Russell D Kitch (NPI# 1992705099, PAC ID# 7517932254) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1992705099 |
| PAC ID by PECOS | 7517932254 |
| Professional Enrollment ID | I20040827000050 |
| Full Name | Russell D Kitch |
| Organization Legal Name | SUMMERVILLE SLEEP CONSULTANTS LLC |
| Address |
92 Springview Ln Summerville SC 29485-8153 |
| Phone Number | 8438714006 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE |
| Graduation Year | 1985 |
| Primary Specialty | OTOLARYNGOLOGY |
| Group Practice PAC ID | 5799759791 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420079 | TRIDENT MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 92 Springview Ln, Summerville, SC 29485-8153 | 8438714006 | SUMMERVILLE SLEEP CONSULTANTS LLC |
| Organization Legal Name | SUMMERVILLE SLEEP CONSULTANTS LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karl S Miller | Pulmonary Disease | Summerville Sleep Consultants LLC | 92 Springview Ln, Summerville, SC 29485-8153 |
| Marie D Rataj | Nurse Practitioner | Summerville Sleep Consultants LLC | 92 Springview Ln, Summerville, SC 29485-8153 |
| Street Address |
92 SPRINGVIEW LN |
| City | SUMMERVILLE |
| State | SC |
| Zip | 29485-8153 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karl S Miller | Pulmonary Disease | Summerville Sleep Consultants LLC | 92 Springview Ln, Summerville, SC 29485-8153 |
| Marie D Rataj | Nurse Practitioner | Summerville Sleep Consultants LLC | 92 Springview Ln, Summerville, SC 29485-8153 |
| 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 | OTOLARYNGOLOGY |
| City + Specialty | SUMMERVILLE + OTOLARYNGOLOGY |
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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.