Stacey Flaherty (NPI# 1396139119, PAC ID# 0941528459) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1396139119 |
| PAC ID by PECOS | 0941528459 |
| Professional Enrollment ID | I20160919000374 |
| Full Name | Stacey Flaherty |
| Organization Legal Name | SELF MEDICAL GROUP |
| Address |
102 Rockcreek Blvd Greenwood SC 29649-8915 |
| Phone Number | 8647255020 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6002953916 |
| Number of Group Practice Members | 274 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420068 | TRMC OF ORANGEBURG & CALHOUN |
| Address | Phone | Organization |
|---|---|---|
| 102 Rockcreek Blvd, Greenwood, SC 29649-8915 | 8647255020 | SELF MEDICAL GROUP |
| 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442 | 8033952200 | SOUND PHYSICAINS OF SOUTH CAROLINA, LLC. |
| Organization Legal Name | SELF MEDICAL GROUP |
| Physicians | 246 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mariah Montana Aden | Physician Assistant | Self Medical Group | 2605 Kinard St, Suite 200, Newberry, SC 29108-2965 |
| Myria Petrou | Diagnostic Radiology | Self Medical Group | 180 Broad St, Apt 1332, Stamford, CT 06901-5000 |
| Sylvia Gyapong | Diagnostic Radiology | Self Medical Group | 11035 Longboat Key Ln, Apt 308, Tampa, FL 33626-2754 |
| Anas Abdel Azim | Vascular Surgery | Self Medical Group | 160 Academy Ave, Greenwood, SC 29646-3808 |
| Varinder Kaur Singh | Family Medicine | Self Medical Group | 207 Holiday Rd, Mc Cormick, SC 29835-3430 |
| Jill Bell Shirley | Nurse Practitioner | Self Medical Group | 105 Vinecrest Ct, Suite 1000, Greenwood, SC 29646-8031 |
| Brian W Gunter | Infectious Disease | Self Medical Group | 104 Liner Dr, Greenwood, SC 29646-2310 |
| John Vincent Maylock | Family Medicine | Self Medical Group | 1228 Hwy 72 W, Greenwood, SC 29649-1816 |
| Kristal Smith Pitts | Nurse Practitioner | Self Medical Group | 421 Epting Ave, Greenwood, SC 29646-4041 |
| Leanna Willis Owings | Nurse Practitioner | Self Medical Group | 102 R L Sawyer Md Dr, Saluda, SC 29138-9199 |
| Street Address |
102 ROCKCREEK BLVD |
| City | GREENWOOD |
| State | SC |
| Zip | 29649-8915 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Morshed Maseha | Optometry | Clark Optometric Center of Sc - Pa | 853 Bypass 72 Nw, Greenwood, SC 29649-1203 |
| Sherri Christine Rast | Optometry | Clark Optometric Center of Sc - Pa | 853 Bypass 72 Nw, Greenwood, SC 29649-1203 |
| Lauren Dallas Rigsby | Optometry | Clark Optometric Center of Sc - Pa | 853 Bypass 72 Nw, Greenwood, SC 29649-1203 |
| Jason E Gosnell | Family Medicine | Woodruff Road Urgent Care Center PC | 474 Bypass 72 Nw, Suite B, Greenwood, SC 29649-1404 |
| Charles Harvey Weston Jr. | Chiropractic | 712 B Montague Ave, Greenwood, SC 29649-1439 | |
| Jennifer R Lippens | Optometry | 711 Montague Ave, Greenwood, SC 29649-1440 | |
| Robert M Smith | Family Medicine | 805 Montague Ave, Suite A, Greenwood, SC 29649-1464 | |
| Asa Q Hatfield | Family Practice | 805 Montague Ave, Suite A, Greenwood, SC 29649-1464 | |
| Jed A Graham | Family Practice | Greenwood Family Practice, Inc. | 805 Montague Ave, Suite A, Greenwood, SC 29649-1464 |
| Keith O Plowden | Nurse Practitioner | 210 A Birchtree Dr, Greenwood, SC 29649-1502 | |
| Find all physicians in zip 29649 | |||
| City | GREENWOOD |
| Zip Code | 29649 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | GREENWOOD + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Stacey Flaherty.
| 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.