Jonathan C Glen (NPI# 1407904493, PAC ID# 9335207414) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1407904493 |
| PAC ID by PECOS | 9335207414 |
| Professional Enrollment ID | I20141226000167 |
| Full Name | Jonathan C Glen |
| Organization Legal Name | BEAUFORT JASPER HAMPTON COMPREHENSIVE HEALTH SERVICES, INC. |
| Address |
2210 -b Mossy Oaks Rd Port Royal SC 29935-1046 |
| Phone Number | 8439877400 |
| Gender | M |
| Medical School | MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE |
| Graduation Year | 1973 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 5597675728 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420067 | BEAUFORT COUNTY MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2210 -b Mossy Oaks Rd, Port Royal, SC 29935-1046 | 8439877400 | BEAUFORT JASPER HAMPTON COMPREHENSIVE HEALTH SERVICES, INC. |
| Organization Legal Name | BEAUFORT JASPER HAMPTON COMPREHENSIVE HEALTH SERVICES, INC. |
| Physicians | 10 |
| 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 |
| Philip L Watterson | Obstetrics/gynecology | Beaufort Jasper Hampton Comprehensive Health Services, Inc. | 721 Okatie Hwy, Okatie, SC 29909-3963 |
| Rosalind D Dawson | Internal Medicine | Beaufort Jasper Hampton Comprehensive Health Services, Inc. | 721 Okatie Hwy, Okatie, SC 29909-3963 |
| Octavio Melendez Cabrera | Obstetrics/gynecology | Beaufort Jasper Hampton Comprehensive Health Services, Inc. | 721 Okatie Hwy, Okatie, SC 29909-3963 |
| Yvonne S Footman | Nurse Practitioner | Beaufort Jasper Hampton Comprehensive Health Services, Inc. | 721 Okatie Hwy, Okatie, SC 29909-3963 |
| Lori A Lee | Nurse Practitioner | Beaufort Jasper Hampton Comprehensive Health Services, Inc. | 2210 -b Mossy Oaks Rd, Port Royal, SC 29935-1046 |
| Allison G Jackson | Nurse Practitioner | Beaufort Jasper Hampton Comprehensive Health Services, Inc. | 721 Okatie Hwy, Okatie, SC 29909-3963 |
| Marianne Leal Holmes | Nurse Practitioner | Beaufort Jasper Hampton Comprehensive Health Services, Inc. | 2210 -b Mossy Oaks Rd, Port Royal, SC 29935-1046 |
| Thurman R Sherbert | Diagnostic Radiology | Beaufort Jasper Hampton Comprehensive Health Services, Inc. | 721 Okatie Hwy, Okatie, SC 29909-3963 |
| Street Address |
2210 -B MOSSY OAKS RD |
| City | PORT ROYAL |
| State | SC |
| Zip | 29935-1046 |
| 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 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| 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 |
| Suzanne S Wilkins | Nurse Practitioner | Doctors Care, Pa | 1510 Ribaut Rd, Port Royal, SC 29935-1403 |
| Wayne Hodges | General Practice | Doctors Care, Pa | 1510 Ribaut Rd, Port Royal, SC 29935-1403 |
| Kaihan Jonathan Fakhar | Ophthalmology | Beaufort Eye Center P A | 1664 Ribaut Rd, Port Royal, SC 29935-1708 |
| Perin W Diana Jr. | Ophthalmology | Beaufort Eye Center P A | 1664 Ribaut Rd, Port Royal, SC 29935-1708 |
| Find all physicians in zip 29935 | |||
| City | PORT ROYAL |
| Zip Code | 29935 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | PORT ROYAL + FAMILY PRACTICE |
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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.