Slade A Suchecki (NPI# 1194839647, PAC ID# 2264535426) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1194839647 |
| PAC ID by PECOS | 2264535426 |
| Professional Enrollment ID | I20070309000112 |
| Full Name | Slade A Suchecki |
| Organization Legal Name | BRUNSWICK FAMILY MEDICINE PA |
| Address |
3960 Executive Park Blvd Suite 600 Southport NC 28461-8184 |
| Phone Number | 9104544343 |
| Gender | M |
| Credential | DO |
| Medical School | PIKEVILLE COLLEGE SCHOOL OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2003 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 5890898951 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 341327 | J ARTHUR DOSHER MEMORIAL HOSPITAL |
| 340141 | NEW HANOVER REGIONAL MEDICAL CENTER |
| 340158 | NOVANT HEALTH BRUNSWICK MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3960 Executive Park Blvd, Suite 600, Southport, NC 28461-8184 | 9104544343 | BRUNSWICK FAMILY MEDICINE PA |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_047_overall | Care Plan | 96% | |
| MIPS_EC_333_overall | Adult Sinusitis: Computerized Tomography (CT) for Acute Sinusitis (Overuse) (100%: worst, 0% best) | 0% |
| Organization Legal Name | BRUNSWICK FAMILY MEDICINE PA |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rick J Hernandez | Family Medicine | Brunswick Family Medicine Pa | 3960 Executive Park Blvd, Suite 600, Southport, NC 28461-8184 |
| Street Address |
3960 EXECUTIVE PARK BLVD SUITE 600 |
| City | SOUTHPORT |
| State | NC |
| Zip | 28461-8184 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kymra F Stewart | Clinical Social Worker | 3960 Executive Park Blvd, Suite 3, Southport, NC 28461-8184 | |
| Rick J Hernandez | Family Medicine | Brunswick Family Medicine Pa | 3960 Executive Park Blvd, Suite 600, Southport, NC 28461-8184 |
| Jeff H Shaffer | Chiropractic | 3960 Executive Park Blvd, Suite 5, Southport, NC 28461-8184 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lana Simmons | Nurse Practitioner | Novant Medical Group Inc | 2950 Pine Plantation Pkwy, Oak Island, NC 28461-0119 |
| Sara E Clagg | Nurse Practitioner | Novant Medical Group Inc | 2950 Pine Plantation Pkwy, Oak Island, NC 28461-0119 |
| Joyce Pilar Johnson | Family Medicine | Novant Medical Group Inc | 2950 Pine Plantation Pkwy, Oak Island, NC 28461-0119 |
| Scott Lionel Girard | Hospitalist | Novant Medical Group Inc | 2950 Pine Plantation Pkwy, Oak Island, NC 28461-0119 |
| Barton Schneyer | Pulmonary Disease | Southport Pulmonary Medicine Pllc | 1517 N Howe St, Suite 12, Southport, NC 28461-2608 |
| Cheryl N Owen | Nurse Practitioner | Southport Pulmonary Medicine Pllc | 1517 N Howe St, Suite 12, Southport, NC 28461-2608 |
| Melissa A Denman | Nurse Practitioner | Southport Pulmonary Medicine Pllc | 1517 N Howe St, Suite 12, Southport, NC 28461-2608 |
| Phillip David Khan | Plastic and Reconstructive Surgery | Novant Medical Group Inc | 1456 N Howe St, Suite 201, Southport, NC 28461-2672 |
| Matthew J Lucas | Nurse Practitioner | Novant Medical Group Inc | 1456 N Howe St, Suite 201, Southport, NC 28461-2672 |
| Ryan C Tighe | Family Medicine | Novant Medical Group Inc | 1456 N Howe St, Suite 201, Southport, NC 28461-2674 |
| Find all physicians in zip 28461 | |||
| City | SOUTHPORT |
| Zip Code | 28461 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | SOUTHPORT + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Slade A Suchecki.
| 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.