Matthew Brian Thompson (NPI# 1437571312, PAC ID# 1759512924) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1437571312 |
| PAC ID by PECOS | 1759512924 |
| Professional Enrollment ID | I20161031001312 |
| Full Name | Matthew Brian Thompson |
| Organization Legal Name | SCOTLAND MEMORIAL HOSPITAL INC |
| Address |
957 Cheraw St Bennettsville SC 29512-2420 |
| Phone Number | 8434540245 |
| Gender | M |
| Medical School | UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE |
| Graduation Year | 2013 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0648208504 |
| Number of Group Practice Members | 63 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340008 | SCOTLAND MEMORIAL HOSPITAL |
| 340050 | SOUTHEASTERN REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 957 Cheraw St, Bennettsville, SC 29512-2420 | 8434540245 | SCOTLAND MEMORIAL HOSPITAL INC |
| 1262 E Broad Ave, Rockingham, NC 28379-4902 | 9108179200 | FASTMED URGENT CARE PC |
| Organization Legal Name | SCOTLAND MEMORIAL HOSPITAL INC |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer Lynn Graham | Physician Assistant | Scotland Memorial Hospital Inc | 24420 Marlboro St, Wagram, NC 28396-9600 |
| Ruby Apolinario Geronimo | Nurse Practitioner | Scotland Memorial Hospital Inc | 500 Lauchwood Dr, Laurinburg, NC 28352-5501 |
| Adam D Clark | Physician Assistant | Scotland Memorial Hospital Inc | 500 Lauchwood Dr, Laurinburg, NC 28352-5501 |
| Charles Rodney Lenahan | Urology | Scotland Memorial Hospital Inc | 500 Lauchwood Dr, Laurinburg, NC 28352-5501 |
| Michael T Lake | General Surgery | Scotland Memorial Hospital Inc | 500 Lauchwood Dr, Laurinburg, NC 28352-5501 |
| Timothy Joseph Vreeland | General Surgery | Scotland Memorial Hospital Inc | 500 Lauchwood Dr, Laurinburg, NC 28352-5501 |
| Sean Kearney | Orthopedic Surgery | Scotland Memorial Hospital Inc | 500 Lauchwood Dr, Laurinburg, NC 28352-5501 |
| Joel A Berman | Vascular Surgery | Scotland Memorial Hospital Inc | 500 Lauchwood Dr, Laurinburg, NC 28352-5501 |
| Ashleigh Johnson Freeman | Family Practice | Scotland Memorial Hospital Inc | 957 Cheraw St, Bennettsville, SC 29512-2420 |
| Terreasa L Farmer | Certified Registered Nurse Anesthetist | Scotland Memorial Hospital Inc | 500 Lauchwood Dr, Laurinburg, NC 28352-5501 |
| Street Address |
957 CHERAW ST |
| City | BENNETTSVILLE |
| State | SC |
| Zip | 29512-2420 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chi Dai Chen | General Surgery | Scotland Memorial Hospital, Inc | 957 Cheraw St, Bennettsville, SC 29512-2420 |
| Ashleigh Johnson Freeman | Family Practice | Scotland Memorial Hospital Inc | 957 Cheraw St, Bennettsville, SC 29512-2420 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonathan Nestor | Nephrology | 1104 Frank W Evans Way, Fresinius Med Care, Bennettsville, SC 29512-2169 | |
| Temeka Justine Ruth Green | Clinical Social Worker | Caresouth Carolina Inc. | 999 Cheraw St, Bennettsville, SC 29512-2420 |
| Ellen Margaret Mishra | Nurse Practitioner | Caresouth Carolina Inc. | 999 Cheraw St, Bennettsville, SC 29512-2420 |
| George Gibson Moore Jr. | Family Medicine | Caresouth Carolina Inc. | 999 Cheraw St, Bennettsville, SC 29512-2420 |
| Gyetri S Mitchell | Nurse Practitioner | Scotland Memorial Hospital, Inc | 1007 Cheraw St, Bennettsville, SC 29512-2422 |
| Judie M Sto Domingo | Physical Therapy | 1021 Cheraw St, Bennettsville, SC 29512-2422 | |
| Simi Sachdev | Psychiatry | South Carolina Dept of Mental Health Accounting Office | 1035 Cheraw Hwy, Bennettsville, SC 29512-2422 |
| Donna Gail Cain | Nurse Practitioner | Scotland Memorial Hospital, Inc | 1007 Cheraw St, Bennettsville, SC 29512-2422 |
| David Alexander Howell | Family Medicine | Scotland Memorial Hospital, Inc | 1007 Cheraw St, Bennettsville, SC 29512-2422 |
| Rufus Haynes Cain Iii | Family Medicine | Scotland Memorial Hospital, Inc | 1007 Cheraw St, Bennettsville, SC 29512-2422 |
| Find all physicians in zip 29512 | |||
| City | BENNETTSVILLE |
| Zip Code | 29512 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | BENNETTSVILLE + NURSE PRACTITIONER |
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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.