Karen Leanne Wickliffe-keisler (NPI# 1235333634, PAC ID# 5991973224) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1235333634 |
| PAC ID by PECOS | 5991973224 |
| Professional Enrollment ID | I20110712000615 |
| Full Name | Karen Leanne Wickliffe-keisler |
| Organization Legal Name | PALMETTO EYE AND LASER CENTER LLC |
| Address |
479 Heywood Ave Spartanburg SC 29307-1726 |
| Phone Number | 8645836381 |
| Gender | F |
| Medical School | MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE |
| Graduation Year | 2007 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 1850317819 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420007 | SPARTANBURG MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1520 Boiling Springs Rd, Boiling Springs, SC 29316-5121 | 8645836381 | PALMETTO EYE AND LASER CENTER LLC |
| 479 Heywood Ave, Spartanburg, SC 29307-1726 | 8645836381 | PALMETTO EYE AND LASER CENTER LLC |
| Organization Legal Name | PALMETTO EYE AND LASER CENTER LLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Billy J Haguewood Jr. | Ophthalmology | Palmetto Eye and Laser Center LLC | 1520 Boiling Springs Rd, Boiling Springs, SC 29316-5121 |
| Jake P Bostrom | Ophthalmology | Palmetto Eye and Laser Center LLC | 479 Heywood Ave, Spartanburg, SC 29307-1726 |
| Brice B Dille | Ophthalmology | Palmetto Eye and Laser Center LLC | 479 Heywood Ave, Spartanburg, SC 29307-1726 |
| John S Mcphail Ii | Optometry | Palmetto Eye and Laser Center LLC | 479 Heywood Ave, Spartanburg, SC 29307-1726 |
| Street Address |
479 HEYWOOD AVE |
| City | SPARTANBURG |
| State | SC |
| Zip | 29307-1726 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jake P Bostrom | Ophthalmology | Palmetto Eye and Laser Center LLC | 479 Heywood Ave, Spartanburg, SC 29307-1726 |
| Brice B Dille | Ophthalmology | Palmetto Eye and Laser Center LLC | 479 Heywood Ave, Spartanburg, SC 29307-1726 |
| John S Mcphail Ii | Optometry | Palmetto Eye and Laser Center LLC | 479 Heywood Ave, Spartanburg, SC 29307-1726 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mit Kishorchandra Desai | Family Medicine | Spartanburg Medical Center | 1530 Drayton Rd, Spartanburg, SC 29307 |
| Tameka L Garrett | Nurse Practitioner | Spartanburg Medical Center | 1530 Drayton Rd, Spartanburg, SC 29307 |
| Allison R Edwards | Internal Medicine | Spartanburg Medical Center | 1530 Drayton Rd, Spartanburg, SC 29307 |
| Donna-marie Koroma | Family Medicine | Spartanburg Medical Center | 11 Doctors Park Dr, Suite 200, Spartanburg, SC 29307-1008 |
| Deborah Anderson | Nurse Practitioner | Spartanburg Medical Center | 11 Doctors Park Dr, Suite 220, Spartanburg, SC 29307-1008 |
| Bennett H Bruckner | Gastroenterology | Spartanburg Medical Center | 11 Doctors Dr, Suite 240, Spartanburg, SC 29307-1008 |
| Gabor F Sovenyhazy | Colorectal Surgery (proctology) | 11 Doctors Park Dr, Suite 210, Spartanburg, SC 29307-1008 | |
| Angela Nicole Gary | Nurse Practitioner | 110 Dillon Dr, Spartanburg, SC 29307-1018 | |
| Ann Marie Kenney | Internal Medicine | Mary Black Physicians Group LLC | 148 Dillon Dr, Spartanburg, SC 29307-1018 |
| Ramona R Hrysikos | Registered Dietitian Or Nutrition Professional | Mary Black Physicians Group LLC | 130 Dillon Dr, Spartanburg, SC 29307-1018 |
| Find all physicians in zip 29307 | |||
| City | SPARTANBURG |
| Zip Code | 29307 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | SPARTANBURG + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Karen Leanne Wickliffe-keisler.
| 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.