DR. SARENA G GRACZYK (NPI# 1104906254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104906254 |
| Entity Type | Individual |
| Full Name | DR. SARENA G GRACZYK |
| Credential | MD |
| Practice Address |
240 Stoneridge Dr Suite 304 Columbia SC 29210-8013 |
| Mailing Address |
Po Box 3387 Frederick MD 21705-3387 |
| Practice Telephone | 8037088126 |
| Practice Fax Number | 8037081370 |
| Mailing Telephone | 8882761910 |
| Mailing Fax Number | 8037081370 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2013-09-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | 15395 | SC | Allopathic & Osteopathic Physicians |
| Y | 207LC0200X |
Anesthesiology Specialization: Critical Care Medicine |
15395 | SC | Allopathic & Osteopathic Physicians |
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
15395 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | SELECT HEALTH | 153951 | 01 |
| SC | 153951 | 05 | |
| SC | MEDCOST | 77837 | 01 |
| SC | CCP | 2001122 | 01 |
| SC | RR MEDICARE | 050028873 | 01 |
| SC | AETNA | 4137846 | 01 |
| Street Address |
240 STONERIDGE DR SUITE 304 |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29210-8013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851486781 | Carolina Anesthesiology Associates Pa | Anesthesiology | 240 Stoneridge Dr, Suite 304, Columbia, SC 29210-8013 | 2006-10-04 |
| 1033533344 | Pruitthealth Home Health, Inc. | Home Health | 240 Stoneridge Dr, Suite 100, Columbia, SC 29210-8013 | 2014-02-06 |
| 1013297977 | Margaret V. Ridgeway Pollard | Anesthesiology | 240 Stoneridge Dr, 304, Columbia, SC 29210-8013 | 2011-08-24 |
| 1801013792 | Nirav Manhar Patel | Anesthesiology | 240 Stoneridge Dr, Suite 304, Columbia, SC 29210-8013 | 2007-04-20 |
| 1366522328 | Satish M Prabhu | Anesthesiology | 240 Stoneridge Dr, Suite 304, Columbia, SC 29210-8013 | 2006-10-16 |
| 1306926548 | Theresa H Cuda | Anesthesiology | 240 Stoneridge Dr, Suite 304, Columbia, SC 29210-8013 | 2006-10-16 |
| 1427138528 | Gregory R Malcolm | Anesthesiology | 240 Stoneridge Dr, Suite 304, Columbia, SC 29210-8013 | 2006-10-16 |
| 1609956770 | David L Long | Anesthesiology | 240 Stoneridge Dr, Suite 304, Columbia, SC 29210-8013 | 2006-10-16 |
| 1033299086 | William B Parks IIi | Anesthesiology | 240 Stoneridge Dr, Suite 304, Columbia, SC 29210-8013 | 2006-10-16 |
| 1144300047 | Franklin Roman Williams | Anesthesiology | 240 Stoneridge Dr, Suite 304, Columbia, SC 29210-8013 | 2006-10-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700413838 | Alexis Koreema Brown | Social Worker | 3205 Montcrest Rd., Columbia, SC 29210 | 2020-03-26 |
| 1942767843 | Thomas Edwin Cromer | Social Worker | 409 Evelyn Drive, Columbia, SC 29210 | 2019-02-27 |
| 1184193542 | Helen Hoffman Coleman | Pharmacist | 16 Berryhill Road, Ste 109, Columbia, SC 29210 | 2018-11-15 |
| 1356828040 | Latia Kelly Mcdonald | Counselor | 105 Beth Hope Lane, Columbia, SC 29210 | 2018-07-25 |
| 1356892848 | Butterfly Effects LLC | Community/Behavioral Health | 1607 Bentley Court, Columbia, SC 29210 | 2016-10-19 |
| 1114373651 | Lilian Emetu | Nurse Practitioner | 822 Statler Road, Columbia, SC 29210 | 2016-05-13 |
| 1154776433 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 507 Piney Grove Rd, Columbia, SC 29210 | 2016-04-25 |
| 1790167690 | Wanda Al-lahabi | Specialist | 1030 St. Andrews Rd., Suite B-3, Columbia, SC 29210 | 2015-06-26 |
| 1285040279 | Debra R. Smart | Counselor | 652 Bush Road, Suite 216, Columbia, SC 29210 | 2014-07-10 |
| 1144665282 | Snf Transportation LLC | Home Health | 810 Dutch Center Blvd, Columbia, SC 29210 | 2013-05-02 |
| Find all providers in zip 29210 | ||||
| Taxonomy Code | 207LC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Critical Care Medicine |
| An anesthesiologist, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851486781 | Carolina Anesthesiology Associates Pa | Anesthesiology | 240 Stoneridge Dr, Suite 304, Columbia, SC 29210-8013 | 2006-10-04 |
| 1902404866 | Hospitalist Medicine Physicians of South Carolina - Aiken, LLC | Anesthesiology | 1703 Laurel St, Columbia, SC 29201-2660 | 2020-10-13 |
| 1821589938 | Carolina Anesthesiology Associates Pa | Anesthesiology | 5 Richland Medical Park Dr, Columbia, SC 29203-6863 | 2018-05-24 |
| 1336295575 | Nishi Rawat | Anesthesiology | 5755 Cedar Ln, Columbia, MD 21044-2912 | 2007-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750867297 | Midlands Anesthesiologists LLC | Anesthesiology | 2720 Sunset Blvd, West Columbia, SC 29169-4810 | 2018-07-18 |
| 1851694517 | Priyan Samarakoon Pllc | Anesthesiology | 200 North Main Street, Clio, SC 29525 | 2010-12-17 |
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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.