JOHN A GARTUNG JR. (NPI# 1043242662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043242662 |
| Entity Type | Individual |
| Full Name | JOHN A GARTUNG JR. |
| Credential | P.A. |
| Practice Address |
1204 E Cheves St Florence SC 29506-2710 |
| Practice Telephone | 8436730122 |
| Practice Fax Number | 8436616400 |
| Mailing Telephone | 8436730122 |
| Mailing Fax Number | 8436616400 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2017-02-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
1672 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 1242PA | 05 |
| Street Address |
1204 E CHEVES ST |
| City | FLORENCE |
| State | SC |
| Zip Code | 29506-2710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477541456 | Devanand A Dominique | Neurological Surgery | 1204 E Cheves St, Florence, SC 29506-2710 | 2005-10-12 |
| 1437799954 | Keith Alex Pettigrew IIi | Physician Assistant | 1204 E Cheves St, Florence, SC 29506-2710 | 2020-01-13 |
| 1063970101 | Leslie Marie Armstrong | Physician Assistant | 1204 E Cheves St, Florence, SC 29506-2710 | 2019-03-07 |
| 1932674645 | Kristen E Lee | Nurse Practitioner | 1204 E Cheves St, Florence, SC 29506-2710 | 2018-10-09 |
| 1871962977 | Wade Rowell | Nurse Practitioner | 1204 E Cheves St, Florence, SC 29506-2710 | 2015-09-18 |
| 1457729998 | Catherine Soriano | Physician Assistant | 1204 E Cheves St, Florence, SC 29506-2710 | 2015-09-14 |
| 1245537000 | Julia Anne Martin | Physical Therapist | 1204 E Cheves St, Florence, SC 29506-2710 | 2011-02-14 |
| 1588967533 | Gary Allen Summerfield Jr. | Nurse Practitioner | 1204 E Cheves St, Florence, SC 29506-2710 | 2010-12-14 |
| 1174788293 | Fns Imaging | Clinic/Center | 1204 E Cheves St, Florence, SC 29506-2710 | 2008-07-29 |
| 1376717546 | Maggie Elizabeth Moore-price | Physical Therapist | 1204 E Cheves St, Florence, SC 29506-2710 | 2008-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871001693 | Med Way Ambulance Service, LLC | Ambulance | 1627 E Palmetto St, Florence, SC 29506 | 2018-01-15 |
| 1851810261 | Daijavon Jaquita Mccall | Specialist/Technologist | 1207 Malloy Street, Florence, SC 29506 | 2017-09-18 |
| 1629453873 | Rebecca Diboni | Pharmacist | 501 E Cheves St, Suite D, Florence, SC 29506 | 2015-07-29 |
| 1710365846 | Tiffany Joann Williams | Counselor | 205 Pearl Cir Florence, Sc, SC 29506 | 2015-05-08 |
| 1275925091 | Joe Brice Williamson Jr. | Pharmacist | 501 E. Cheves St., Suite D, Florence, SC 29506 | 2015-03-03 |
| 1528474632 | La'keisha Coker | Dietitian, Registered | 145 E. Cheves St., Florence County Health Department, Florence, SC 29506 | 2014-07-09 |
| 1275948085 | Patrick Kevin Mccarthy | Dietitian, Registered | 145 East Cheves Street, Florence County Health Dept., Florence, SC 29506 | 2014-07-01 |
| 1073931655 | Gwen A Davis | Registered Nurse | 145 E Cheves Street, Sc Dhec Pee Dee Region, Florence, SC 29506 | 2014-04-01 |
| 1205267879 | Jessica Turner | Physical Therapist | 555 E Cheves St., Inpatient Rehab Department, Florence, SC 29506 | 2013-12-09 |
| 1700213923 | Pamela Orange | Nurse's Aide | 2501 Sparklberry Lane, Florence, SC 29506 | 2013-10-02 |
| Find all providers in zip 29506 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790769313 | Ralph Todd Johansen | Physician Assistant | 530 Ninth Street, Florence, OR 97439 | 2005-12-06 |
| 1205359544 | Robert A. Stevenson | Physician Assistant | 1005 E Cheves St, Florence, SC 29506-2707 | 2017-07-19 |
| 1396272696 | George Emory Edwards IIi | Physician Assistant | 1005 E Cheves St, Florence, SC 29506-2707 | 2017-05-17 |
| 1467999565 | Melanie Samples Bramblett | Physician Assistant | 1005 E Cheves St, Florence, SC 29506-2707 | 2017-01-26 |
| 1215485685 | Laura Timmons Strickland | Physician Assistant | 800 E Cheves St Ste 480-b, Florence, SC 29506-2650 | 2016-09-14 |
| 1811444664 | Sonia Thomas Wicker | Physician Assistant | 800 E Cheves St Ste 480, Florence, SC 29506-2653 | 2016-09-08 |
| 1639548555 | Jeffrey Hughes | Physician Assistant | 380 9th St, Florence, OR 97439-9470 | 2015-09-22 |
| 1356730865 | Robert Bowen | Physician Assistant | 2129 Helton Dr, Florence, AL 35630-1069 | 2015-01-21 |
| 1437578259 | Bryan M. Alford | Physician Assistant | 1005 E Cheves St, Florence, SC 29506-2707 | 2014-04-09 |
| 1972882306 | Jocie Patterson | Physician Assistant | 800 E Cheves St Ste 480, Florence, SC 29506-2653 | 2011-08-16 |
| Find all providers in FLORENCE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.