Jordan Bennett Wicker (NPI# 1366979213, PAC ID# 1658644810) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1366979213 |
| PAC ID by PECOS | 1658644810 |
| Professional Enrollment ID | I20170911000062 |
| Full Name | Jordan Bennett Wicker |
| Organization Legal Name | CAROLINA RADIOLOGY ASSOCIATES LLC |
| Address |
809 82nd Pkwy Myrtle Beach SC 29572-4607 |
| Phone Number | 8436921916 |
| Gender | M |
| Graduation Year | 2017 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 1658350764 |
| Number of Group Practice Members | 49 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420051 | MCLEOD REGIONAL MEDICAL CENTER-PEE DEE |
| Address | Phone | Organization |
|---|---|---|
| 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 | 8436921916 | CAROLINA RADIOLOGY ASSOCIATES LLC |
| Organization Legal Name | CAROLINA RADIOLOGY ASSOCIATES LLC |
| Physicians | 50 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah H Allgeier | Diagnostic Radiology | Carolina Radiology Associates LLC | 1303 Azalea Ct, Suite C, Myrtle Beach, SC 29577-5765 |
| Stephan Stamato | Diagnostic Radiology | Carolina Radiology Associates LLC | 300 Singleton Ridge Rd, Conway, SC 29526-9142 |
| Geoffrey T Gilleland | Diagnostic Radiology | Carolina Radiology Associates LLC | 359 Berkeley Rd, Rock Hill, SC 29732-1997 |
| Richard J Wunder | Diagnostic Radiology | Carolina Radiology Associates LLC | 4593 Oleander Dr, Suite 200, Myrtle Beach, SC 29577-5755 |
| Scott Hagood Allen | Diagnostic Radiology | Carolina Radiology Associates LLC | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 |
| Paul M Kuperman | Diagnostic Radiology | Carolina Radiology Associates LLC | 300 Singleton Ridge Rd, Conway, SC 29526-9142 |
| Wesley Shawn Conwell | Diagnostic Radiology | Carolina Radiology Associates LLC | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 |
| Elizabeth Ann Kelley | Diagnostic Radiology | Carolina Radiology Associates LLC | 300 Singleton Ridge Rd, Conway, SC 29526-9142 |
| Joshua C Leighton | Diagnostic Radiology | Carolina Radiology Associates LLC | 805 Pamplico Hwy, Florence, SC 29505-6047 |
| Brandon Cramer | Diagnostic Radiology | Carolina Radiology Associates LLC | 300 Singleton Ridge Rd, Conway, SC 29526-9142 |
| Street Address |
809 82ND PKWY |
| City | MYRTLE BEACH |
| State | SC |
| Zip | 29572-4607 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robin Malik | Family Medicine | Southeastern Hospitalist Services, PC | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 |
| Steven A Matzinger | General Surgery | Grand Strand Surgical Specialists LLC | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 |
| Melissa Rosado | Emergency Medicine | Acs Primary Care Physicians - Southeast PC | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 |
| Nyein W Garner | Anesthesiology Assistant | Coastal Anesthesia Medical Group, LLC | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 |
| Andrew Peter Mangano | Internal Medicine | Southeastern Hospitalist Services, PC | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 |
| Thanigaiarsu Thiyagarajan | Internal Medicine | Southeastern Hospitalist Services, PC | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 |
| Joshua Paul Myers | Internal Medicine | Southeastern Hospitalist Services, PC | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 |
| Robert E Jones Iv | Anesthesiology Assistant | Coastal Anesthesia Medical Group, LLC | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 |
| Ernest W Stokes Iii | Physician Assistant | Grand Strand Surgical Specialists LLC | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 |
| Mohamed Faris | Internal Medicine | Southeastern Hospitalist Services, PC | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel Staples | Physical Therapy | Benchmark Healthcare Services LLC | 7955 N Kings Hwy, Suite 330, Myrtle Beach, SC 29572-3056 |
| Paul Vojtek | Physical Therapy | Benchmark Healthcare Services LLC | 7955 N Kings Hwy, Suite 330, Myrtle Beach, SC 29572-3056 |
| Stephen Swygert Ford | Physical Therapy | Benchmark Healthcare Services LLC | 7955 N Kings Hwy, Suite 330, Myrtle Beach, SC 29572-3056 |
| Kara Houston | Physical Medicine and Rehabilitation | Benchmark Healthcare Services LLC | 7955 N Kings Hwy, Suite 330, Myrtle Beach, SC 29572-3056 |
| Steven Goodman | Chiropractic | 9612n Kings Hwy, Myrtle Beach, SC 29572-4006 | |
| Barbie Suggs Anderson | Nurse Practitioner | Beach Urgent Care | 9820 N Kings Hwy, Myrtle Beach, SC 29572-4013 |
| Emily Pond Wright | Nurse Practitioner | Beach Urgent Care | 9820 N Kings Hwy, Myrtle Beach, SC 29572-4013 |
| Stephen Gordon Remine | General Surgery | Beach Urgent Care | 9820 N Kings Hwy, Myrtle Beach, SC 29572-4013 |
| Richard G Snyder | General Practice | Beach Urgent Care | 9820 N Kings Hwy, Myrtle Beach, SC 29572-4013 |
| Bleselda G Paragas | Physician Assistant | Beach Urgent Care | 9820 N Kings Hwy, Myrtle Beach, SC 29572-4013 |
| Find all physicians in zip 29572 | |||
| City | MYRTLE BEACH |
| Zip Code | 29572 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | MYRTLE BEACH + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Jordan Bennett Wicker.
| 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.