Harry A Jordan Jr. (NPI# 1124064738, PAC ID# 7618941535) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1124064738 |
| PAC ID by PECOS | 7618941535 |
| Professional Enrollment ID | I20060327000544 |
| Full Name | Harry A Jordan Jr. |
| Organization Legal Name | MCLEOD PHYSICIAN ASSOCIATES II |
| Address |
1295 Wilson Hall Rd Sumter SC 29150-1804 |
| Phone Number | 8039056800 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE |
| Graduation Year | 1990 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 8224031307 |
| Number of Group Practice Members | 264 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420070 | TUOMEY HEALTHCARE SYSTEM |
| 420109 | MCLEOD HEALTH CLARENDON |
| Address | Phone | Organization |
|---|---|---|
| 800 E Cheves St, Florence, SC 29506-2650 | MCLEOD PHYSICIAN ASSOCIATES II | |
| 1295 Wilson Hall Rd, Sumter, SC 29150-1804 | 8039056800 | MCLEOD PHYSICIAN ASSOCIATES II |
| Organization Legal Name | MCLEOD PHYSICIAN ASSOCIATES II |
| Physicians | 268 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Zachary Jeffrey Dipaolo | Orthopedic Surgery | Mcleod Physician Associates II | 1005 E Cheves St, Florence, SC 29506-2707 |
| William Carrington Jackson | Vascular Surgery | Mcleod Physician Associates II | 101 S Ravenel St, Suite 230, Florence, SC 29506-2624 |
| Ryan Britton Nance | Obstetrics/gynecology | Mcleod Physician Associates II | 101 William H Johnson St, Suite 500, Florence, SC 29506-2769 |
| Vasiliki Papathanasiou | Family Medicine | Mcleod Physician Associates II | 101 Mcleod Health Blvd, Suite 201, Myrtle Beach, SC 29579-4477 |
| Lacie E Edmison | Gastroenterology | Mcleod Physician Associates II | 3980 Hwy 9 E, Suite 300, Little River, SC 29566-8165 |
| Todd Derrick Frazier | Family Medicine | Mcleod Physician Associates II | 3015 W Palmetto St, Florence, SC 29501-5935 |
| Nicole M Rice | Family Medicine | Mcleod Physician Associates II | 690 Sunset N Blvd, Suite 109, Sunset Beach, NC 28468-5610 |
| Olinda P Spencer | Neurology | Mcleod Physician Associates II | 907 Startek Dr, Myrtle Beach, SC 29579-4471 |
| Marc J Comianos | Internal Medicine | Mcleod Physician Associates II | 3418 Casey St, Loris, SC 29569-2904 |
| Aileen E Wawrzaszek | Physician Assistant | Mcleod Physician Associates II | 800 E Cheves St, Florence, SC 29506-2650 |
| Street Address |
1295 WILSON HALL RD |
| City | SUMTER |
| State | SC |
| Zip | 29150-1804 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James R Mcmahon | Nurse Practitioner | Mcleod Physician Associates II | 1295 Wilson Hall Rd, Sumter, SC 29150-1804 |
| Ansel Rose Mcfaddin Iii | Internal Medicine | Mcleod Physician Associates II | 1295 Wilson Hall Rd, Sumter, SC 29150-1804 |
| Katherine A Coffey | Physician Assistant | Mcleod Physician Associates II | 1295 Wilson Hall Rd, Sumter, SC 29150-1804 |
| Emily J Miller | Physician Assistant | Mcleod Physician Associates II | 1295 Wilson Hall Rd, Sumter, SC 29150-1804 |
| Abbie F Kirby | Physician Assistant | Mcleod Physician Associates II | 1295 Wilson Hall Rd, Sumter, SC 29150-1804 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Niaya Mccleave | Occupational Therapy | Functional Pathways Preferred of Tennessee LLC | 2825 Carter Rd, Sumter, SC 29150-1712 |
| Stacey Kelso | Occupational Therapy | Functional Pathways Preferred of Tennessee LLC | 2825 Carter Rd, Sumter, SC 29150-1712 |
| Karly M Yarnish | Occupational Therapy | Functional Pathways Preferred of Tennessee LLC | 2825 Carter Rd, Sumter, SC 29150-1712 |
| Myra Cooke | Qualified Speech Language Pathologist | Functional Pathways Preferred of Tennessee LLC | 2825 Carter Rd, Sumter, SC 29150-1712 |
| Sharon T Johnson | Nurse Practitioner | Agape Senior Primary Care Inc | 1180 Wilson Hall Rd, Sumter, SC 29150-1738 |
| Bhadrik I Patel, Pa-c | Physician Assistant | Doctors Care, Pa | 2475 Broad St, Sumter, SC 29150-1820 |
| Anna M Evans | Nurse Practitioner | Doctors Care, Pa | 2475 Broad St, Sumter, SC 29150-1820 |
| Terry A King | Family Medicine | Doctors Care, Pa | 2475 Broad St, Sumter, SC 29150-1820 |
| Shelley G Stevens | Physician Assistant | Doctors Care, Pa | 2475 Broad St, Sumter, SC 29150-1820 |
| William E Cooper | Physical Therapy | Progressive Physical Therapy, Pa | 2475 Broad St, Sumter, SC 29150-1820 |
| Find all physicians in zip 29150 | |||
| City | SUMTER |
| Zip Code | 29150 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | SUMTER + INTERNAL MEDICINE |
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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.