Roger D Waddell (NPI# 1558330373, PAC ID# 2668432873) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.
| Nation Provider ID (NPI) | 1558330373 |
| PAC ID by PECOS | 2668432873 |
| Professional Enrollment ID | I20041012001533 |
| Full Name | Roger D Waddell |
| Organization Legal Name | FAMILY CLINICPLLC |
| Address |
211 Bonnie Brook Rd Aberdeen NC 28315-3125 |
| Phone Number | 9109447777 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF COLORADO SCHOOL OF MEDICINE |
| Graduation Year | 1981 |
| Primary Specialty | GENERAL PRACTICE |
| Group Practice PAC ID | 2062542038 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340115 | FIRSTHEALTH MOORE REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 211 Bonnie Brook Rd, Aberdeen, NC 28315-3125 | 9109447777 | FAMILY CLINICPLLC |
| Organization Legal Name | FAMILY CLINICPLLC |
| Physicians | 1 |
| Street Address |
211 BONNIE BROOK RD |
| City | ABERDEEN |
| State | NC |
| Zip | 28315-3125 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bertha Taylor-miller | Nurse Practitioner | 211 Bonnie Brook Rd, Aberdeen, NC 28315-3125 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Akiko Omura | Physical Medicine and Rehabilitation | Throughcare Health, Pllc | 702 Wildwood Rd, Aberdeen, NC 28315-2132 |
| Michael Hartley | Certified Clinical Nurse Specialist (cns) | 100 Magnolia Square Ct, Aberdeen, NC 28315-2225 | |
| Susan G Myers | Psychiatry | 161 Magnolia Square Ct, Aberdeen, NC 28315-2225 | |
| Karen Tongue Irizarry | Clinical Social Worker | 161 Magnolia Square Ct, Aberdeen, NC 28315-2225 | |
| James M Hardin | Clinical Psychologist | 161 Magnolia Square Ct, Aberdeen, NC 28315-2225 | |
| Scott G Stroker | Chiropractic | 240 Magnolia Square Ct, Aberdeen, NC 28315-2226 | |
| Justin W Bode | Chiropractic | 300 Magnolia Square Ct, Aberdeen, NC 28315-2227 | |
| Susan Diane Couch | Clinical Social Worker | 430 Magnolia Square Ct, Aberdeen, NC 28315-2228 | |
| Philip R Couch | Nurse Practitioner | Serenity Mental and Medical Care Pllc | 430 Magnolia Square Ct, Aberdeen, NC 28315-2228 |
| Jerome C Newkirk Jr. | Physician Assistant | Fastmed Urgent Care PC | 1800 N Sandhills Blvd, Suite B, Aberdeen, NC 28315-2336 |
| Find all physicians in zip 28315 | |||
| City | ABERDEEN |
| Zip Code | 28315 |
| Specialty | GENERAL PRACTICE |
| City + Specialty | ABERDEEN + GENERAL PRACTICE |
Please comment or provide details below to improve the information on Roger D Waddell.
| 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.