Thomas L Walden Jr. (NPI# 1447214028, PAC ID# 2961695259) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is RADIATION ONCOLOGY.
Nation Provider ID (NPI) | 1447214028 |
PAC ID by PECOS | 2961695259 |
Professional Enrollment ID | I20101019001012 |
Full Name | Thomas L Walden Jr. |
Organization Legal Name | SOUTHEASTERN RADIATION ONCOLOGY |
Address |
1638 Owen Dr Fayetteville NC 28304-3424 |
Phone Number | 9106156691 |
Gender | M |
Medical School | GEORGETOWN UNIVERSITY OF MEDICINE |
Graduation Year | 1993 |
Primary Specialty | RADIATION ONCOLOGY |
Group Practice PAC ID | 8426078981 |
Number of Group Practice Members | 5 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
340050 | SOUTHEASTERN REGIONAL MEDICAL CENTER |
340028 | CAPE FEAR VALLEY MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
1638 Owen Dr, Fayetteville, NC 28304-3424 | 9106156691 | SOUTHEASTERN RADIATION ONCOLOGY |
1200 Pine Run Dr, Lumberton, NC 28358-2180 | 9106715731 | SOUTHEASTERN RADIATION ONCOLOGY |
Organization Legal Name | SOUTHEASTERN RADIATION ONCOLOGY |
Physicians | 5 |
Name | Specialty | Organization | Address |
---|---|---|---|
Sally S Smith | Radiation Oncology | Southeastern Radiation Oncology | 1638 Owen Dr, Fayetteville, NC 28304-3424 |
Abhijeet R Bhirud | Radiation Oncology | Southeastern Radiation Oncology | 1638 Owen Dr, Fayetteville, NC 28304-3424 |
John Bryan | Radiation Oncology | Southeastern Radiation Oncology | 1638 Owen Dr, Fayetteville, NC 28304-3424 |
Istvan Pataki | Radiation Oncology | Southeastern Radiation Oncology | 1200 Pine Run Dr, Lumberton, NC 28358-2180 |
Street Address |
1638 OWEN DR |
City | FAYETTEVILLE |
State | NC |
Zip | 28304-3424 |
Name | Specialty | Organization | Address |
---|---|---|---|
Joseph Clair | Certified Registered Nurse Anesthetist (crna) | Cumberland County Hospital System Inc | 1638 Owen Dr, Fayetteville, NC 28304-3424 |
Heather M Maynor | Nurse Practitioner | Cumberland County Hospital System Inc | 1638 Owen Dr, Fayetteville, NC 28304-3424 |
Jingchuan Wang | Pathology | Associated Pathologists LLC | 1638 Owen Dr, Fayetteville, NC 28304-3424 |
Kenneth Manning | Medical Oncology | Cumberland County Hospital System Inc | 1638 Owen Dr, Fayetteville, NC 28304-3424 |
Leesa F Davis | Certified Registered Nurse Anesthetist (crna) | Cumberland County Hospital System Inc | 1638 Owen Dr, Fayetteville, NC 28304-3424 |
Emmanuel O Nwamara-aka | Hospitalist | Cumberland County Hospital System Inc | 1638 Owen Dr, Fayetteville, NC 28304-3424 |
Casi P Gilmer | Nurse Practitioner | Cumberland County Hospital System Inc | 1638 Owen Dr, Fayetteville, NC 28304-3424 |
Michele T Provost | Physician Assistant | Cumberland County Hospital System Inc | 1638 Owen Dr, Fayetteville, NC 28304-3424 |
Wanda C Untch | Certified Registered Nurse Anesthetist (crna) | Cumberland County Hospital System Inc | 1638 Owen Dr, Fayetteville, NC 28304-3424 |
Peter Carson Messick | Emergency Medicine | Cfvhs Ed Physicians | 1638 Owen Dr, Fayetteville, NC 28304-3424 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Rachelle Kelly Porath | Physical Therapy | Activcare Physical Therapy, LLC | 2350 Bentridge Ln, Suite 100, Fayetteville, NC 28304-0590 |
Amir Sanii | Physical Therapy | Activcare Physical Therapy, LLC | 2350 Bentridge Ln, Suite 100, Fayetteville, NC 28304-0590 |
Abigail Michelle Weiskopf | Physical Therapy | Activcare Physical Therapy, LLC | 2350 Bentridge Ln, Suite 100, Fayetteville, NC 28304-0590 |
Cynthia Caskey Oberfelder | Diagnostic Radiology | Oroville Hospital | 2053 Loganberry Dr, Fayetteville, NC 28304-0804 |
Frank C Snyder | Diagnostic Radiology | Oroville Hospital | 2053 Loganberry Dr, Fayetteville, NC 28304-0804 |
Latondra Denise Stillwell Barker | Physician Assistant | Cumberland County Hospital System Inc | 3308 Melrose Rd, Fayetteville, NC 28304-1604 |
Cheryl J Fiser | Clinical Social Worker | Cumberland County Hospital System Inc | 3308 Melrose Rd, Fayetteville, NC 28304-1604 |
Amita S Shetty | Internal Medicine | Cumberland County Hospital System Inc | 3308 Melrose Rd, Fayetteville, NC 28304-1604 |
Yvonne W Lewis | Physician Assistant | Cumberland County Hospital System Inc | 3308 Melrose Rd, Fayetteville, NC 28304-1604 |
Sheila M Agustin | Nurse Practitioner | Cumberland County Hospital System Inc | 3308 Melrose Rd, Fayetteville, NC 28304-1604 |
Find all physicians in zip 28304 |
City | FAYETTEVILLE |
Zip Code | 28304 |
Specialty | RADIATION ONCOLOGY |
City + Specialty | FAYETTEVILLE + RADIATION ONCOLOGY |
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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.