Dennis J Fisher (NPI# 1417997693, PAC ID# 9436257748) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1417997693 |
| PAC ID by PECOS | 9436257748 |
| Professional Enrollment ID | I20070611000533 |
| Full Name | Dennis J Fisher |
| Organization Legal Name | LIBERTY DOCTORS LLC |
| Address |
21 Gamecock Ave Charleston SC 29407-3368 |
| Phone Number | 8437639664 |
| Gender | M |
| Credential | MD |
| Medical School | MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE |
| Graduation Year | 1975 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 0840466017 |
| Number of Group Practice Members | 31 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420065 | BON SECOURS-ST FRANCIS XAVIER HOSPITAL |
| 420087 | ROPER HOSPITAL |
| 420104 | MOUNT PLEASANT HOSPITAL |
| 390270 | GEISINGER WYOMING VALLEY MEDICAL CENTER |
| 420079 | TRIDENT MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 21 Gamecock Ave, Charleston, SC 29407-3368 | 8437639664 | LIBERTY DOCTORS LLC |
| 418 Folly Rd A and B, Charleston, SC 29412-2625 | 8437955362 | LIBERTY DOCTORS LLC |
| Organization Legal Name | LIBERTY DOCTORS LLC |
| Physicians | 41 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Svetlana C Stuck | Physician Assistant | Liberty Doctors LLC | 5880 Rivers Ave, North Charleston, SC 29406-6053 |
| Esther Perlmutter | Nurse Practitioner | Liberty Doctors LLC | 21 Gamecock Ave, Charleston, SC 29407-3368 |
| Victoria M Kennedy | Nurse Practitioner | Liberty Doctors LLC | 418 Folly Rd A and B, Charleston, SC 29412-2625 |
| John J Forney | Family Medicine | Liberty Doctors LLC | 8761 Dorchester Rd, Suite 230, North Charleston, SC 29420-7322 |
| Allen B Jackson | Internal Medicine | Liberty Doctors LLC | 2175 Ashley Phosphate Rd D, North Charleston, SC 29406-4181 |
| Patricia A Campbell | Family Medicine | Liberty Doctors LLC | 100 Springhall Dr, Goose Creek, SC 29445-5335 |
| Donald P Hurley | Family Medicine | Liberty Doctors LLC | 1483 Tobias Gadson Blvd, Suite 206, Charleston, SC 29407-4796 |
| Jeffrey M Akhtar | Internal Medicine | Liberty Doctors LLC | 418 Folly Rd A and B, Charleston, SC 29412-2625 |
| Alicia Anderson | Nurse Practitioner | Liberty Doctors LLC | 418 Folly Rd A and B, Charleston, SC 29412-2625 |
| Douglas H Gleaton | Family Medicine | Liberty Doctors LLC | 418 Folly Rd A and B, Charleston, SC 29412-2625 |
| Street Address |
21 GAMECOCK AVE |
| City | CHARLESTON |
| State | SC |
| Zip | 29407-3368 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Esther Perlmutter | Nurse Practitioner | Liberty Doctors LLC | 21 Gamecock Ave, Charleston, SC 29407-3368 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Allan Rashford | Internal Medicine | 2049 Savannah Hwy D, Charleston, SC 29407-2228 | |
| Marshall N Kalinsky | Podiatry | Roper Saint Francis Physicians Network | 1611 Savannah Hwy, Suite A, Charleston, SC 29407-2254 |
| Bradley R Gorski | Chiropractic | 1662 Savannah Hwy, Suite 115, Charleston, SC 29407-2255 | |
| Kristin M Scarborough | Nurse Practitioner | Hcr Manor Care Medical Services of Florida LLC | 1137 Sam Rittenberg Blvd, Charleston, SC 29407-3360 |
| Jennifer L Talley | Nurse Practitioner | Hcr Manor Care Medical Services of Florida LLC | 1137 Sam Rittenberg Blvd, Charleston, SC 29407-3360 |
| Jayme Leigh Mason | Nurse Practitioner | Hcr Manor Care Medical Services of Florida LLC | 1137 Sam Rittenberg Blvd, Charleston, SC 29407-3360 |
| Yvonne M Rhoades | Nurse Practitioner | Hcr Manor Care Medical Services of Florida LLC | 1137 Sam Rittenberg Blvd, Charleston, SC 29407-3360 |
| Sarah Campos | Nurse Practitioner | Hcr Manor Care Medical Services of Florida LLC | 1137 Sam Rittenberg Blvd, Charleston, SC 29407-3360 |
| Heather G Wilks | Nurse Practitioner | Hcr Manor Care Medical Services of Florida LLC | 1137 Sam Rittenberg Blvd, Charleston, SC 29407-3360 |
| Kristina E Johnson | Nurse Practitioner | Hcr Manor Care Medical Services of Florida LLC | 1137 Sam Rittenberg Blvd, Charleston, SC 29407-3360 |
| Find all physicians in zip 29407 | |||
| City | CHARLESTON |
| Zip Code | 29407 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | CHARLESTON + FAMILY PRACTICE |
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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.