Stephen A Dersch (NPI# 1699733238, PAC ID# 1658439393) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1699733238 |
| PAC ID by PECOS | 1658439393 |
| Professional Enrollment ID | I20081023000701 |
| Full Name | Stephen A Dersch |
| Organization Legal Name | HOSPITAL PHYSICIAN SERVICES - SOUTHEAST PROFESSIONAL CORPORATION |
| Address |
805 Pamplico Hwy Florence SC 29505-6050 |
| Phone Number | 8436745000 |
| Gender | M |
| Medical School | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2000 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 5597774554 |
| Number of Group Practice Members | 321 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420091 | CAROLINAS HOSPITAL SYSTEM |
| 420055 | CAROLINAS HOSPITAL SYSTEM MARION |
| Address | Phone | Organization |
|---|---|---|
| 805 Pamplico Hwy, Florence, SC 29505-6050 | 8436745000 | HOSPITAL PHYSICIAN SERVICES - SOUTHEAST PROFESSIONAL CORPORATION |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 98% |
| Organization Legal Name | HOSPITAL PHYSICIAN SERVICES - SOUTHEAST PROFESSIONAL CORPORATION |
| Physicians | 234 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melina R Rolo | Nurse Practitioner | Hospital Physician Services - Southeast Professional Corporation | 2151 W Spring St, Monroe, GA 30655-3202 |
| Ekmini Wijesinghe | Internal Medicine | Hospital Physician Services - Southeast Professional Corporation | 3651 Wheeler Rd, Augusta, GA 30909-6521 |
| Alexandr Babayeuski | Hospitalist | Hospital Physician Services - Southeast Professional Corporation | 501 Redmond Nwrd, Rome, GA 30165-1415 |
| Richard Hayes | Internal Medicine | Hospital Physician Services - Southeast Professional Corporation | 121 E Cedar St, Florence, SC 29506-2576 |
| Vivian G Hamlett | Internal Medicine | Hospital Physician Services - Southeast Professional Corporation | 124 S Memorial Dr, Prattville, AL 36067-3619 |
| Jules M Nehmetallah | Internal Medicine | Hospital Physician Services - Southeast Professional Corporation | 1900 Tebeau St, Waycross, GA 31501-6357 |
| Sanya Elizabeth Gayle | Internal Medicine | Hospital Physician Services - Southeast Professional Corporation | 501 Redmond Nwrd, Rome, GA 30165-1415 |
| Jeffery Talbot | Internal Medicine | Hospital Physician Services - Southeast Professional Corporation | 501 Redmond Nwrd, Rome, GA 30165-1415 |
| Mohammad Irfan | Family Medicine | Hospital Physician Services - Southeast Professional Corporation | 124 S Memorial Dr, Prattville, AL 36067-3619 |
| Lee Chapman Patino | Nurse Practitioner | Hospital Physician Services - Southeast Professional Corporation | 124 S Memorial Dr, Prattville, AL 36067-3619 |
| Street Address |
805 PAMPLICO HWY |
| City | FLORENCE |
| State | SC |
| Zip | 29505-6050 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brooke Evans Chamberlain | Nurse Practitioner | Carolina Family Care Inc | 805 Pamplico Hwy, Suite B300, Florence, SC 29505-6081 |
| Frank Lee Jr | General Surgery | Carolina Family Care Inc | 805 Pamplico Hwy, Suite A230, Florence, SC 29505-6057 |
| Manver Razick | Gastroenterology | Carolina Family Care Inc | 805 Pamplico Hwy, Suite A220, Florence, SC 29505-6056 |
| Steven Mcdonell Halus | Emergency Medicine | Acs Primary Care Physicians - Southeast PC | 805 Pamplico Hwy, Florence, SC 29505-6047 |
| Joshua C Leighton | Diagnostic Radiology | Carolina Radiology Associates LLC | 805 Pamplico Hwy, Florence, SC 29505-6047 |
| Lori Deblasi | Podiatry | Carolina Family Care Inc | 805 Pamplico Hwy, Suite A230, Florence, SC 29505-6057 |
| Robert L Elder | Family Medicine | Hospital Physician Services - Southeast Professional Corporation | 805 Pamplico Hwy, Florence, SC 29505-6050 |
| Vinod K Jona | Pulmonary Disease | Regency Hospital Company of South Carolina, LLC | 805 Pamplico Hwy, Florence, SC 29505-6047 |
| Charles G Aldridge Iii | Certified Registered Nurse Anesthetist (crna) | Medstream Anesthesia Pllc | 805 Pamplico Hwy, Florence, SC 29505-6047 |
| Kristin Graham Dubose | Nurse Practitioner | Acs Primary Care Physicians - Southeast PC | 805 Pamplico Hwy, Florence, SC 29505-6047 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Wayne Hamill | Optometry | 514 2nd Loop Rd E, Florence, SC 29505-2848 | |
| Evelyn Rebecca Coe | Nurse Practitioner | Hypertension and Diabetes Prevention and Treatment Center Inc | 1812 Malden Dr, Florence, SC 29505-3128 |
| Carol Shaven Wright | Clinical Social Worker | 1505 Heritage Ln, Suite B, Florence, SC 29505-3141 | |
| Thomas A Mcdonald | Maxillofacial Surgery | 1509 Heritage Ln, Florence, SC 29505-3141 | |
| Joseph R Willis | Chiropractic | 1501 Heritage Ln, Florence, SC 29505-3141 | |
| Machelle S Smith | Nurse Practitioner | 1501 Heritage Ln, Florence, SC 29505-3141 | |
| Brent J Baroody | Obstetrics/gynecology | Genesis Healthcare, Inc. | 1523 Heritage Ln, Florence, SC 29505-3197 |
| Julian L Mason | Family Medicine | Doctors Care, Pa | 2200 S Irby St, Florence, SC 29505-3423 |
| William Clark Griggs | Family Medicine | Doctors Care, Pa | 2200 S Irby St, Florence, SC 29505-3423 |
| Marc D Cutler | Physical Therapy | Progressive Physical Therapy, Pa | 2200 S Irby St, Florence, SC 29505-3423 |
| Find all physicians in zip 29505 | |||
| City | FLORENCE |
| Zip Code | 29505 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | FLORENCE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Stephen A Dersch.
| 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.