Michael S Wildstein


Address: 418 Folly Rd C, Charleston, SC 29412-2625

Michael S Wildstein (NPI# 1821102245, PAC ID# 3072518505) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.

Physician Overview

Nation Provider ID (NPI) 1821102245
PAC ID by PECOS 3072518505
Professional Enrollment ID I20080129000216
Full Name Michael S Wildstein
Address 418 Folly Rd C
Charleston
SC 29412-2625
Gender M
Credential MD
Medical School MOREHOUSE SCHOOL OF MEDICINE
Graduation Year 2000
Primary Specialty ORTHOPEDIC SURGERY
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
420065 BON SECOURS-ST FRANCIS XAVIER HOSPITAL
420087 ROPER HOSPITAL
420089 EAST COOPER MEDICAL CENTER
420104 MOUNT PLEASANT HOSPITAL

Other Locations

Address Phone Organization
418 Folly Rd C, Charleston, SC 29412-2625

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_PHCDRR_3 Specialized Registry Reporting %
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %

Organization Information

Office Location

Street Address 418 FOLLY RD C
City CHARLESTON
State SC
Zip 29412-2625

Physicians in the same zip code

Name Specialty Organization Address
Matthew Michaud Chiropractic 1939 Maybank Hwy, Charleston, SC 29412-2114
Peter W Kfoury Chiropractic 147 Wappoo Creek Dr, Suite 103, Charleston, SC 29412-2122
Erin Elizabeth Kosak Nurse Practitioner Remedy Internal Medicine and Wellness Center P A 109 Wappoo Creek Dr, 2a, Charleston, SC 29412-2138
Shannon Kennedy Internal Medicine Remedy Internal Medicine and Wellness Center P A 109 Wappoo Creek Dr, 2a, Charleston, SC 29412-2138
Glen Robison Chiropractic 1939 Maybank Hwy, Unit C, Charleston, SC 29412-2170
Barbara S Fox Clinical Social Worker 2045 Maybank Hwy, Charleston, SC 29412-2342
Tu Anh N Khuu Internal Medicine Roper Saint Francis Physicians Network 325 Folly Rd, Suite 101, Charleston, SC 29412-2507
Carolyn A Newton Nurse Practitioner Roper Saint Francis Physicians Network 325 Folly Rd, Suite 101, Charleston, SC 29412-2507
Jessica Walters Physical Therapy Rsfh - Ati Physical Therapy LLC 325 Folly Rd, Suite 107, Charleston, SC 29412-2507
Elizabeth A Murray Family Medicine Roper Saint Francis Physicians Network 325 Folly Rd, Suite 101, Charleston, SC 29412-2507
Find all physicians in zip 29412

Competitor

Search similar physicians

City CHARLESTON
Zip Code 29412
Specialty ORTHOPEDIC SURGERY
City + Specialty CHARLESTON + ORTHOPEDIC SURGERY

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Dataset Information

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.

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