Anmed Health
Organization Active NPI Obstetrics & Gynecology Physician · Anderson, SC
NPI 1891726402 · NPPES record last updated Jun 12, 2008
Key facts
- NPI
- 1891726402
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- Legal business name
- ANMED HEALTH
- Practice address
- 160 Perpetual SQ
Anderson, SC 29621-1713 - Phone
- (864) 225-0391
- Fax
- (864) 375-1347
- NPI assigned
- Jul 5, 2006
- Organization subpart
- No
Authorized official
- Name
- Jerry A Parrish
- Title
- Cfo
- Phone
- (864) 512-1109
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040130000302 | SC | Part B Supplier - Clinic/Group Practice | 1951215243 |
Receives reassigned benefits from 393 practitioners This NPI is an additional NPI on the enrollment Practice locations: Anderson, SC; Central, SC; Clemson, SC; Liberty, SC; Pelzer, SC; Pendleton, SC; Piedmont, SC; Seneca, SC |
National Provider Directory
Locations
160 Perpetual Sq
Anderson, SC 29621
Phone (864) 224-2222
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician |
207V00000X | Yes |
Addresses
Primary practice location
160 Perpetual SQ
Anderson, SC 29621-1713
Mailing address
PO Box 2047
Anderson, SC 29622-2047
Phone (864) 225-0391
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP4251 | Medicaid | SC |
Other names
- AnMed Health Mark S. Dermer MD
Other providers in Anderson, SC
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- Anmed Health
- Anmed Health
- Anmed Health
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- Anmed Health
All providers in Anderson, SC · Obstetrics & Gynecology Physician in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 12, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.