin | Optometry | Carolina Cataract and Vision Center LLC | 137 Gateway Dr, Ladson, SC 29456-3552 |
| David W Bang | Optometry | 9565 Hwy 78, Suite 900, Ladson, SC 29456-3912 | |
| Ronald G W Teed | Ophthalmology | 9565 Hwy 78 600, Ladson, SC 29456-4116 | |
| Find all physicians in zip 29456 | |||
| City | LADSON |
| Zip Code | 29456 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | LADSON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Elizabeth A Boessneck.
| 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.