Kelli Young (NPI# 1033347083, PAC ID# 9537303359) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1033347083 |
| PAC ID by PECOS | 9537303359 |
| Professional Enrollment ID | I20160720000096 |
| Full Name | Kelli Young |
| Organization Legal Name | BON SECOURS ST FRANCIS XAVIER HOSPITAL INC |
| Address |
2095 Henry Tecklenburg Dr Charleston SC 29414-5733 |
| Phone Number | 8434021037 |
| Gender | F |
| Medical School | PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2009 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 8325008717 |
| Number of Group Practice Members | 15 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420065 | BON SECOURS-ST FRANCIS XAVIER HOSPITAL |
| 420087 | ROPER HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2095 Henry Tecklenburg Dr, Charleston, SC 29414-5733 | 8434021037 | BON SECOURS ST FRANCIS XAVIER HOSPITAL INC |
| Organization Legal Name | BON SECOURS ST FRANCIS XAVIER HOSPITAL INC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Theodore K Paraschos | Emergency Medicine | Bon Secours St Francis Xavier Hospital Inc | 2095 Henry Tecklenburg Dr, Charleston, SC 29414-5733 |
| Thomas Dittrich | Emergency Medicine | Bon Secours St Francis Xavier Hospital Inc | 2095 Henry Tecklenburg Dr, Charleston, SC 29414-5733 |
| Melanie Elaine King | Emergency Medicine | Bon Secours St Francis Xavier Hospital Inc | 2095 Henry Tecklenburg Dr, Charleston, SC 29414-5733 |
| Robert Clive Greaves | Emergency Medicine | Bon Secours St Francis Xavier Hospital Inc | 2095 Henry Tecklenburg Dr, Charleston, SC 29414-5733 |
| Steven A Feingold | Emergency Medicine | Bon Secours St Francis Xavier Hospital Inc | 2095 Henry Tecklenburg Dr, Charleston, SC 29414-5733 |
| Robert H Escarza | Emergency Medicine | Bon Secours St Francis Xavier Hospital Inc | 2095 Henry Tecklenburg Dr, Charleston, SC 29414-5733 |
| Laura Caldwell | Emergency Medicine | Bon Secours St Francis Xavier Hospital Inc | 2095 Henry Tecklenburg Dr, Charleston, SC 29414-5733 |
| Street Address |
2095 HENRY TECKLENBURG DR |
| City | CHARLESTON |
| State | SC |
| Zip | 29414-5733 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Russell D Swanger | Obstetrics/gynecology | Obhg South Carolina PC | 2095 Henry Tecklenburg Dr, Charleston, SC 29414-5733 |
| Alison P Smock | Neurology | Roper Saint Francis Physicians Network | 2095 Henry Tecklenburg Dr, Charleston, SC 29414-5733 |
| David J Skinner | Interventional Radiology | Roper Radiologists Pa | 2095 Henry Tecklenburg Dr, Charleston, SC 29414-5733 |
| Theodore K Paraschos | Emergency Medicine | Bon Secours St Francis Xavier Hospital Inc | 2095 Henry Tecklenburg Dr, Charleston, SC 29414-5733 |
| Thomas Dittrich | Emergency Medicine | Bon Secours St Francis Xavier Hospital Inc | 2095 Henry Tecklenburg Dr, Charleston, SC 29414-5733 |
| Melanie Elaine King | Emergency Medicine | Bon Secours St Francis Xavier Hospital Inc | 2095 Henry Tecklenburg Dr, Charleston, SC 29414-5733 |
| Robert Clive Greaves | Emergency Medicine | Bon Secours St Francis Xavier Hospital Inc | 2095 Henry Tecklenburg Dr, Charleston, SC 29414-5733 |
| Steven A Feingold | Emergency Medicine | Bon Secours St Francis Xavier Hospital Inc | 2095 Henry Tecklenburg Dr, Charleston, SC 29414-5733 |
| Wesley D Henry | Diagnostic Radiology | Roper Radiologists Pa | 2095 Henry Tecklenburg Dr, Charleston, SC 29414-5733 |
| Jessica Ann Hannah | Neurology | Roper Saint Francis Physicians Network | 2095 Henry Tecklenburg Dr, Charleston, SC 29414-5733 |
| Find all physicians in the same address | |||
| 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 | EMERGENCY MEDICINE |
| City + Specialty | CHARLESTON + 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.