Mary Lasater (NPI# 1760904114, PAC ID# 4789958927) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1760904114 |
| PAC ID by PECOS | 4789958927 |
| Professional Enrollment ID | I20170926004119 |
| Full Name | Mary Lasater |
| Organization Legal Name | FAMILY HEALTH CENTERS, INC. |
| Address |
922 Holly St Holly Hill SC 29059-2762 |
| Phone Number | 8034967171 |
| Gender | F |
| Medical School | MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2860305075 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420068 | TRMC OF ORANGEBURG & CALHOUN |
| Address | Phone | Organization |
|---|---|---|
| 922 Holly St, Holly Hill, SC 29059-2762 | 8034967171 | FAMILY HEALTH CENTERS, INC. |
| 3310 Magnolia St, Orangeburg, SC 29115-1468 | 8035316915 | FAMILY HEALTH CENTERS, INC. |
| Organization Legal Name | FAMILY HEALTH CENTERS, INC. |
| Physicians | 80 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Quintella Anartica Morgan | Nurse Practitioner | Family Health Centers, Inc. | 922 Holly St, Holly Hill, SC 29059-2762 |
| Brittney Cook | Nurse Practitioner | Family Health Centers, Inc. | 3310 Magnolia St, Orangeburg, SC 29115-1468 |
| Ngoc Uyen Nguyen | Clinical Social Worker | Family Health Centers, Inc. | 4100 Taylor Blvd, Louisville, KY 40215-2342 |
| Anna V Gass | Nurse Practitioner | Family Health Centers, Inc. | 834 E Broadway, Louisville, KY 40204-1072 |
| Arthi Devaraju Kaundar | Family Medicine | Family Health Centers, Inc. | 4805 Southside Dr, Louisville, KY 40214-2111 |
| Stephanie M Swincher | Nurse Practitioner | Family Health Centers, Inc. | 9702 Stonestreet Rd, Medical Bldg 1 Suite 220, Louisville, KY 40272-2847 |
| Carla M Broderick | Nurse Practitioner | Family Health Centers, Inc. | 712 E Muhammad Ali Blvd, Louisville, KY 40202-1643 |
| Frances E Weinstock | Family Medicine | Family Health Centers, Inc. | 2500 W Market St, Louisville, KY 40212-1541 |
| Denise L Buskill | Nurse Practitioner | Family Health Centers, Inc. | 1000 Neighborhood Place, Fairdale, KY 40118-9697 |
| Natalie Zelichenok | Nurse Practitioner | Family Health Centers, Inc. | 2215 Portland Ave, Louisville, KY 40212-1033 |
| Street Address |
922 HOLLY ST |
| City | HOLLY HILL |
| State | SC |
| Zip | 29059-2762 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Quintella Anartica Morgan | Nurse Practitioner | Family Health Centers, Inc. | 922 Holly St, Holly Hill, SC 29059-2762 |
| Melissa Coca Moyers | Nurse Practitioner | Family Health Centers, Inc. | 922 Holly St, Holly Hill, SC 29059-2762 |
| Loren D Harter | Family Medicine | Family Health Centers, Inc. | 922 Holly St, Holly Hill, SC 29059-2762 |
| Amy Pham | Family Practice | Family Health Centers, Inc. | 922 Holly St, Holly Hill, SC 29059-2762 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles Wapner | Chiropractic | 1120 State St, Holly Hill, SC 29059-2611 | |
| John Alvin Pfeiffer | Family Medicine | Edisto Regional Health Services Inc | 187 Bunch Ford Rd, Holly Hill, SC 29059-8224 |
| Matthew N Kunkelman | Physician Assistant | Edisto Regional Health Services Inc | 185 Bunch Ford Rd, Holly Hill, SC 29059-8224 |
| Carinne Shelley Thorne | Nurse Practitioner | Edisto Regional Health Services Inc | 185 Bunch Ford Rd, Holly Hill, SC 29059-8224 |
| Constance B Simons | Nurse Practitioner | Edisto Regional Health Services Inc | 185 Bunch Ford Rd, Holly Hill, SC 29059-8224 |
| Lynn M Frederick | Clinical Social Worker | Jamison Consultants LLC | 7575 Old State Rd, Holly Hill, SC 29059-8247 |
| City | HOLLY HILL |
| Zip Code | 29059 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | HOLLY HILL + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Mary Lasater.
| 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.