Svetlana Stuck, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

110 Executive Pkwy
Moncks Corner, SC 29461-3930

Phone

(843) 899-9099

NPI assigned

Oct 24, 2016

Last updated

Oct 24, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Liberty Doctors LLC

  dba Mackey Family Practice

  • Family Medicine Physician
  • Charleston, SC
  • NPI 1700162203
  Medicare reassignment NPD
• Lifesource of North Carolina

  • General Practice Physician
  • Clinton, SC
  • NPI 1972861789

  Physician Assistant

  NPD
• Lifesource of North Carolina

  • Psychologist
  • Milton, FL
  • NPI 1730648288

  Physician Assistant

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1477267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477267200000",
    "number": "1073064200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 EXECUTIVE PKWY",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "294613930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 EXECUTIVE PKWY",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "294613930",
            "telephone_number": "843-899-9099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUCK",
        "first_name": "SVETLANA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-24",
        "last_updated": "2016-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Mary Moxley Stewart, M.A. LMFTA
• Shanda Stewart, CPHT
• Emily Kate Pye Stillings, M.S. CCC- SLP
• Kimberly Renee Stoltzfus, D.P.T.
• Caroline Ravenel Strange, FNP
• Robert Terrence Sullivan, MD
• Maria Sweet
• John Howard Swicord, M.D.
• Jerria Swinton
• Winter Swinton

• Physician Assistant in Moncks Corner, SC
• Providers in Moncks Corner, SC by specialty
• Physician Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.