Timothy Andrew Stich
Physician Assistant

Address: 102b Omni Dr, Seneca, SC 29672-9448
Phone: 8648857971

Timothy Andrew Stich (NPI# 1619169844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1619169844
Entity Type Individual
Full Name Timothy Andrew Stich
Credential PA-C
Gender Male
Practice Address 102b Omni Dr
Seneca
SC 29672-9448
Practice Telephone 8648857971
Practice Fax Number 8648857860
Mailing Address 1 Independence Pt
Suite 212
Greenville
SC 29615-4545
Mailing Telephone 8647976044
Mailing Fax Number 8647976198
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2007-08-12
Last Update Date 2015-07-02

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers 282 SC

Other Provider Identifier

State Identifier Issuer Type Code
SC 282AN OTHER PRESCRIPTIVE AUTHORITY

Physician Overview

NPI 1619169844
PAC ID by PECOS 9436464716
Professional Enrollment ID I20150814014554
Full Name Timothy Andrew Stich
Organization Legal Name GHS PARTNERS IN HEALTH INC
Phone Number 8642717761
Gender M
Medical School MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduation Year 1982
Primary Specialty PHYSICIAN ASSISTANT
Group Practice PAC ID 8325950983
Number of Group Practice Members 1151
Accepts Medicare Assignment Y
Report Quality Measures Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
420009 GHS OCONEE MEMORIAL HOSPITAL

Office Location

Street Address 102B OMNI DR
City SENECA
State SC
Zip Code 29672-9448

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346241312 Francis Joseph Yanoviak Anesthesiology 102b Omni Dr, Seneca, SC 29672-9448 2005-08-02
1891237632 Upstate Affiliate Organization Clinic/Center 102b Omni Dr, Seneca, SC 29672 2016-11-10
1316963150 Brian Bennett Chamblee Anesthesiology 102b Omni Dr, Seneca, SC 29672-9448 2006-07-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407345846 Upstate Affiliate Organization General Acute Care Hospital 139 Lila Doyle Drive, Seneca, SC 29672 2018-05-01
1558733220 Alyssa K. Locke Occupational Therapist 101 S-37-349, Seneca, SC 29672 2015-10-21
1497857742 Pulmonary Critical Care & Sleep Associates Pa Clinic/Center 107 Omni Drive, Suite A, Seneca, SC 29672 2006-09-05
1235123878 Nancy Matz Thiel Chiropractor 355 Katelynn Lane, Seneca, SC 29672 2005-09-09
1265439954 David E Heape Emergency Medicine 298 Memoral Drive, Oconee Memorial Hospital, Seneca, SC 29672 2005-07-07
1285984633 Udayakiran Nagulapally Pharmacist 1504 Blue Ridge Blvd, Seneca, SC 29672 2012-09-13
1356663868 April Varn Cope Physical Therapist 515 Benton St, Belvedere Commons, Seneca, SC 29672 2010-02-25
1689835787 Terry L Davis Hospitalist 301 Memorial Dr Ste F, Seneca, SC 29672 2008-06-20
1023290152 Noelle Claudine Stanley Internal Medicine 390 Keowee School Rd, Seneca, SC 29672 2007-11-30
1043425283 Amy B Howard Physical Therapy Assistant 298 Memorial Dr, Seneca, SC 29672 2007-05-11
Find all providers in zip 29672

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891782181 April Simpson Ross Physician Assistant 15575 Wells Hwy, Seneca, SC 29678-1664 2005-10-01
1669993044 Ross Keffer Physician Assistant Po Box 802, Seneca, PA 16346-0802 2017-07-06
1235666371 Joshua Padgett Physician Assistant 298 Memorial Dr, Seneca, SC 29672-9443 2017-05-19
1861933533 Benjamin Edmondson Physician Assistant 1 Park Way, Seneca, PA 16346 2017-03-15
1306219795 Kalie N Cangemi Physician Assistant 100 Fairfield Dr, Seneca, PA 16346-2130 2015-11-05
1831597509 Audrey E Tracy Physician Assistant 100 Fairfield Dr, Upmc Northwest Hospital, Seneca, PA 16346-2130 2014-12-12
1083956650 Zara Colon Physician Assistant 10110 Clemson Blvd, Seneca, SC 29678-0812 2013-03-21
1750679718 Stephanie Lynn Senger Physician Assistant 10630 Clemson Blvd, Suite100, Seneca, SC 29678-4546 2011-07-12
1508167362 Zachary Wade Sutton Physician Assistant 10630 Clemson Blvd, Ste 100, Seneca, SC 29678-4546 2010-11-10
1487897104 Christopher John Aubin Physician Assistant 10630 Clemson Blvd Ste 100, Seneca, SC 29678 2009-04-10
Find all providers in SENECA

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City SENECA
Zip Code 29672

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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