Joshua B Skaggs (NPI# 1043522246, PAC ID# 8123278306) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1043522246 |
| PAC ID by PECOS | 8123278306 |
| Professional Enrollment ID | I20121024000508 |
| Full Name | Joshua B Skaggs |
| Organization Legal Name | BELLWOOD PARK EMERGENCY PHYSICIANS LLC |
| Address |
1810 Us Hwy 321 S Winnsboro SC 29180 |
| Phone Number | 8033658100 |
| Gender | M |
| Medical School | MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE |
| Graduation Year | 2010 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 8123302205 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420026 | PROVIDENCE HEALTH |
| 420086 | PALMETTO HEALTH BAPTIST |
| 420106 | PALMETTO HEALTH BAPTIST PARKRIDGE |
| 420018 | PALMETTO HEALTH RICHLAND |
| Address | Phone | Organization |
|---|---|---|
| 120 Gateway Corp Blvd, Columbia, SC 29203-9611 | 7708746859 | BROAD RIVER PHYSICIANS GROUP, LLC |
| 2435 Forest Dr, Columbia, SC 29204-2026 | 7708746859 | BROAD RIVER PHYSICIANS GROUP, LLC |
| 1810 Us Hwy 321 S, Winnsboro, SC 29180 | 8033658100 | BELLWOOD PARK EMERGENCY PHYSICIANS LLC |
| Organization Legal Name | BELLWOOD PARK EMERGENCY PHYSICIANS LLC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sean O Meara | Emergency Medicine | Bellwood Park Emergency Physicians LLC | 1810 Us Hwy 321 S, Winnsboro, SC 29180 |
| Michael Todd Oneil | Emergency Medicine | Bellwood Park Emergency Physicians LLC | 1810 Us Hwy 321 S, Winnsboro, SC 29180 |
| Leonysia Faye Watson | Emergency Medicine | Bellwood Park Emergency Physicians LLC | 1810 Us Hwy 321 S, Winnsboro, SC 29180 |
| Radwan S Hallaba | Emergency Medicine | Bellwood Park Emergency Physicians LLC | 1810 Us Hwy 321 S, Winnsboro, SC 29180 |
| Duncan Allen Holaday Ii | General Practice | Bellwood Park Emergency Physicians LLC | 1810 Us Hwy 321 S, Winnsboro, SC 29180 |
| Paul A Sansbury Iii | Emergency Medicine | Bellwood Park Emergency Physicians LLC | 1810 Us Hwy 321 S, Winnsboro, SC 29180 |
| John Dewayne Gaskins | Emergency Medicine | Bellwood Park Emergency Physicians LLC | 1810 Us Hwy 321 S, Winnsboro, SC 29180 |
| Street Address |
1810 US HWY 321 S |
| City | WINNSBORO |
| State | SC |
| Zip | 29180 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sean O Meara | Emergency Medicine | Bellwood Park Emergency Physicians LLC | 1810 Us Hwy 321 S, Winnsboro, SC 29180 |
| Michael Todd Oneil | Emergency Medicine | Bellwood Park Emergency Physicians LLC | 1810 Us Hwy 321 S, Winnsboro, SC 29180 |
| Leonysia Faye Watson | Emergency Medicine | Bellwood Park Emergency Physicians LLC | 1810 Us Hwy 321 S, Winnsboro, SC 29180 |
| Radwan S Hallaba | Emergency Medicine | Bellwood Park Emergency Physicians LLC | 1810 Us Hwy 321 S, Winnsboro, SC 29180 |
| Duncan Allen Holaday Ii | General Practice | Bellwood Park Emergency Physicians LLC | 1810 Us Hwy 321 S, Winnsboro, SC 29180 |
| Paul A Sansbury Iii | Emergency Medicine | Bellwood Park Emergency Physicians LLC | 1810 Us Hwy 321 S, Winnsboro, SC 29180 |
| John Dewayne Gaskins | Emergency Medicine | Bellwood Park Emergency Physicians LLC | 1810 Us Hwy 321 S, Winnsboro, SC 29180 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert Keroson | Chiropractic | 143 Hwy 321 Byp, Winnsboro, SC 29180 | |
| Harmon Patrick | Family Medicine | Fairfield Medical Associates, Pa | 880 W Moultrie St, Suite 200, Winnsboro, SC 29180-2411 |
| Craig Andrew Stuck | Psychiatry | Fairfield Medical Associates, Pa | 880 W Moultrie St, Suite 200, Winnsboro, SC 29180-2411 |
| Mark Edward Shaffer | Family Medicine | The Community Health Foundation of Fairfield County | 56 Us Hwy 321 N Byp, Winnsboro, SC 29180-7100 |
| Charles Mcelmurray | Family Medicine | The Community Health Foundation of Fairfield County | 56 Us Hwy 321 N Byp, Winnsboro, SC 29180-7100 |
| Ashley Nicole Burton Sirianni | Nurse Practitioner | The Community Health Foundation of Fairfield County | 56 Us Hwy 321 N Byp, Winnsboro, SC 29180-7100 |
| Audrey Lane Bowen | Nurse Practitioner | The Community Health Foundation of Fairfield County | 56 Us Hwy 321 N Byp, Winnsboro, SC 29180-7100 |
| Tamika Bryson | Nurse Practitioner | Eau Claire Cooperative Health Center, Inc. | 1136 Kincaid Bridge Rd A, Winnsboro, SC 29180-7116 |
| Robert Scott Thompson | Family Practice | Fortune Springs Emergency Physicians LLC | 102 Us Hwy 321 Byp N, Winnsboro, SC 29180-9251 |
| City | WINNSBORO |
| Zip Code | 29180 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | WINNSBORO + EMERGENCY 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.