John Raymond Duttenhaver (NPI# 1588695969, PAC ID# 7416950431) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is RADIATION ONCOLOGY.
| Nation Provider ID (NPI) | 1588695969 |
| PAC ID by PECOS | 7416950431 |
| Professional Enrollment ID | I20060817000089 |
| Full Name | John Raymond Duttenhaver |
| Organization Legal Name | BEAUFORT COUNTY MEMORIAL HOSPITAL |
| Address |
1680 Ribaut Rd Port Royal SC 29935-2008 |
| Phone Number | 8435227925 |
| Gender | M |
| Credential | MD |
| Medical School | MEDICAL COLLEGE OF GEORGIA |
| Graduation Year | 1978 |
| Primary Specialty | RADIATION ONCOLOGY |
| Group Practice PAC ID | 7810809365 |
| Number of Group Practice Members | 75 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420078 | GHS GREENVILLE MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 900 W Faris Rd, Suite 2, Greenville, SC 29605-4255 | 8644558898 | GHS PARTNERS IN HEALTH INC |
| 1680 Ribaut Rd, Port Royal, SC 29935-2008 | 8435227925 | BEAUFORT COUNTY MEMORIAL HOSPITAL |
| Organization Legal Name | BEAUFORT COUNTY MEMORIAL HOSPITAL |
| Physicians | 83 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrea R Hall | Nurse Practitioner | Beaufort County Memorial Hospital | 300 Midtown Dr, Beaufort, SC 29906-5200 |
| Maureen M Chapman | Certified Nurse Midwife | Beaufort County Memorial Hospital | 1835 N Paris Ave, Port Royal, SC 29935-2029 |
| Catherine Tambroni-parker | Certified Nurse Midwife (cnm) | Beaufort County Memorial Hospital | 989 Ribaut Rd, Suite 210, Beaufort, SC 29902-5481 |
| Michael A Petrillo | Physician Assistant | Beaufort County Memorial Hospital | 974 Ribaut Rd, Beaufort, SC 29902-5486 |
| Deanna Rochelle Mansker | General Surgery | Beaufort County Memorial Hospital | 1680 Ribaut Rd, Port Royal, SC 29935-2008 |
| William M Newberry Iii | Hematology/oncology | Beaufort County Memorial Hospital | 1680 B Ribaut Rd, Port Royal, SC 29935-2008 |
| Marlena M Masavage | Obstetrics/gynecology | Beaufort County Memorial Hospital | 989 Ribaut Rd, Suite 210, Beaufort, SC 29902-5481 |
| Laura Livergood | Physician Assistant | Beaufort County Memorial Hospital | 989 Ribaut Rd, Suite 260, Beaufort, SC 29902-5499 |
| John Fontana Jr. | Obstetrics/gynecology | Beaufort County Memorial Hospital | 955 Ribaut Rd, Beaufort, SC 29902-5441 |
| Annsley Troxell | Physician Assistant | Beaufort County Memorial Hospital | 989 Ribaut Rd, Suite 260, Beaufort, SC 29902-5499 |
| Street Address |
1680 RIBAUT RD |
| City | PORT ROYAL |
| State | SC |
| Zip | 29935-2008 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deanna Rochelle Mansker | General Surgery | Beaufort County Memorial Hospital | 1680 Ribaut Rd, Port Royal, SC 29935-2008 |
| Jonathan Briggs | Radiation Oncology | Beaufort County Memorial Hospital | 1680 Ribaut Rd, Port Royal, SC 29935-2008 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary Lafrance Ferguson | Family Practice | Beaufort Jasper Hampton Comprehensive Health Services, Inc. | 2210 -b Mossy Oaks Rd, Port Royal, SC 29935-1046 |
| Lori A Lee | Nurse Practitioner | Beaufort Jasper Hampton Comprehensive Health Services, Inc. | 2210 -b Mossy Oaks Rd, Port Royal, SC 29935-1046 |
| Marianne Leal Holmes | Nurse Practitioner | Beaufort Jasper Hampton Comprehensive Health Services, Inc. | 2210 -b Mossy Oaks Rd, Port Royal, SC 29935-1046 |
| Jonathan C Glen | Family Practice | Beaufort Jasper Hampton Comprehensive Health Services, Inc. | 2210 -b Mossy Oaks Rd, Port Royal, SC 29935-1046 |
| Stacey A Free | Occupational Therapy | The Weston Group of South Carolina Inc | 1251 Ladys Island Dr, Port Royal, SC 29935-1106 |
| Chelsea Kate Oglesby | Occupational Therapy | The Weston Group of South Carolina Inc | 1251 Ladys Island Dr, Port Royal, SC 29935-1106 |
| Krista N Tomblin | Physical Therapy | Sea Island Rehabilitation Pa | 1251 Ladys Island Dr, Port Royal, SC 29935-1106 |
| Dorothy Alicia Wheeler | Physical Therapy | Sea Island Rehabilitation Pa | 1251 Ladys Island Dr, Port Royal, SC 29935-1106 |
| William E O Quinn Jr. | Family Medicine | Doctors Care, Pa | 1510 Ribaut Rd, Port Royal, SC 29935-1403 |
| Cassandra C Phillips | Physical Therapy | Progressive Physical Therapy, Pa | 1510 Ribaut Rd, Port Royal, SC 29935-1403 |
| Find all physicians in zip 29935 | |||
| City | PORT ROYAL |
| Zip Code | 29935 |
| Specialty | RADIATION ONCOLOGY |
| City + Specialty | PORT ROYAL + RADIATION ONCOLOGY |
Please comment or provide details below to improve the information on John Raymond Duttenhaver.
| 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.