Paseo Shatelle Douglas (NPI# 1972155471, PAC ID# 7618204546) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1972155471 |
| PAC ID by PECOS | 7618204546 |
| Professional Enrollment ID | I20190814003298 |
| Full Name | Paseo Shatelle Douglas |
| Organization Legal Name | PALMETTO FAMILY MEDICINE OF CHESTERFIELD COUNTY, LLC |
| Address |
316 2nd St Cheraw SC 29520-2404 |
| Phone Number | 8439214851 |
| Gender | F |
| Medical School | UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE |
| Graduation Year | 2019 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7012807860 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420018 | PALMETTO HEALTH RICHLAND |
| 420107 | MCLEOD HEALTH CHERAW |
| Address | Phone | Organization |
|---|---|---|
| 316 2nd St, Cheraw, SC 29520-2404 | 8439214851 | PALMETTO FAMILY MEDICINE OF CHESTERFIELD COUNTY, LLC |
| Organization Legal Name | PALMETTO FAMILY MEDICINE OF CHESTERFIELD COUNTY, LLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alison Carisa Huggins | Nurse Practitioner | Palmetto Family Medicine of Chesterfield County, LLC | 316 2nd St, Cheraw, SC 29520-2404 |
| Travis A Novinger | Family Medicine | Palmetto Family Medicine of Chesterfield County, LLC | 316 2nd St, Cheraw, SC 29520-2404 |
| Kinzie J Barton | Family Medicine | Palmetto Family Medicine of Chesterfield County, LLC | 316 2nd St, Cheraw, SC 29520-2404 |
| Karen Lynn Rice Canipe | Nurse Practitioner | Palmetto Family Medicine of Chesterfield County, LLC | 316 2nd St, Cheraw, SC 29520-2404 |
| Street Address |
316 2ND ST |
| City | CHERAW |
| State | SC |
| Zip | 29520-2404 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alison Carisa Huggins | Nurse Practitioner | Palmetto Family Medicine of Chesterfield County, LLC | 316 2nd St, Cheraw, SC 29520-2404 |
| Travis A Novinger | Family Medicine | Palmetto Family Medicine of Chesterfield County, LLC | 316 2nd St, Cheraw, SC 29520-2404 |
| Holly Sprout | Optometry | 316 2nd St, Marietta, OH 45750-2919 | |
| Kinzie J Barton | Family Medicine | Palmetto Family Medicine of Chesterfield County, LLC | 316 2nd St, Cheraw, SC 29520-2404 |
| Karen Lynn Rice Canipe | Nurse Practitioner | Palmetto Family Medicine of Chesterfield County, LLC | 316 2nd St, Cheraw, SC 29520-2404 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Narry H Beaver | Chiropractic | Beaver Chiropractic Center | 401 Market St, Cheraw, SC 29520-2636 |
| Walter Robert Main | Chiropractic | 400 Market St, Cheraw, SC 29520-2637 | |
| Kay Bullard | Optometry | Covington Optometric Eye Clinic | 703 Market St, Cheraw, SC 29520-2658 |
| Marvin Sto-domingo | Physical Therapy | 309 Chesterfield Hwy, Suite 1, Cheraw, SC 29520-3052 | |
| Pravin R Patel | Family Medicine | 840 Manor Rd, Cheraw, SC 29520-4035 | |
| Thomas Vincent Distefano | Orthopedic Surgery | Mcleod Physician Associates II | 710 Chesterfield Hwy, Cheraw, SC 29520-7001 |
| Eric M Willoughby | Nurse Practitioner | Mcleod Physician Associates II | 710 Chesterfield Hwy, Cheraw, SC 29520-7001 |
| Jackie M Stafford | Nurse Practitioner | Mcleod Physician Associates II | 710 Chesterfield Hwy, Cheraw, SC 29520-7001 |
| Joseph K Newsom Jr. | Family Practice | Mcleod Physician Associates II | 710 Chesterfield Hwy, Cheraw, SC 29520-7001 |
| William A Newsom | Internal Medicine | Mcleod Physician Associates II | 710 Chesterfield Hwy, Cheraw, SC 29520-7001 |
| Find all physicians in zip 29520 | |||
| City | CHERAW |
| Zip Code | 29520 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CHERAW + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Paseo Shatelle Douglas.
| 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.