Richard D Redvanly (NPI# 1669471660, PAC ID# 1355230954) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1669471660 |
| PAC ID by PECOS | 1355230954 |
| Professional Enrollment ID | I20040312000036 |
| Full Name | Richard D Redvanly |
| Organization Legal Name | CHARLOTTE RADIOLOGY PA |
| Address |
1656 Riverchase Blvd Suite 1200 Rock Hill SC 29732-0270 |
| Phone Number | 8033279934 |
| Gender | M |
| Credential | MD |
| Medical School | NEW YORK MEDICAL COLLEGE |
| Graduation Year | 1987 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 4587577390 |
| Number of Group Practice Members | 147 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340113 | CAROLINAS MEDICAL CENTER/BEHAV HEALTH |
| 340098 | CAROLINAS MEDICAL CENTER-PINEVILLE |
| 340130 | CAROLINAS HEALTHCARE SYSTEM UNION |
| 340166 | CAROLINAS MED CTR-UNIVERSITY |
| 340032 | GASTON MEMORIAL HOSPITAL, INC. |
| Address | Phone | Organization |
|---|---|---|
| 1000 Blythe Blvd, Charlotte, NC 28203-5812 | 7043621945 | CHARLOTTE RADIOLOGY PA |
| 10628 Park Rd, Charlotte, NC 28210-8407 | 7043621945 | CHARLOTTE RADIOLOGY PA |
| 10648 Park Rd, Charlotte, NC 28210-8407 | 7043625391 | CHARLOTTE RADIOLOGY PA |
| 13640 Steelecroft Pkwy, Charlotte, NC 28278-7565 | 7043621945 | CHARLOTTE RADIOLOGY PA |
| 3816 Latrobe Dr, Charlotte, NC 28211-1167 | 7049095960 | CHARLOTTE RADIOLOGY PA |
| 8800 N Tryon St, Charlotte, NC 28262-3300 | 7046124955 | CHARLOTTE RADIOLOGY PA |
| 433 Mcalister Rd, Lincolnton, NC 28092-4147 | 7043621945 | CHARLOTTE RADIOLOGY PA |
| 2293 Sugar Hill Rd G, Marion, NC 28752-7787 | 7043625391 | BLUE RIDGE HEALTHCARE MEDICAL GROUP INC |
| 724 Aubrey Bell Dr, Matthews, NC 28105-5055 | CHARLOTTE RADIOLOGY PA | |
| 600 Hospital Dr, Monroe, NC 28112-6000 | 7043621945 | CHARLOTTE RADIOLOGY PA |
| 1656 Riverchase Blvd, Suite 1200, Rock Hill, SC 29732-0270 | 8033279934 | CHARLOTTE RADIOLOGY PA |
| 720 Malcolm Blvd, Valdese, NC 28690-2872 | 8288743160 | BLUE RIDGE HEALTHCARE MEDICAL GROUP INC |
| 500 Morven Rd, Wadesboro, NC 28170-2745 | 7043621945 | CHARLOTTE RADIOLOGY PA |
| Organization Legal Name | CHARLOTTE RADIOLOGY PA |
| Physicians | 141 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew Bennett | Diagnostic Radiology | Charlotte Radiology Pa | 1045 Negateway Ne Ct, Concord, NC 28025-2440 |
| Dale Russell Shaw | Diagnostic Radiology | Charlotte Radiology Pa | 175 Amendment Ave, Rock Hill, SC 29732-3042 |
| Adrienne C Bean | Diagnostic Radiology | Charlotte Radiology Pa | 1090 Nw Gateway Ct, Suite 202, Concord, NC 28025-2414 |
| Marc Angelo Mancuso | Diagnostic Radiology | Charlotte Radiology Pa | 1802 E Main St, Lincolnton, NC 28092-3915 |
| Brian Adrian Howard | Diagnostic Radiology | Charlotte Radiology Pa | 3816 Latrobe Dr, Charlotte, NC 28211-1167 |
| Gary Joseph Defilipp | Diagnostic Radiology | Charlotte Radiology Pa | 7666 Charlotte Hwy 120, Indian Land, SC 29707-7003 |
| Ole Sami Aassar | Diagnostic Radiology | Charlotte Radiology Pa | 200 Glendale Dr W, Wilson, NC 27893-2772 |
| Pamela Sutton Oravetz | Physician Assistant | Charlotte Radiology Pa | 920 Church St N, Concord, NC 28025-2927 |
| Michael V. Varricchio Jr. | Physician Assistant | Charlotte Radiology Pa | 920 Church St N, Concord, NC 28025-2927 |
| Chelsea N Hanne | Physician Assistant | Charlotte Radiology Pa | 920 Church St N, Concord, NC 28025-2927 |
| Street Address |
1656 RIVERCHASE BLVD SUITE 1200 |
| City | ROCK HILL |
| State | SC |
| Zip | 29732-0270 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John Michael Fedor | Cardiac Electrophysiology | Carolinas Physicians Network Inc | 1656 Riverchase Blvd, Rock Hill, SC 29732-2084 |
| 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 |
| Stephen R. Martin | Family Medicine | Shiland Family Medicine | 1656 Riverchase Blvd, Suite 2400, Rock Hill, SC 29732-0271 |
| Brian Williams | Family Medicine | Shiland Family Medicine | 1656 Riverchase Blvd, Suite 2400, Rock Hill, SC 29732-0271 |
| Shirley K Scott | General Surgery | The Charlotte-mecklenburg Hospital Authority | 1656 Riverchase Blvd, Suite 1400, Rock Hill, SC 29732-1724 |
| Nathan Patrick Fergus | Diagnostic Radiology | Charlotte Radiology Pa | 1656 Riverchase Blvd, Suite 1200, Rock Hill, SC 29732-0270 |
| Kim S Nathan | Physician Assistant | The Charlotte-mecklenburg Hospital Authority | 1656 Riverchase Blvd, Suite 1400, Rock Hill, SC 29732-1724 |
| Rosalind V Becker | Physician Assistant | Shiland Family Medicine | 1656 Riverchase Blvd, Suite 2400, Rock Hill, SC 29732-0271 |
| David S Nix | Medical Oncology | The Charlotte-mecklenburg Hospital Authority | 1656 Riverchase Blvd, Suite 1400, Rock Hill, SC 29732-1724 |
| Find all physicians in the same address | |||
| 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 |
| 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 |
| Brian Harshman | Diagnostic Radiology | Charlotte Radiology Pa | 1656 Riverchase Blvd, Suite 1200, Rock Hill, SC 29732-0270 |
| Jeremy Inkwon Kim | Diagnostic Radiology | Charlotte Radiology Pa | 1656 Riverchase Blvd, Suite 1200, Rock Hill, SC 29732-0270 |
| William Carey Werthmuller | Diagnostic Radiology | Charlotte Radiology Pa | 1656 Riverchase Blvd, Suite 1200, Rock Hill, SC 29732-0270 |
| Natasha Renee Pyfrom | Family Medicine | Shiland Family Medicine | 1656 Riverchase Blvd, Suite 2400, Rock Hill, SC 29732-0271 |
| Find all physicians in zip 29732 | |||
| City | ROCK HILL |
| Zip Code | 29732 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | ROCK HILL + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Richard D Redvanly.
| 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.