Timothy R Stuart (NPI# 1952558058, PAC ID# 9830120922) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1952558058 |
| PAC ID by PECOS | 9830120922 |
| Professional Enrollment ID | I20050829000595 |
| Full Name | Timothy R Stuart |
| Organization Legal Name | MARY BLACK PHYSICIANS GROUP LLC |
| Address |
130 Dillon Dr Spartanburg SC 29307-1018 |
| Phone Number | 8645852027 |
| Gender | M |
| Credential | PA |
| Graduation Year | 2004 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 0840393740 |
| Number of Group Practice Members | 71 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420043 | MARY BLACK HEALTH SYSTEM GAFFNEY |
| 420007 | SPARTANBURG MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 517 Chesnee Hwy A, Gaffney, SC 29341-2709 | 8644877655 | MARY BLACK PHYSICIANS GROUP LLC |
| 130 Dillon Dr, Spartanburg, SC 29307-1018 | 8645852027 | MARY BLACK PHYSICIANS GROUP LLC |
| Organization Legal Name | MARY BLACK PHYSICIANS GROUP LLC |
| Physicians | 20 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ann Marie Kenney | Internal Medicine | Mary Black Physicians Group LLC | 148 Dillon Dr, Spartanburg, SC 29307-1018 |
| Stephen P Chasteen | Clinical Social Worker | Mary Black Physicians Group LLC | 170 Camelot Dr, A, Spartanburg, SC 29301-2650 |
| Ramona R Hrysikos | Registered Dietitian Or Nutrition Professional | Mary Black Physicians Group LLC | 130 Dillon Dr, Spartanburg, SC 29307-1018 |
| Marian J Wasson | Family Practice | Mary Black Physicians Group LLC | 517 Chesnee Hwy A, Gaffney, SC 29341-2709 |
| Paul F Zubel | Urology | Mary Black Physicians Group LLC | 1530 N Limestone St, Gaffney, SC 29340-4742 |
| Lori A Thompson | Family Practice | Mary Black Physicians Group LLC | 130 Dillon Dr, Spartanburg, SC 29307-1018 |
| Sami B Elhassani | Pediatric Medicine | Mary Black Physicians Group LLC | 130 Dillon Dr, Spartanburg, SC 29307-1018 |
| Kimberly Cogdill | Nurse Practitioner | Mary Black Physicians Group LLC | 130 Dillon Dr, Spartanburg, SC 29307-1018 |
| Christopher L Brown | Nurse Practitioner | Mary Black Physicians Group LLC | 2995 Reidville Rd, Spartanburg, SC 29301-5628 |
| Carla F Gentry | Family Practice | Mary Black Physicians Group LLC | 130 Dillon Dr, Spartanburg, SC 29307-1018 |
| Street Address |
130 DILLON DR |
| City | SPARTANBURG |
| State | SC |
| Zip | 29307-1018 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ramona R Hrysikos | Registered Dietitian Or Nutrition Professional | Mary Black Physicians Group LLC | 130 Dillon Dr, Spartanburg, SC 29307-1018 |
| Lori A Thompson | Family Practice | Mary Black Physicians Group LLC | 130 Dillon Dr, Spartanburg, SC 29307-1018 |
| Sami B Elhassani | Pediatric Medicine | Mary Black Physicians Group LLC | 130 Dillon Dr, Spartanburg, SC 29307-1018 |
| Kimberly Cogdill | Nurse Practitioner | Mary Black Physicians Group LLC | 130 Dillon Dr, Spartanburg, SC 29307-1018 |
| Carla F Gentry | Family Practice | Mary Black Physicians Group LLC | 130 Dillon Dr, Spartanburg, SC 29307-1018 |
| Leah Goodson-gerami | Obstetrics/gynecology | Mary Black Physicians Group LLC | 130 Dillon Dr, Spartanburg, SC 29307-1018 |
| Laura M Moretz | General Practice | Mary Black Physicians Group LLC | 130 Dillon Dr, Spartanburg, SC 29307-1018 |
| Melinda Sue Durham | Family Practice | Mary Black Physicians Group LLC | 130 Dillon Dr, Spartanburg, SC 29307-1018 |
| Lettie Jane Haynes | Nurse Practitioner | Mary Black Physicians Group LLC | 130 Dillon Dr, Spartanburg, SC 29307-1018 |
| Jeff Arts | Vascular Surgery | Mary Black Physicians Group LLC | 130 Dillon Dr, Spartanburg, SC 29307-1018 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mit Kishorchandra Desai | Family Medicine | Spartanburg Medical Center | 1530 Drayton Rd, Spartanburg, SC 29307 |
| Tameka L Garrett | Nurse Practitioner | Spartanburg Medical Center | 1530 Drayton Rd, Spartanburg, SC 29307 |
| Allison R Edwards | Internal Medicine | Spartanburg Medical Center | 1530 Drayton Rd, Spartanburg, SC 29307 |
| Donna-marie Koroma | Family Medicine | Spartanburg Medical Center | 11 Doctors Park Dr, Suite 200, Spartanburg, SC 29307-1008 |
| Deborah Anderson | Nurse Practitioner | Spartanburg Medical Center | 11 Doctors Park Dr, Suite 220, Spartanburg, SC 29307-1008 |
| Bennett H Bruckner | Gastroenterology | Spartanburg Medical Center | 11 Doctors Dr, Suite 240, Spartanburg, SC 29307-1008 |
| Gabor F Sovenyhazy | Colorectal Surgery (proctology) | 11 Doctors Park Dr, Suite 210, Spartanburg, SC 29307-1008 | |
| Angela Nicole Gary | Nurse Practitioner | 110 Dillon Dr, Spartanburg, SC 29307-1018 | |
| Ann Marie Kenney | Internal Medicine | Mary Black Physicians Group LLC | 148 Dillon Dr, Spartanburg, SC 29307-1018 |
| Kristen B Koch | Physician Assistant | Foothills Nephrology PC | 126 Dillon Dr, Spartanburg, SC 29307-1018 |
| Find all physicians in zip 29307 | |||
| City | SPARTANBURG |
| Zip Code | 29307 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | SPARTANBURG + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Timothy R Stuart.
| 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.