Larisa Diane Coldebella (NPI# 1700205796, PAC ID# 9537449350) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1700205796 |
| PAC ID by PECOS | 9537449350 |
| Professional Enrollment ID | I20170828000975 |
| Full Name | Larisa Diane Coldebella |
| Organization Legal Name | PRISMA HEALTH UNIVERSITY MEDICAL GROUP |
| Address |
1305 S Suber Rd Greer SC 29650-0944 |
| Phone Number | 8649894609 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 8325950983 |
| Number of Group Practice Members | 1439 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420078 | GHS GREENVILLE MEMORIAL HOSPITAL |
| 420015 | BAPTIST EASLEY HOSPITAL |
| 420033 | GHS GREER MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1305 S Suber Rd, Greer, SC 29650-0944 | 8649894609 | PRISMA HEALTH UNIVERSITY MEDICAL GROUP |
| 300 Scuffletown Rd, Simpsonville, SC 29681-7204 | 8643290029 | PRISMA HEALTH UNIVERSITY MEDICAL GROUP |
| Organization Legal Name | PRISMA HEALTH UNIVERSITY MEDICAL GROUP |
| Physicians | 1371 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brittany Edge Thomas | Nurse Practitioner | Prisma Health University Medical Group | 9100 Hwy 14, Gray Court, SC 29645-4152 |
| Shiven S Patel | Allergy/immunology | Prisma Health University Medical Group | 10 Halton Green Way, Greenville, SC 29607-6606 |
| Jamie C Goodman | Family Medicine | Prisma Health University Medical Group | 2400 Boiling Springs Rd, Suite A, Boiling Springs, SC 29316-5304 |
| Karyn Marie Dyehouse | Medical Oncology | Prisma Health University Medical Group | 131 Lila Doyle Dr, Seneca, SC 29672-9495 |
| Doris A Best | Family Medicine | Prisma Health University Medical Group | 3551 A Rutherford Rd, Taylors, SC 29687-2195 |
| Elizabeth Ann Lacy | Nurse Practitioner | Prisma Health University Medical Group | 106 John St, Easley, SC 29640-1415 |
| Rebecca Anne Frost | Psychiatry | Prisma Health University Medical Group | 109 Physicians Dr, Suite B, Greer, SC 29650-2446 |
| Elizabeth Van Huffel Dray | Urology | Prisma Health University Medical Group | 11 Park Creek Dr, University Medical Group, Greenville, SC 29605-4268 |
| Jonathan Douglas Hufford | Obstetrics/gynecology | Prisma Health University Medical Group | 1351 Crestview Rd, Easley, SC 29642-2408 |
| Nathan Michael Moroski | Sports Medicine | Prisma Health University Medical Group | 10630 Clemson Blvd, Suite 100, Seneca, SC 29678-4545 |
| Street Address |
1305 S SUBER RD |
| City | GREER |
| State | SC |
| Zip | 29650-0944 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Madalyn Patricia Cregg | Physical Therapy | Greenville Proaxis Therapy LLC | 1305 S Suber Rd, Greer, SC 29650-0944 |
| Timothy Caleb Hargrove | Family Medicine | Prisma Health University Medical Group | 1305 S Suber Rd, Greer, SC 29650-0944 |
| Juan Jose Teruel | Family Medicine | Prisma Health University Medical Group | 1305 S Suber Rd, Greer, SC 29650-0944 |
| Melody Ann Swavely | Family Medicine | Prisma Health University Medical Group | 1305 S Suber Rd, Greer, SC 29650-0944 |
| Brittany Parsons | Occupational Therapy | Greenville Proaxis Therapy LLC | 1305 S Suber Rd, Greer, SC 29650-0944 |
| Charlotte Carroll Lawson | Emergency Medicine | Prisma Health University Medical Group | 1305 S Suber Rd, Greer, SC 29650-0944 |
| Brian Matthew Blank | Family Medicine | Prisma Health University Medical Group | 1305 S Suber Rd, Greer, SC 29650-0944 |
| Alison Quiros | Physical Therapy | Greenville Proaxis Therapy LLC | 1305 S Suber Rd, Greer, SC 29650-0944 |
| Todd Russell Zusmer | Family Medicine | Prisma Health University Medical Group | 1305 S Suber Rd, Greer, SC 29650-0944 |
| Amie Michelle Jakubiak | Family Medicine | Prisma Health University Medical Group | 1305 S Suber Rd, Greer, SC 29650-0944 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Allyson L Cash | Nurse Practitioner | Spartanburg Medical Center | 2755 S Hwy 14 1210, Greer, SC 29650 |
| Geoffrey Abrams | Chiropractic | 14 Pkwy Commons Way, Greer, SC 29650 | |
| Wayne G Laney | Chiropractic | 3115 Brushy Creek Rd, C1, Greer, SC 29650-0903 | |
| Amy T Austin | Nurse Practitioner | 3115 Brushy Creek Rd, Suite C 2, Greer, SC 29650-0903 | |
| Angelo Perino Jr. | Emergency Medicine | Prisma Health University Medical Group | 1305 S Suber Rd, Greer, SC 29650-0944 |
| Candice Ann Thornton | Internal Medicine | Prisma Health University Medical Group | 1305 S Suber Rd, Greer, SC 29650-0944 |
| Shohreh Soboutipour | Family Medicine | Prisma Health University Medical Group | 1305 S Suber Rd, Greer, SC 29650-0944 |
| Emily Elizabeth Miller | Chiropractic | Enhanced Living Chiropractic | 140 Sage Creek Way, Greer, SC 29650-0957 |
| Savannah Bidwell | Chiropractic | Enhanced Living Chiropractic | 140 Sage Creek Way, Greer, SC 29650-0957 |
| Gil-young E Chae | Family Medicine | 10 Cork Dr, Greer, SC 29650-0973 | |
| Find all physicians in zip 29650 | |||
| City | GREER |
| Zip Code | 29650 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | GREER + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Larisa Diane Coldebella.
| 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.