Cindy L Fiacco (NPI# 1053349787, PAC ID# 9931233723) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1053349787 |
| PAC ID by PECOS | 9931233723 |
| Professional Enrollment ID | I20100816000567 |
| Full Name | Cindy L Fiacco |
| Organization Legal Name | PALMETTO PRIMARY CARE PHYSICIANS |
| Address |
115 Executive Pkwy Moncks Corner SC 29461-3955 |
| Phone Number | 8436956071 |
| Gender | F |
| Medical School | MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE |
| Graduation Year | 1996 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 4880508068 |
| Number of Group Practice Members | 104 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420079 | TRIDENT MEDICAL CENTER |
| 420087 | ROPER HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 115 Executive Pkwy, Moncks Corner, SC 29461-3955 | 8436956071 | PALMETTO PRIMARY CARE PHYSICIANS |
| Organization Legal Name | PALMETTO PRIMARY CARE PHYSICIANS |
| Physicians | 137 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Phillips | Nurse Practitioner | Palmetto Primary Care Physicians | 7 S Alliance Dr, Suite 211b, Goose Creek, SC 29445-7269 |
| Lori M Roses | Qualified Audiologist | Palmetto Primary Care Physicians | 3495 Iron Horse Rd, Ladson, SC 29456-4319 |
| Kori A Frank | Nurse Practitioner | Palmetto Primary Care Physicians | 115 Executive Pkwy, Moncks Corner, SC 29461-3955 |
| Sasha Milleman Perez | Family Medicine | Palmetto Primary Care Physicians | 3030 Ashley Town Ctr Dr, Suite 102a, Charleston, SC 29414-5678 |
| Jillian Clesi | Physician Assistant | Palmetto Primary Care Physicians | 5325 Appian Way, Charleston, SC 29420-7234 |
| Lynn Ann Leclerc | Nurse Practitioner | Palmetto Primary Care Physicians | 113 Willbrook Blvd, Unit F, Pawleys Island, SC 29585-8245 |
| Candice Alise Jones | Nurse Practitioner | Palmetto Primary Care Physicians | 809 N Cedar St, Summerville, SC 29483-6605 |
| Cielita K Halyard | Nurse Practitioner | Palmetto Primary Care Physicians | 119 Springhall Dr, Goose Creek, SC 29445-5368 |
| Reid D Castellone | Family Medicine | Palmetto Primary Care Physicians | 213 W 4th N St, Summerville, SC 29483-6541 |
| Jennifer R Stolin | Family Medicine | Palmetto Primary Care Physicians | 110 Springhall Dr, Suite B, Goose Creek, SC 29445-5335 |
| Street Address |
115 EXECUTIVE PKWY |
| City | MONCKS CORNER |
| State | SC |
| Zip | 29461-3955 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kori A Frank | Nurse Practitioner | Palmetto Primary Care Physicians | 115 Executive Pkwy, Moncks Corner, SC 29461-3955 |
| Christina F Reynolds | Physician Assistant | Palmetto Primary Care Physicians | 115 Executive Pkwy, Moncks Corner, SC 29461-3955 |
| Tabatha L Adams | Nurse Practitioner | Palmetto Primary Care Physicians | 115 Executive Pkwy, Moncks Corner, SC 29461-3955 |
| Meredith D. Floyd | Family Medicine | Palmetto Primary Care Physicians | 115 Executive Pkwy, Moncks Corner, SC 29461-3955 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Frances P Johnson | Physical Therapy | Moncks Corner Physical Therapy, LLC | 209 W Main St, Moncks Corner, SC 29461-2604 |
| Richard Gordon Johnson I | Physical Therapy | Moncks Corner Physical Therapy, LLC | 209 W Main St, Moncks Corner, SC 29461-2604 |
| Rodney N Tyler Jr. | Occupational Therapy | Moncks Corner Physical Therapy, LLC | 209 W Main St, Moncks Corner, SC 29461-2604 |
| Iwona Gasior | Physician Assistant | Ohio Valley Physicians Inc | 306 Airport Dr, Moncks Corner, SC 29461-2629 |
| Robert G Reuther | Ophthalmology | Carolina Eyecare Physicians LLC | 730 Stony Landing Rd, Moncks Corner, SC 29461-2904 |
| Nancy R Lembo | Physical Medicine and Rehabilitation | 730 Stony Landing Rd, Moncks Corner, SC 29461-2904 | |
| Cortney S Draper | Emergency Medicine | Roper Hospital, Inc. | 730 Stony Landing Rd, Moncks Corner, SC 29461-2904 |
| John P Davis Jr. | Internal Medicine | Roper Saint Francis Physicians Network | 730 Stony Landing Rd, Suite 200, Moncks Corner, SC 29461-2904 |
| Crystal G Whittington | Optometry | Carolina Eyecare Physicians LLC | 730 Stony Landing Rd, Moncks Corner, SC 29461-2904 |
| Alexander Marshall | Internal Medicine | Roper Saint Francis Physicians Network | 730 Stony Landing Rd, Moncks Corner, SC 29461-2904 |
| Find all physicians in zip 29461 | |||
| City | MONCKS CORNER |
| Zip Code | 29461 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | MONCKS CORNER + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Cindy L Fiacco.
| 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.