Sean D Fuller (NPI# 1063488054, PAC ID# 5698721223) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1063488054 |
| PAC ID by PECOS | 5698721223 |
| Professional Enrollment ID | I20050328000412 |
| Full Name | Sean D Fuller |
| Organization Legal Name | SOUTH CAROLINA INTERNAL MEDICINE ASSOCIATES AND REHABILITATION,L.L.C. |
| Address |
7182 Woodrow St Suite 200 Irmo SC 29063-2832 |
| Phone Number | 8037491111 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE |
| Graduation Year | 2005 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 1759362072 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420106 | PALMETTO HEALTH BAPTIST PARKRIDGE |
| 420073 | LEXINGTON MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 7182 Woodrow St, Suite 200, Irmo, SC 29063-2832 | 8037491111 | SOUTH CAROLINA INTERNAL MEDICINE ASSOCIATES AND REHABILITATION,L.L.C. |
| Organization Legal Name | SOUTH CAROLINA INTERNAL MEDICINE ASSOCIATES AND REHABILITATION,L.L.C. |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph Nishan Gabriel | Internal Medicine | South Carolina Internal Medicine Associates and Rehabilitation,l.l.c. | 7182 Woodrow St, Suite 200, Irmo, SC 29063-2832 |
| Douglas E Roberts | Family Medicine | South Carolina Internal Medicine Associates and Rehabilitation,l.l.c. | 7182 Woodrow St, Suite 200, Irmo, SC 29063-2832 |
| Surbjinder S Guram | Internal Medicine | South Carolina Internal Medicine Associates and Rehabilitation,l.l.c. | 7182 Woodrow St, Suite 200, Irmo, SC 29063-2832 |
| Benjamin J Levinson | Internal Medicine | South Carolina Internal Medicine Associates and Rehabilitation,l.l.c. | 7182 Woodrow St, Suite 200, Irmo, SC 29063-2832 |
| Benjamin C Pinner | Family Medicine | South Carolina Internal Medicine Associates and Rehabilitation,l.l.c. | 7182 Woodrow St, Suite 200, Irmo, SC 29063-2832 |
| Anil J Kudchadkar | General Surgery | South Carolina Internal Medicine Associates and Rehabilitation,l.l.c. | 7182 Woodrow St, Suite 200, Irmo, SC 29063-2832 |
| Mandev S Guram | Internal Medicine | South Carolina Internal Medicine Associates and Rehabilitation,l.l.c. | 7182 Woodrow St, Suite 200, Irmo, SC 29063-2832 |
| Sabrina J Terranova | Physician Assistant | South Carolina Internal Medicine Associates and Rehabilitation,l.l.c. | 1 Wellness Blvd, Suite 200, Irmo, SC 29063-2873 |
| Stephen C Miller | Cardiovascular Disease (cardiology) | South Carolina Internal Medicine Associates and Rehabilitation,l.l.c. | 1 Wellness Blvd, Irmo, SC 29063-2873 |
| Street Address |
7182 WOODROW ST SUITE 200 |
| City | IRMO |
| State | SC |
| Zip | 29063-2832 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rohini Grewal | Physical Therapy | Columbia Rehabilitation Clinic, Inc | 7182 Woodrow St, Suite 102, Irmo, SC 29063-2873 |
| Daniel Methuselah | Podiatry | 7182 Woodrow St, Suite 105, Irmo, SC 29063-2832 | |
| Joseph Nishan Gabriel | Internal Medicine | South Carolina Internal Medicine Associates and Rehabilitation,l.l.c. | 7182 Woodrow St, Suite 200, Irmo, SC 29063-2832 |
| Brian E Gray | Physical Therapy | Columbia Rehabilitation Clinic, Inc | 7182 Woodrow St, Suite 102, Irmo, SC 29063-2873 |
| Douglas E Roberts | Family Medicine | South Carolina Internal Medicine Associates and Rehabilitation,l.l.c. | 7182 Woodrow St, Suite 200, Irmo, SC 29063-2832 |
| Surbjinder S Guram | Internal Medicine | South Carolina Internal Medicine Associates and Rehabilitation,l.l.c. | 7182 Woodrow St, Suite 200, Irmo, SC 29063-2832 |
| Benjamin J Levinson | Internal Medicine | South Carolina Internal Medicine Associates and Rehabilitation,l.l.c. | 7182 Woodrow St, Suite 200, Irmo, SC 29063-2832 |
| Benjamin C Pinner | Family Medicine | South Carolina Internal Medicine Associates and Rehabilitation,l.l.c. | 7182 Woodrow St, Suite 200, Irmo, SC 29063-2832 |
| Anil J Kudchadkar | General Surgery | South Carolina Internal Medicine Associates and Rehabilitation,l.l.c. | 7182 Woodrow St, Suite 200, Irmo, SC 29063-2832 |
| Joye Garrett Lay | Physical Therapy | Columbia Rehabilitation Clinic, Inc | 7182 Woodrow St, Suite 102, Irmo, SC 29063-2873 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashley C Baggett | Physical Therapy | 800 Columbiana Point Dr, Suite 50, Irmo, SC 29063 | |
| Deborah M Milano | Chiropractic | 7839 Broad River Rd, Irmo, SC 29063-2357 | |
| William T Odom | Pain Management | 7921 Broad River Rd, Irmo, SC 29063-2358 | |
| Blake L Fletcher | Physical Therapy | Carolina Physical Therapy and Sports Medicine Limited Partnership | 10071 Broad River Rd, Suite B, Irmo, SC 29063-2381 |
| Cynthia Dianne Edsel | Physical Therapy | Carolina Physical Therapy and Sports Medicine Limited Partnership | 10071 Broad River Rd, Suite B, Irmo, SC 29063-2381 |
| Mary Elizabeth Sade Butler | Nurse Practitioner | Minuteclinic Diagnostic South Carolina LLC | 1008 Lake Murray Blvd, Irmo, SC 29063-2821 |
| Joy Elizabeth Britt | Nurse Practitioner | Minuteclinic Diagnostic South Carolina LLC | 1008 Lake Murray Blvd, Irmo, SC 29063-2821 |
| Saranne S Oneal | Nurse Practitioner | Minuteclinic Diagnostic South Carolina LLC | 1008 Lake Murray Blvd, Irmo, SC 29063-2821 |
| Candace Ashley Wilson | Nurse Practitioner | Minuteclinic Diagnostic South Carolina LLC | 1008 Lake Murray Blvd, Irmo, SC 29063-2821 |
| Anne F Cheatham | Nurse Practitioner | Minuteclinic Diagnostic South Carolina LLC | 1008 Lake Murray Blvd, Irmo, SC 29063-2821 |
| Find all physicians in zip 29063 | |||
| City | IRMO |
| Zip Code | 29063 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | IRMO + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Sean D Fuller.
| 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.