Diane Marie Ward Fox (NPI# 1700886413, PAC ID# 2466434709) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
Nation Provider ID (NPI) | 1700886413 |
PAC ID by PECOS | 2466434709 |
Professional Enrollment ID | I20040602000335 |
Full Name | Diane Marie Ward Fox |
Organization Legal Name | COASTAL CAROLINA CENTERS OF UROLOGY AND SURGERY LLC |
Address |
822 Farrar Dr Conway SC 29526-8747 |
Phone Number | 8433479587 |
Gender | F |
Credential | CNA |
Medical School | MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE |
Graduation Year | 1976 |
Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Group Practice PAC ID | 7214989359 |
Number of Group Practice Members | 4 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
822 Farrar Dr, Conway, SC 29526-8747 | 8433479587 | COASTAL CAROLINA CENTERS OF UROLOGY AND SURGERY LLC |
Organization Legal Name | COASTAL CAROLINA CENTERS OF UROLOGY AND SURGERY LLC |
Physicians | 4 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kenneth E Kerr | Certified Registered Nurse Anesthetist (crna) | Coastal Carolina Centers of Urology and Surgery LLC | 822 Farrar Dr, Conway, SC 29526-8747 |
Freda Marie Kerr | Certified Registered Nurse Anesthetist (crna) | Coastal Carolina Centers of Urology and Surgery LLC | 822 Farrar Dr, Conway, SC 29526-8747 |
Bryan Patrick Fleming | Certified Registered Nurse Anesthetist (crna) | Coastal Carolina Centers of Urology and Surgery LLC | 822 Farrar Dr, Conway, SC 29526-8747 |
Street Address |
822 FARRAR DR |
City | CONWAY |
State | SC |
Zip | 29526-8747 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kenneth E Kerr | Certified Registered Nurse Anesthetist (crna) | Coastal Carolina Centers of Urology and Surgery LLC | 822 Farrar Dr, Conway, SC 29526-8747 |
Freda Marie Kerr | Certified Registered Nurse Anesthetist (crna) | Coastal Carolina Centers of Urology and Surgery LLC | 822 Farrar Dr, Conway, SC 29526-8747 |
Bryan Patrick Fleming | Certified Registered Nurse Anesthetist (crna) | Coastal Carolina Centers of Urology and Surgery LLC | 822 Farrar Dr, Conway, SC 29526-8747 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kurt Klauburg | Psychiatry | 152 Waccamaw Med Park Dr, Conway, SC 29526 | |
William M Sisco | Occupational Therapy | The Weston Group of South Carolina Inc | 872 Singleton Ridge Rd, Conway, SC 29526-1101 |
Timothy J Cosgriff | Physical Therapy | The Weston Group of South Carolina Inc | 872 Singleton Ridge Rd, Conway, SC 29526-1101 |
Janet M Clifford | Physical Therapy | The Weston Group of South Carolina Inc | 872 Singleton Ridge Rd, Conway, SC 29526-1101 |
Shasta D Vance | Occupational Therapy | The Weston Group of South Carolina Inc | 872 Singleton Ridge Rd, Conway, SC 29526-1101 |
Gaylord Lee Kelley Jr. | Chiropractic | 1238 Pine St, Conway, SC 29526-3402 | |
Charles M Proctor | Ophthalmology | Vaught Eye Associates, Pa | 1404 B Main St, Conway, SC 29526-3567 |
James Monroe Vaught | Optometry | Vaught Eye Associates, Pa | 1406 Main St, Conway, SC 29526-3567 |
Charlotte L Sloan | Nurse Practitioner | Agape Senior Primary Care Inc | 1400 Main St, Conway, SC 29526-3567 |
Garett M Wise | Optometry | Vaught Eye Associates, Pa | 1406 Main St, Conway, SC 29526-3567 |
Find all physicians in zip 29526 |
City | CONWAY |
Zip Code | 29526 |
Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
City + Specialty | CONWAY + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
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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.