Matthew N Kunkelman (NPI# 1629473012, PAC ID# 2163737511) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1629473012 |
| PAC ID by PECOS | 2163737511 |
| Professional Enrollment ID | I20150814013018 |
| Full Name | Matthew N Kunkelman |
| Organization Legal Name | EDISTO REGIONAL HEALTH SERVICES INC |
| Address |
185 Bunch Ford Rd Holly Hill SC 29059-8224 |
| Phone Number | 8034961055 |
| Gender | M |
| Medical School | LINCOLN MEMORIAL UNIVERSITY MEDICAL DEPARTMENT |
| Graduation Year | 2014 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 4981693447 |
| Number of Group Practice Members | 17 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420068 | TRMC OF ORANGEBURG & CALHOUN |
| 420079 | TRIDENT MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 185 Bunch Ford Rd, Holly Hill, SC 29059-8224 | 8034961055 | EDISTO REGIONAL HEALTH SERVICES INC |
| 187 Bunch Ford Rd, Holly Hill, SC 29059-8224 | 803496331216 | EDISTO REGIONAL HEALTH SERVICES INC |
| 4631 Savannah Hwy, North, SC 29112-8180 | 8032472428 | EDISTO REGIONAL HEALTH SERVICES INC |
| Organization Legal Name | EDISTO REGIONAL HEALTH SERVICES INC |
| Physicians | 18 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tara Earthel Hook | Family Medicine | Edisto Regional Health Services Inc | 5073 Carolina Hwy, Denmark, SC 29042-1679 |
| John Alvin Pfeiffer | Family Medicine | Edisto Regional Health Services Inc | 187 Bunch Ford Rd, Holly Hill, SC 29059-8224 |
| Brenda Wilhite | Nurse Practitioner | Edisto Regional Health Services Inc | 498 N St, Bamberg, SC 29003-1377 |
| Melanie Tomeko Sheppard | Physician Assistant | Edisto Regional Health Services Inc | 4631 Savannah Hwy, North, SC 29112-8180 |
| Yongxin Li | Internal Medicine | Edisto Regional Health Services Inc | 1750 Village Park Dr, Orangeburg, SC 29118-2457 |
| William E Oquinn | Family Medicine | Edisto Regional Health Services Inc | 215 Dorange Rd, Branchville, SC 29432-2241 |
| John H Hayden Jr. | Family Medicine | Edisto Regional Health Services Inc | 1619 Carolina Ave, Orangeburg, SC 29115-4939 |
| Timothy S Shaver | Family Medicine | Edisto Regional Health Services Inc | 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442 |
| Kelenne V Tuitt | Family Medicine | Edisto Regional Health Services Inc | 498 N St, Bamberg, SC 29003-1377 |
| Angela Lomax Hampton | Physician Assistant | Edisto Regional Health Services Inc | 498 N St, Bamberg, SC 29003-1377 |
| Street Address |
185 BUNCH FORD RD |
| City | HOLLY HILL |
| State | SC |
| Zip | 29059-8224 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carinne Shelley Thorne | Nurse Practitioner | Edisto Regional Health Services Inc | 185 Bunch Ford Rd, Holly Hill, SC 29059-8224 |
| Constance B Simons | Nurse Practitioner | Edisto Regional Health Services Inc | 185 Bunch Ford Rd, Holly Hill, SC 29059-8224 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles Wapner | Chiropractic | 1120 State St, Holly Hill, SC 29059-2611 | |
| Quintella Anartica Morgan | Nurse Practitioner | Family Health Centers, Inc. | 922 Holly St, Holly Hill, SC 29059-2762 |
| Melissa Coca Moyers | Nurse Practitioner | Family Health Centers, Inc. | 922 Holly St, Holly Hill, SC 29059-2762 |
| Loren D Harter | Family Medicine | Family Health Centers, Inc. | 922 Holly St, Holly Hill, SC 29059-2762 |
| Mary Lasater | Nurse Practitioner | Family Health Centers, Inc. | 922 Holly St, Holly Hill, SC 29059-2762 |
| Amy Pham | Family Practice | Family Health Centers, Inc. | 922 Holly St, Holly Hill, SC 29059-2762 |
| John Alvin Pfeiffer | Family Medicine | Edisto Regional Health Services Inc | 187 Bunch Ford Rd, Holly Hill, SC 29059-8224 |
| Lynn M Frederick | Clinical Social Worker | Jamison Consultants LLC | 7575 Old State Rd, Holly Hill, SC 29059-8247 |
| City | HOLLY HILL |
| Zip Code | 29059 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | HOLLY HILL + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Matthew N Kunkelman.
| 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.