Martin J Ruocco (NPI# 1619172400, PAC ID# 0840475927) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1619172400 |
| PAC ID by PECOS | 0840475927 |
| Professional Enrollment ID | I20111221000129 |
| Full Name | Martin J Ruocco |
| Organization Legal Name | RADADVANTAGE A PROFESSIONAL CORPORATION |
| Address |
200 River Landing Dr Unit 406a Daniel Island SC 29492-8416 |
| Phone Number | 8433546473 |
| Gender | M |
| Medical School | STATE UNIVERSITY OF NEW YORK HEALTH SCIENCE CENTER OF SYRACUSE |
| Graduation Year | 1990 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 2163597899 |
| Number of Group Practice Members | 339 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330395 | ST JOHN'S EPISCOPAL HOSPITAL AT SOUTH SHORE |
| 421301 | ABBEVILLE AREA MEDICAL CENTER |
| 490053 | JOHNSTON MEMORIAL HOSPITAL |
| 490127 | BUCHANAN GENERAL HOSPITAL |
| 180044 | PIKEVILLE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 200 River Landing Dr, Unit 406a, Daniel Island, SC 29492-8416 | 8433546473 | RADADVANTAGE A PROFESSIONAL CORPORATION |
| 139 Applewood Dr, Greenville, SC 29615-2861 | 9525951100 | RADADVANTAGE A PROFESSIONAL CORPORATION |
| 139 Applewood Dr, Greenville, SC 29615-2861 | VIRTUAL RADIOLOGIC PROFESSIONALS LLC |
| Organization Legal Name | RADADVANTAGE A PROFESSIONAL CORPORATION |
| Physicians | 182 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dmitry Bolkhovets | Diagnostic Radiology | Radadvantage A Professional Corporation | 67 Dora St, Apt 3, Stamford, CT 06902-5414 |
| Robert L Sciulli | Diagnostic Radiology | Radadvantage A Professional Corporation | 200 River Landing Dr, Unit 406a, Daniel Island, SC 29492-8416 |
| Clark T Kholeif | Diagnostic Radiology | Radadvantage A Professional Corporation | 6181 Kahiliholo Rd, Kilauea, HI 96754-5117 |
| Tracy J Robinson | Diagnostic Radiology | Radadvantage A Professional Corporation | 1940 E 3375, Millcreek, UT 84106-3939 |
| Katherine Tobin | Diagnostic Radiology | Radadvantage A Professional Corporation | 579 Sagamore Ave, Unit 60, Portsmouth, NH 03801-5570 |
| Charles J Vassallo | Diagnostic Radiology | Radadvantage A Professional Corporation | 2500 Kalakaua Ave, Apt 1003, Honolulu, HI 96815-3602 |
| Judith Corey | Diagnostic Radiology | Radadvantage A Professional Corporation | 5858 Bellaire Dr, New Orleans, LA 70124-1104 |
| Betsy J Bronson | Diagnostic Radiology | Radadvantage A Professional Corporation | 5050 Donald St, Eugene, OR 97405-3526 |
| Mujtaba M Ali | Diagnostic Radiology | Radadvantage A Professional Corporation | 518 S Buena Vista St, Redlands, CA 92373-5804 |
| Brendan Maney Miner | Diagnostic Radiology | Radadvantage A Professional Corporation | 510 14th St, St Augustine, FL 32084-1507 |
| Street Address |
200 RIVER LANDING DR UNIT 406A |
| City | DANIEL ISLAND |
| State | SC |
| Zip | 29492-8416 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert L Sciulli | Diagnostic Radiology | Radadvantage A Professional Corporation | 200 River Landing Dr, Unit 406a, Daniel Island, SC 29492-8416 |
| Ranjiv Saini | Diagnostic Radiology | Beverly Radiology Medical Group IIi | 200 River Landing Dr, Unit 406a, Daniel Island, SC 29492-8416 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jaclyn S Buehner | Optometry | 511 N Hwy 52, Moncks Corner, SC 29492 | |
| Beth Ann Marks | Physical Therapy | Body In Balance Physical Therapy LLC | 125 River Landing Dr, Suite 103, Daniel Island, SC 29492-2501 |
| Susan K Chalela | Physical Therapy | Body In Balance Physical Therapy LLC | 125 River Landing Dr, Suite 103, Daniel Island, SC 29492-2501 |
| Jimmy L Smith Jr. | Chiropractic | 130 River Landing Dr, 12d, Daniel Island, SC 29492-7443 | |
| Baley Petersen | Optometry | Island Eye Care | 297 Seven Farms Dr, Suite 101, Daniel Island, SC 29492-7553 |
| Charles J Turner | Optometry | Island Eye Care | 297 Seven Farms Dr, Suite 101, Daniel Island, SC 29492-7553 |
| Casey Jared Epstein | Physical Therapy | Rsfh - Ati Physical Therapy LLC | 900 Island Park Dr, Suite 108, Daniel Island, SC 29492-7559 |
| Emily Catherine Schaffer | Physical Therapy | Rsfh - Ati Physical Therapy LLC | 900 Island Park Dr, Suite 108, Daniel Island, SC 29492-7559 |
| Elaine Michelle Cooper | Physical Therapy | Rsfh - Ati Physical Therapy LLC | 900 Island Park Dr, Suite 108, Daniel Island, SC 29492-7559 |
| Melissa Langston | Physical Therapy | Bright Mcconnell IIi Md LLC | 900 Island Park Dr, Suite 105, Daniel Island, SC 29492-7560 |
| Find all physicians in zip 29492 | |||
| City | DANIEL ISLAND |
| Zip Code | 29492 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | DANIEL ISLAND + DIAGNOSTIC RADIOLOGY |
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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.