Aaron T Wild (NPI# 1124397328, PAC ID# 0143553495) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is RADIATION ONCOLOGY.
| Nation Provider ID (NPI) | 1124397328 |
| PAC ID by PECOS | 0143553495 |
| Professional Enrollment ID | I20190531001754 |
| Full Name | Aaron T Wild |
| Organization Legal Name | PIEDMONT CAROLINAS RADIATION THERAPY LLC |
| Address |
228 S Herlong Ave Rock Hill SC 29732-1158 |
| Phone Number | 8033665186 |
| Gender | M |
| Medical School | JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2014 |
| Primary Specialty | RADIATION ONCOLOGY |
| Group Practice PAC ID | 8325038763 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340098 | CAROLINAS MEDICAL CENTER-PINEVILLE |
| 340113 | CAROLINAS MEDICAL CENTER/BEHAV HEALTH |
| 340166 | CAROLINAS MED CTR-UNIVERSITY |
| 340001 | CAROLINAS MEDICAL CENTER-NORTHEAST |
| 340053 | NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 200 Hawthorne Ln, Charlotte, NC 28204-2515 | 7043337376 | SOUTHEAST RADIATION ONCOLOGY GROUP, P.A. |
| 200 Queens Rd, Suite 400, Charlotte, NC 28204-3264 | 7043337376 | SOUTHEAST RADIATION ONCOLOGY GROUP, P.A. |
| 1400 Matthews Township Pkwy, Matthews, NC 28105-4655 | 7048458800 | RADIATION ONCOLOGY CENTERS OF THE CAROLINAS, INC. |
| 600 Hospital Dr, Monroe, NC 28112-6000 | 7043337376 | SOUTHEAST RADIATION ONCOLOGY GROUP, P.A. |
| 228 S Herlong Ave, Rock Hill, SC 29732-1158 | 8033665186 | PIEDMONT CAROLINAS RADIATION THERAPY LLC |
| 229 Mocksville Ave, Salisbury, NC 28144-3325 | 7043337376 | SOUTHEAST RADIATION ONCOLOGY GROUP, P.A. |
| 201 E Grover St, Shelby, NC 28150-3315 | 7043337376 | SOUTHEAST RADIATION ONCOLOGY GROUP, P.A. |
| Organization Legal Name | PIEDMONT CAROLINAS RADIATION THERAPY LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Sup Hong | Radiation Oncology | Piedmont Carolinas Radiation Therapy LLC | 1005 W Meeting St, Lancaster, SC 29720-2205 |
| William E Bobo | Radiation Oncology | Piedmont Carolinas Radiation Therapy LLC | 228 S Herlong Ave, Rock Hill, SC 29732-1158 |
| Carolina E Fasola | Radiation Oncology | Piedmont Carolinas Radiation Therapy LLC | 1005 W Meeting St, Lancaster, SC 29720-2205 |
| Street Address |
228 S HERLONG AVE |
| City | ROCK HILL |
| State | SC |
| Zip | 29732-1158 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William E Bobo | Radiation Oncology | Piedmont Carolinas Radiation Therapy LLC | 228 S Herlong Ave, Rock Hill, SC 29732-1158 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John Carl Cedarholm | Interventional Cardiology | Carolinas Physicians Network Inc | 1656 Riverchase Blvd, Suite 2500, Rock Hill, SC 29732-0269 |
| Crystal Rachelle Vaglia | Nurse Practitioner | Carolinas Physicians Network Inc | 1656 Riverchase Blvd, Suite 2500, Rock Hill, SC 29732-0269 |
| Robert J Hosker | Diagnostic Radiology | Charlotte Radiology Pa | 1656 Riverchase Blvd, Suite 1200, Rock Hill, SC 29732-0270 |
| Hyonah Kim | Diagnostic Radiology | Charlotte Radiology Pa | 1656 Riverchase Blvd, Suite 1200, Rock Hill, SC 29732-0270 |
| Nathan Patrick Fergus | Diagnostic Radiology | Charlotte Radiology Pa | 1656 Riverchase Blvd, Suite 1200, Rock Hill, SC 29732-0270 |
| Rickin Shah | Diagnostic Radiology | Charlotte Radiology Pa | 1656 Riverchase Blvd, Suite 1200, Rock Hill, SC 29732-0270 |
| Brian Alan Perry | Diagnostic Radiology | Charlotte Radiology Pa | 1656 Riverchase Blvd, Suite 1200, Rock Hill, SC 29732-0270 |
| Kelly Clifford | Diagnostic Radiology | Charlotte Radiology Pa | 1656 Riverchase Blvd, Suite 1200, Rock Hill, SC 29732-0270 |
| James Essenberg | Diagnostic Radiology | Charlotte Radiology Pa | 1656 Riverchase Blvd, Suite 1200, Rock Hill, SC 29732-0270 |
| Richard D Redvanly | Diagnostic Radiology | Charlotte Radiology Pa | 1656 Riverchase Blvd, Suite 1200, Rock Hill, SC 29732-0270 |
| Find all physicians in zip 29732 | |||
| City | ROCK HILL |
| Zip Code | 29732 |
| Specialty | RADIATION ONCOLOGY |
| City + Specialty | ROCK HILL + RADIATION ONCOLOGY |
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| 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.