ANNA GRACE STODDARD (NPI# 1649890039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649890039 |
| Entity Type | Individual |
| Full Name | ANNA GRACE STODDARD |
| Credential | PA-C |
| Practice Address |
989 Ribaut Rd Ste 360 Beaufort SC 29902-5427 |
| Mailing Address |
804 Pinckney St Beaufort SC 29902-4746 |
| Practice Telephone | 8435248171 |
| Mailing Telephone | 8434411359 |
| Enumeration Date | 2020-04-26 |
| Last Update Date | 2020-04-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 3560 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 400676 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 955 Ribaut Rd, Beaufort, SC 299025441 | 8435225790 |
| Street Address |
989 RIBAUT RD STE 360 |
| City | BEAUFORT |
| State | SC |
| Zip Code | 29902-5427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255600987 | Allison H Bessinger | Speech-Language Pathologist | 989 Ribaut Rd Ste 360, Beaufort, SC 29902-5427 | 2011-12-27 |
| 1982224317 | Amanda May Powell | Physician Assistant | 989 Ribaut Rd Ste 360, Beaufort, SC 29902-5427 | 2020-04-27 |
| 1558787382 | Rebecca Loftis | Occupational Therapist | 989 Ribaut Rd Ste 360, Beaufort, SC 29902-5427 | 2014-03-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063024578 | Beaufort County Memorial Hospital | Family Medicine | Beaufort Memorial Preoperative Assessment Clinic, 989 Ribaut Road Suite 370, Beaufort, SC 29902 | 2020-08-18 |
| 1750992475 | Fayth Polite | Social Worker | 2210 Salem Drive East, Beaufort, SC 29902 | 2020-08-14 |
| 1417509530 | Andrew Grant Miner | Dentist | Naval Hospital Beaufort, 1 Pinckney Blvd., Fpo, AA 29902 | 2019-07-09 |
| 1376029777 | Edward Dela Fuente | Counselor | Coastal Empire Mental Health Center, 1050 Ribaut Road, Beaufort, SC 29902 | 2018-07-18 |
| 1114440419 | Kristin Webb | Registered Nurse | 607 Wilmington Street, Beaufort, SC 29902 | 2017-07-19 |
| 1326582081 | Annemarie Gierling Gault | Nurse Practitioner | Beaufort Memorial Medical Oncology Infusion Center, 989 Ribaut Rd, Ste 103, Beaufort, SC 29902 | 2016-12-14 |
| 1114396579 | Jacquelyn Faith Proulx | Dentist | 1 Pickney Blvd., Naval Hospital Beaufort, Beaufort, SC 29902 | 2015-09-16 |
| 1386028413 | Howard Family Dental - Beaufort, Pllc | Dentist | 35 Robert Smalls Pkwy, Beaufort, SC 29902 | 2015-07-18 |
| 1598018103 | Lisa Marie Johnson | Occupational Therapist | 9555 Ribaut Road, Beaufort Memorial Hospital, Beaufort, SC 29902 | 2012-10-19 |
| 1134497860 | Jeremy Michael Simmons | Pharmacist | 2127 Boundary Street, Suite 19, Beaufort, SC 29902 | 2011-12-08 |
| Find all providers in zip 29902 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518019413 | William Jack Orton Sr. | Physician Assistant | 97 Campen Rd, Beaufort, NC 28516 | 2007-01-18 |
| 1164493268 | John Rich Balentine IIi | Physician Assistant | 1 Pickney Boulevard, Beaufort, SC 29902 | 2006-01-28 |
| 1114906492 | Theresa Ann Morris | Physician Assistant | 27 Kemmerlin Ln, Primecare Health Center, Beaufort, SC 29907-2702 | 2006-01-13 |
| 1225017502 | Lika Schrock | Physician Assistant | Beaufort Memorial Orthopaedic Specialists, 300 Midtown Dr, Beaufort, SC 29906-5200 | 2006-01-13 |
| 1780675603 | Heather Riessland Allen | Physician Assistant | 242 Ladys Island Dr, Beaufort, SC 29907 | 2005-10-31 |
| 1407859374 | Steven William White | Physician Assistant | 1620 C. Live Oak Street, Beaufort, NC 28516-1581 | 2005-05-24 |
| 1366042327 | Selena Damiano | Physician Assistant | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2020-10-29 |
| 1255986360 | John William Sabin | Physician Assistant | 670 Boulevard De France, Beaufort, SC 29902 | 2019-08-06 |
| 1205498300 | Breanna Giachinta | Physician Assistant | 1055 Ribaut Rd Ste 30, Beaufort, SC 29902-5447 | 2019-06-28 |
| 1891208658 | Kimberly Nicole Eberhart | Physician Assistant | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2017-11-14 |
| Find all providers in BEAUFORT | ||||
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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.