Stacy Weeks Weaver (NPI# 1609127075, PAC ID# 7719137835) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1609127075 |
| PAC ID by PECOS | 7719137835 |
| Professional Enrollment ID | I20121026000462 |
| Full Name | Stacy Weeks Weaver |
| Organization Legal Name | EDISTO REGIONAL HEALTH SERVICES INC |
| Address |
1619 Carolina Ave Orangeburg SC 29115-4939 |
| Phone Number | 8035317474 |
| Gender | F |
| Medical School | MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 4981693447 |
| Number of Group Practice Members | 17 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420068 | TRMC OF ORANGEBURG & CALHOUN |
| Address | Phone | Organization |
|---|---|---|
| 1619 Carolina Ave, Orangeburg, SC 29115-4939 | 8035317474 | EDISTO REGIONAL HEALTH SERVICES INC |
| Organization Legal Name | EDISTO REGIONAL HEALTH SERVICES INC |
| Physicians | 18 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tara Earthel Hook | Family Medicine | Edisto Regional Health Services Inc | 5073 Carolina Hwy, Denmark, SC 29042-1679 |
| John Alvin Pfeiffer | Family Medicine | Edisto Regional Health Services Inc | 187 Bunch Ford Rd, Holly Hill, SC 29059-8224 |
| Matthew N Kunkelman | Physician Assistant | Edisto Regional Health Services Inc | 185 Bunch Ford Rd, Holly Hill, SC 29059-8224 |
| Brenda Wilhite | Nurse Practitioner | Edisto Regional Health Services Inc | 498 N St, Bamberg, SC 29003-1377 |
| Melanie Tomeko Sheppard | Physician Assistant | Edisto Regional Health Services Inc | 4631 Savannah Hwy, North, SC 29112-8180 |
| Yongxin Li | Internal Medicine | Edisto Regional Health Services Inc | 1750 Village Park Dr, Orangeburg, SC 29118-2457 |
| William E Oquinn | Family Medicine | Edisto Regional Health Services Inc | 215 Dorange Rd, Branchville, SC 29432-2241 |
| John H Hayden Jr. | Family Medicine | Edisto Regional Health Services Inc | 1619 Carolina Ave, Orangeburg, SC 29115-4939 |
| Timothy S Shaver | Family Medicine | Edisto Regional Health Services Inc | 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442 |
| Kelenne V Tuitt | Family Medicine | Edisto Regional Health Services Inc | 498 N St, Bamberg, SC 29003-1377 |
| Street Address |
1619 CAROLINA AVE |
| City | ORANGEBURG |
| State | SC |
| Zip | 29115-4939 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John H Hayden Jr. | Family Medicine | Edisto Regional Health Services Inc | 1619 Carolina Ave, Orangeburg, SC 29115-4939 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daoling Zhang | Ophthalmology | Orangeburg Eye Center | 1190 Summers Ave Ne, Orangeburg, SC 29115-1226 |
| Michael J Mcmullen | Ophthalmology | Orangeburg Eye Center | 1190 Summers Ave Ne, Orangeburg, SC 29115-1226 |
| Mark C Mcgannon | Ophthalmology | Orangeburg Eye Center | 1190 Summers Ave Ne, Orangeburg, SC 29115-1226 |
| James J Van Hulle | Ophthalmology | Orangeburg Eye Center | 1190 Summers Ave Ne, Orangeburg, SC 29115-1226 |
| Fulton Gasper | Ophthalmology | Orangeburg Eye Center | 1190 Summers Ave Ne, Orangeburg, SC 29115-1226 |
| Brittney Cook | Nurse Practitioner | Family Health Centers, Inc. | 3310 Magnolia St, Orangeburg, SC 29115-1468 |
| Kiana S Heron | Nurse Practitioner | Family Health Centers, Inc. | 3310 Magnolia St, Orangeburg, SC 29115-1468 |
| Hope H Gibson | Nurse Practitioner | Family Health Centers, Inc. | 3310 Magnolia St, Orangeburg, SC 29115-1468 |
| Byron Jackson | Podiatry | Family Health Centers, Inc. | 3310 Magnolia St, Orangeburg, SC 29115-1468 |
| Julia A Hobson | Nurse Practitioner | Family Health Centers, Inc. | 3310 Magnolia St, Orangeburg, SC 29115-1468 |
| Find all physicians in zip 29115 | |||
| City | ORANGEBURG |
| Zip Code | 29115 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | ORANGEBURG + PHYSICIAN ASSISTANT |
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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.