Derek J Feussner (NPI# 1396004479, PAC ID# 7012224082) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.
| Nation Provider ID (NPI) | 1396004479 |
| PAC ID by PECOS | 7012224082 |
| Professional Enrollment ID | I20180425000803 |
| Full Name | Derek J Feussner |
| Organization Legal Name | PALMETTO DIGESTIVE DISEASE PA |
| Address |
2073 Charlie Hall Blvd Charleston SC 29414-5834 |
| Phone Number | 8435710643 |
| Gender | M |
| Medical School | MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | GASTROENTEROLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 7719978444 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420065 | BON SECOURS-ST FRANCIS XAVIER HOSPITAL |
| 420087 | ROPER HOSPITAL |
| 420104 | MOUNT PLEASANT HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2073 Charlie Hall Blvd, Charleston, SC 29414-5834 | 8435710643 | PALMETTO DIGESTIVE DISEASE PA |
| Organization Legal Name | PALMETTO DIGESTIVE DISEASE PA |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary R Crittenden | Nurse Practitioner | Palmetto Digestive Disease Pa | 2073 Charlie Hall Blvd, Charleston, SC 29414-5834 |
| Weijian Zhu | Pathology | Palmetto Digestive Disease Pa | 2073 Charlie Hall Blvd, Charleston, SC 29414-5834 |
| Alejandro Lee Suarez | Gastroenterology | Palmetto Digestive Disease Pa | 2073 Charlie Hall Blvd, Charleston, SC 29414-5834 |
| Lori A Robbins | Gastroenterology | Palmetto Digestive Disease Pa | 2073 Charlie Hall Blvd, Charleston, SC 29414-5834 |
| James Schnell | Gastroenterology | Palmetto Digestive Disease Pa | 2073 Charlie Hall Blvd, Charleston, SC 29414-5834 |
| John Mark Litchfield | Gastroenterology | Palmetto Digestive Disease Pa | 2073 Charlie Hall Blvd, Charleston, SC 29414-5834 |
| Street Address |
2073 CHARLIE HALL BLVD |
| City | CHARLESTON |
| State | SC |
| Zip | 29414-5834 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary R Crittenden | Nurse Practitioner | Palmetto Digestive Disease Pa | 2073 Charlie Hall Blvd, Charleston, SC 29414-5834 |
| Weijian Zhu | Pathology | Palmetto Digestive Disease Pa | 2073 Charlie Hall Blvd, Charleston, SC 29414-5834 |
| Alejandro Lee Suarez | Gastroenterology | Palmetto Digestive Disease Pa | 2073 Charlie Hall Blvd, Charleston, SC 29414-5834 |
| Lori A Robbins | Gastroenterology | Palmetto Digestive Disease Pa | 2073 Charlie Hall Blvd, Charleston, SC 29414-5834 |
| James Schnell | Gastroenterology | Palmetto Digestive Disease Pa | 2073 Charlie Hall Blvd, Charleston, SC 29414-5834 |
| John Mark Litchfield | Gastroenterology | Palmetto Digestive Disease Pa | 2073 Charlie Hall Blvd, Charleston, SC 29414-5834 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stacy H Lawton | Nurse Practitioner | Minuteclinic Diagnostic South Carolina LLC | 2566 Ashley River Rd, Charleston, SC 29414-4605 |
| Sherrill G Bradsher | Nurse Practitioner | Minuteclinic Diagnostic South Carolina LLC | 2566 Ashley River Rd, Charleston, SC 29414-4605 |
| Anthony C Azzolino | Chiropractic | 2352 Ashley River Rd, Charleston, SC 29414-4752 | |
| Marcus R Hostetler | Chiropractic | 2411 Savannah Hwy, Suite 3, Charleston, SC 29414-5320 | |
| William S Ottinger | Obstetrics/gynecology | Charleston Ob/gyn LLC | 1027 Physicians Dr, Suite 110, Charleston, SC 29414-5351 |
| Margaret Crosby Papadea | Obstetrics/gynecology | Charleston Ob/gyn LLC | 1027 Physicians Dr, Suite 110, Charleston, SC 29414-5351 |
| Jennifer Fouquette Fisher | Obstetrics/gynecology | Charleston Ob/gyn LLC | 1027 Physicians Dr, Suite 110, Charleston, SC 29414-5351 |
| Denise Hays Devine | Obstetrics/gynecology | Charleston Ob/gyn LLC | 1027 Physicians Dr, Suite 110, Charleston, SC 29414-5351 |
| Roy D Mckinney | Optometry | 3050 Ashley Town Ctr Dr, Charleston, SC 29414-5664 | |
| Sasha Milleman Perez | Family Medicine | Palmetto Primary Care Physicians | 3030 Ashley Town Ctr Dr, Suite 102a, Charleston, SC 29414-5678 |
| Find all physicians in zip 29414 | |||
| City | CHARLESTON |
| Zip Code | 29414 |
| Specialty | GASTROENTEROLOGY |
| City + Specialty | CHARLESTON + GASTROENTEROLOGY |
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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.