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.
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 |
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 |
Address | Phone | Organization |
---|---|---|
418 Folly Rd C, Charleston, SC 29412-2625 |
Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
---|---|---|---|
ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
Street Address |
418 FOLLY RD C |
City | CHARLESTON |
State | SC |
Zip | 29412-2625 |
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 |
City | CHARLESTON |
Zip Code | 29412 |
Specialty | ORTHOPEDIC SURGERY |
City + Specialty | CHARLESTON + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Michael S Wildstein.
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.