Alexander James Petkovsek (NPI# 1013455302, PAC ID# 2567749278) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1013455302 |
| PAC ID by PECOS | 2567749278 |
| Professional Enrollment ID | I20170508000254 |
| Full Name | Alexander James Petkovsek |
| Organization Legal Name | GRAND STRAND SURGICAL SPECIALISTS LLC |
| Address |
849 82nd Pkwy Myrtle Beach SC 29572-4614 |
| Phone Number | 8434976348 |
| Gender | M |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4082770656 |
| Number of Group Practice Members | 41 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420085 | GRAND STRAND REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 | 8436921000 | ACS PRIMARY CARE PHYSICIANS - SOUTHEAST PC |
| 849 82nd Pkwy, Myrtle Beach, SC 29572-4614 | 8434976348 | GRAND STRAND SURGICAL SPECIALISTS LLC |
| Organization Legal Name | GRAND STRAND SURGICAL SPECIALISTS LLC |
| Physicians | 41 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tamiko M Jackson | Nurse Practitioner | Grand Strand Surgical Specialists LLC | 8210 Devon Ct, Myrtle Beach, SC 29572-4178 |
| Jeffrey T Weeden | Physician Assistant | Grand Strand Surgical Specialists LLC | 920 Doug White Dr, Myrtle Beach, SC 29572-4120 |
| Morgan O Phillips | Physician Assistant | Grand Strand Surgical Specialists LLC | 933 Medical Cir, Myrtle Beach, SC 29572-4116 |
| Stephen Alan Silbiger | Internal Medicine | Grand Strand Surgical Specialists LLC | 4630 Hwy 17, Murrells Inlet, SC 29576-5016 |
| Steven A Matzinger | General Surgery | Grand Strand Surgical Specialists LLC | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 |
| Allison Lundy Mccrae | General Surgery | Grand Strand Surgical Specialists LLC | 849 82nd Pkwy, Myrtle Beach, SC 29572-4614 |
| Katy Flinn Johnson | Physician Assistant | Grand Strand Surgical Specialists LLC | 933 Medical Cir, Myrtle Beach, SC 29572-4116 |
| Ernest W Stokes Iii | Physician Assistant | Grand Strand Surgical Specialists LLC | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 |
| Nicole Kane Garrett | Physician Assistant | Grand Strand Surgical Specialists LLC | 8210 Devon Ct, Myrtle Beach, SC 29572-4178 |
| Jerry E Watson | Cardiovascular Disease (cardiology) | Grand Strand Surgical Specialists LLC | 8210 Devon Ct, Myrtle Beach, SC 29572-4178 |
| Street Address |
849 82ND PKWY |
| City | MYRTLE BEACH |
| State | SC |
| Zip | 29572-4614 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Allison Lundy Mccrae | General Surgery | Grand Strand Surgical Specialists LLC | 849 82nd Pkwy, Myrtle Beach, SC 29572-4614 |
| Valentino Piacentino Iii | General Surgery | Grand Strand Surgical Specialists LLC | 849 82nd Pkwy, Myrtle Beach, SC 29572-4614 |
| Jason P Farrah | General Surgery | Grand Strand Surgical Specialists LLC | 849 82nd Pkwy, Myrtle Beach, SC 29572-4614 |
| Horatiu Muresan | Plastic and Reconstructive Surgery | Grand Strand Surgical Specialists LLC | 849 82nd Pkwy, Myrtle Beach, SC 29572-4614 |
| Aaron Daniel Pinnola | General Surgery | Grand Strand Surgical Specialists LLC | 849 82nd Pkwy, Myrtle Beach, SC 29572-4614 |
| Christoph Robert Kaufmann | General Surgery | Grand Strand Surgical Specialists LLC | 849 82nd Pkwy, Myrtle Beach, SC 29572-4614 |
| Jacqueline S Crowell | Nurse Practitioner | Grand Strand Surgical Specialists LLC | 849 82nd Pkwy, Myrtle Beach, SC 29572-4614 |
| Scott Furm Mofford. Duncan V | Orthopedic Surgery | Grand Strand Surgical Specialists LLC | 849 82nd Pkwy, Myrtle Beach, SC 29572-4614 |
| Katherine V Ventura | Physician Assistant | Grand Strand Surgical Specialists LLC | 849 82nd Pkwy, Myrtle Beach, SC 29572-4614 |
| Eugene Giddens | Neurosurgery | Grand Strand Specialty Associates, LLC | 849 82nd Pkwy, Myrtle Beach, SC 29572-4614 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel Staples | Physical Therapy | Benchmark Healthcare Services LLC | 7955 N Kings Hwy, Suite 330, Myrtle Beach, SC 29572-3056 |
| Paul Vojtek | Physical Therapy | Benchmark Healthcare Services LLC | 7955 N Kings Hwy, Suite 330, Myrtle Beach, SC 29572-3056 |
| Stephen Swygert Ford | Physical Therapy | Benchmark Healthcare Services LLC | 7955 N Kings Hwy, Suite 330, Myrtle Beach, SC 29572-3056 |
| Kara Houston | Physical Medicine and Rehabilitation | Benchmark Healthcare Services LLC | 7955 N Kings Hwy, Suite 330, Myrtle Beach, SC 29572-3056 |
| Steven Goodman | Chiropractic | 9612n Kings Hwy, Myrtle Beach, SC 29572-4006 | |
| Barbie Suggs Anderson | Nurse Practitioner | Beach Urgent Care | 9820 N Kings Hwy, Myrtle Beach, SC 29572-4013 |
| Emily Pond Wright | Nurse Practitioner | Beach Urgent Care | 9820 N Kings Hwy, Myrtle Beach, SC 29572-4013 |
| Stephen Gordon Remine | General Surgery | Beach Urgent Care | 9820 N Kings Hwy, Myrtle Beach, SC 29572-4013 |
| Richard G Snyder | General Practice | Beach Urgent Care | 9820 N Kings Hwy, Myrtle Beach, SC 29572-4013 |
| Bleselda G Paragas | Physician Assistant | Beach Urgent Care | 9820 N Kings Hwy, Myrtle Beach, SC 29572-4013 |
| Find all physicians in zip 29572 | |||
| City | MYRTLE BEACH |
| Zip Code | 29572 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MYRTLE BEACH + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Alexander James Petkovsek.
| 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.