Kelly Reyna Radford (NPI# 1750763876, PAC ID# 1052699337) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1750763876 |
| PAC ID by PECOS | 1052699337 |
| Professional Enrollment ID | I20180622002313 |
| Full Name | Kelly Reyna Radford |
| Organization Legal Name | DLP RUTHERFORD PHYSICIAN PRACTICES LLC |
| Address |
212 Allendale Dr Forest City NC 28043-2889 |
| Phone Number | 8282457626 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 0345466561 |
| Number of Group Practice Members | 28 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340013 | RUTHERFORD REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 212 Allendale Dr, Forest City, NC 28043-2889 | 8282457626 | DLP RUTHERFORD PHYSICIAN PRACTICES LLC |
| Organization Legal Name | DLP RUTHERFORD PHYSICIAN PRACTICES LLC |
| Physicians | 30 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joshua K Edgerton | General Surgery | Dlp Rutherford Physician Practices LLC | 45 E Mills St, Columbus, NC 28722-0018 |
| Anna P Burgess | Nurse Practitioner | Dlp Rutherford Physician Practices LLC | 288 S Ridgecrest Ave, Rutherfordton, NC 28139-2838 |
| Matthew Indeck | Critical Care (intensivists) | Dlp Rutherford Physician Practices LLC | 330 Nc Hwy 108, Rutherfordton, NC 28139-3188 |
| Gregory W Goodwin | Physician Assistant | Dlp Rutherford Physician Practices LLC | 1269 Us Hwy 221a, Forest City, NC 28043-5921 |
| Ernest Craig Evans | General Surgery | Dlp Rutherford Physician Practices LLC | 330 Nc Hwy 108, Rutherfordton, NC 28139-3188 |
| Mathukutty Joseph | Psychiatry | Dlp Rutherford Physician Practices LLC | 288 S Ridgecrest Ave, Rutherfordton, NC 28139-2838 |
| Tina-marie A Hill | Physician Assistant | Dlp Rutherford Physician Practices LLC | 139 Doctor Henry Norris Dr, Rutherfordton, NC 28139-3176 |
| Rhonda B Hill | Nurse Practitioner | Dlp Rutherford Physician Practices LLC | 288 S Ridgecrest Ave, Rutherfordton, NC 28139-2838 |
| Keith T Hill | Physician Assistant | Dlp Rutherford Physician Practices LLC | 288 S Ridgecrest Ave, Rutherfordton, NC 28139-2838 |
| Thomas V Bolling | General Surgery | Dlp Rutherford Physician Practices LLC | 330 Nc Hwy 108, Rutherfordton, NC 28139-3188 |
| Street Address |
212 ALLENDALE DR |
| City | FOREST CITY |
| State | NC |
| Zip | 28043-2889 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lynda M Lachance | Family Medicine | Dlp Rutherford Physician Practices LLC | 212 Allendale Dr, Forest City, NC 28043-2889 |
| Megan Elizabeth Mase | Family Medicine | Dlp Rutherford Physician Practices LLC | 212 Allendale Dr, Forest City, NC 28043-2889 |
| Alan D Ancillotti | Nurse Practitioner | Dlp Rutherford Physician Practices LLC | 212 Allendale Dr, Forest City, NC 28043-2889 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert J Rodgers Iii | Chiropractic | 190 E Main St, Forest City, NC 28043-2108 | |
| Simon Calvillo | Chiropractic | 1322 W Main St, Forest City, NC 28043-2555 | |
| John Longobardo | Podiatry | 1320 W Main St, Forest City, NC 28043-2555 | |
| Charlotte Patricia Whitaker | Clinical Social Worker | 124 S Powell St, Suite A, Forest City, NC 28043-2654 | |
| Claire H Crawley | Clinical Social Worker | Universal Mental Health Services Inc | 136 Commercial Dr, Forest City, NC 28043-2801 |
| Christopher Dudley Kern | Physician Assistant | Universal Mental Health Services Inc | 136 Commercial Dr, Forest City, NC 28043-2801 |
| Jeanne Durham Truitt | Nurse Practitioner | Universal Mental Health Services Inc | 136 Commercial Dr, Forest City, NC 28043-2801 |
| Nam D Vo | Nephrology | Mountain Kidney and Hypertension Associates, P.a. | 226 Commercial St, Forest City, NC 28043-2851 |
| Saiona Caldwell | Clinical Social Worker | Rha Health Services Inc | 132 Commercial Dr, Forest City, NC 28043-2887 |
| Salman Sarabi | Chiropractic | Carolina Chiropractic Plus of Rutherford County Inc | 152 W Main St, Forest City, NC 28043-3023 |
| Find all physicians in zip 28043 | |||
| City | FOREST CITY |
| Zip Code | 28043 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | FOREST CITY + FAMILY MEDICINE |
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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.