Richard Francis Frisch Jr. (NPI# 1053528752, PAC ID# 4981796224) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1053528752 |
| PAC ID by PECOS | 4981796224 |
| Professional Enrollment ID | I20110805000001 |
| Full Name | Richard Francis Frisch Jr. |
| Organization Legal Name | SOUTHEASTERN SPINE INSTITUTE LLC |
| Address |
1106 Chuck Dawley Blvd Suite 200 Mount Pleasant SC 29464-4195 |
| Phone Number | 8438491551 |
| Gender | M |
| Medical School | HAHNEMANN UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 2002 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 7416842299 |
| Number of Group Practice Members | 32 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420089 | EAST COOPER MEDICAL CENTER |
| 420098 | TIDELANDS WACCAMAW COMMUNITY HOSPITAL |
| 420048 | KERSHAWHEALTH |
| 420105 | MCLEOD LORIS HOSPITAL |
| 420049 | CONWAY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1106 Chuck Dawley Blvd, Suite 200, Mount Pleasant, SC 29464-4195 | 8438491551 | SOUTHEASTERN SPINE INSTITUTE LLC |
| Organization Legal Name | SOUTHEASTERN SPINE INSTITUTE LLC |
| Physicians | 34 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marc Scott Haro | Orthopedic Surgery | Southeastern Spine Institute LLC | 1106 Chuck Dawley Blvd, Suite 200, Mount Pleasant, SC 29464-4195 |
| Christina Duan Chandler | Physician Assistant | Southeastern Spine Institute LLC | 1210 Chuck Dawley Blvd, Mount Pleasant, SC 29464-4186 |
| Victoria E Simon | Physical Therapy | Southeastern Spine Institute LLC | 1106 Chuck Dawley Blvd, Suite 200, Mount Pleasant, SC 29464-4195 |
| Germaine Ryan Aprill | Physician Assistant | Southeastern Spine Institute LLC | 1210 Chuck Dawley Blvd, Mount Pleasant, SC 29464-4186 |
| Bassam Kassab | Physical Therapy | Southeastern Spine Institute LLC | 1106 Chuck Dawley Blvd, Suite 200, Mount Pleasant, SC 29464-4195 |
| Ryan H Nobles | Anesthesiology | Southeastern Spine Institute LLC | 1210 Chuck Dawley Blvd, Mount Pleasant, SC 29464-4186 |
| John F Johnson | Physical Medicine and Rehabilitation | Southeastern Spine Institute LLC | 1106 Chuck Dawley Blvd, Suite 200, Mount Pleasant, SC 29464-4195 |
| Margaret B Bryant | Nurse Practitioner | Southeastern Spine Institute LLC | 1106 Chuck Dawley Blvd, Suite 200, Mount Pleasant, SC 29464-4195 |
| Jaunita Katherine Kemmeling | Physician Assistant | Southeastern Spine Institute LLC | 1210 Chuck Dawley Blvd, Mount Pleasant, SC 29464-4186 |
| Donald Roger Johnson Ii | Orthopedic Surgery | Southeastern Spine Institute LLC | 1106 Chuck Dawley Blvd, Suite 200, Mount Pleasant, SC 29464-4195 |
| Street Address |
1106 CHUCK DAWLEY BLVD SUITE 200 |
| City | MOUNT PLEASANT |
| State | SC |
| Zip | 29464-4195 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marc Scott Haro | Orthopedic Surgery | Southeastern Spine Institute LLC | 1106 Chuck Dawley Blvd, Suite 200, Mount Pleasant, SC 29464-4195 |
| Victoria E Simon | Physical Therapy | Southeastern Spine Institute LLC | 1106 Chuck Dawley Blvd, Suite 200, Mount Pleasant, SC 29464-4195 |
| Bassam Kassab | Physical Therapy | Southeastern Spine Institute LLC | 1106 Chuck Dawley Blvd, Suite 200, Mount Pleasant, SC 29464-4195 |
| John F Johnson | Physical Medicine and Rehabilitation | Southeastern Spine Institute LLC | 1106 Chuck Dawley Blvd, Suite 200, Mount Pleasant, SC 29464-4195 |
| Margaret B Bryant | Nurse Practitioner | Southeastern Spine Institute LLC | 1106 Chuck Dawley Blvd, Suite 200, Mount Pleasant, SC 29464-4195 |
| Donald Roger Johnson Ii | Orthopedic Surgery | Southeastern Spine Institute LLC | 1106 Chuck Dawley Blvd, Suite 200, Mount Pleasant, SC 29464-4195 |
| Leonard E Forrest | Physical Medicine and Rehabilitation | Southeastern Spine Institute LLC | 1106 Chuck Dawley Blvd, Suite 200, Mount Pleasant, SC 29464-4195 |
| Thomas S Anderson | Neurosurgery | Southeastern Spine Institute LLC | 1106 Chuck Dawley Blvd, Suite 200, Mount Pleasant, SC 29464-4195 |
| George R Richardson Iii | Physical Medicine and Rehabilitation | Southeastern Spine Institute LLC | 1106 Chuck Dawley Blvd, Suite 200, Mount Pleasant, SC 29464-4195 |
| Mark D Netherton | Anesthesiology | Southeastern Spine Institute LLC | 1106 Chuck Dawley Blvd, Suite 200, Mount Pleasant, SC 29464-4195 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dale Friar | Chiropractic | 1909 N Hwy 17, Suite I, Mount Pleasant, SC 29464 | |
| Frederick Shinners | Optometry | 1903 Hwy 17 N, Suite 100, Mt.pleasant, SC 29464 | |
| Carolyn R Word | Pediatric Medicine | Allergy and Asthma Consultants, LLP | 180 Wingo Way, Suite 102, Mt Pleasant, SC 29464-1807 |
| Andrew Evin Davidson | Allergy/immunology | Allergy and Asthma Consultants, LLP | 180 Wingo Way, Suite 102, Mt Pleasant, SC 29464-1807 |
| Thomas Bailey Harper Iii | Allergy/immunology | Allergy and Asthma Consultants, LLP | 180 Wingo Way, Suite 102, Mt Pleasant, SC 29464-1807 |
| Jeffrey J Dietrich | Allergy/immunology | Allergy and Asthma Consultants, LLP | 180 Wingo Way, Suite 102, Mt Pleasant, SC 29464-1807 |
| Lindsey Paige Stoltz | Allergy/immunology | Allergy and Asthma Consultants, LLP | 180 Wingo Way, Suite 102, Mt Pleasant, SC 29464-1807 |
| Bruce Ball | Allergy/immunology | Allergy and Asthma Consultants, LLP | 180 Wingo Way, Suite 102, Mt Pleasant, SC 29464-1807 |
| Tiffany L. Dellinger | Nurse Practitioner | Roper Saint Francis Physicians Network | 180 Wingo Way, Suite 110, Mt Pleasant, SC 29464-1810 |
| Lisa Carol Tabakian | Nurse Practitioner | Roper Saint Francis Physicians Network | 180 Wingo Way, Suite 110, Mt Pleasant, SC 29464-1810 |
| Find all physicians in zip 29464 | |||
| City | MOUNT PLEASANT |
| Zip Code | 29464 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | MOUNT PLEASANT + ORTHOPEDIC SURGERY |
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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.