Tida Lam (NPI# 1114331204, PAC ID# 3375760200) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1114331204 |
| PAC ID by PECOS | 3375760200 |
| Professional Enrollment ID | I20190529001342 |
| Full Name | Tida Lam |
| Organization Legal Name | AVANCE CARE PA |
| Address |
210 Hinton Oaks Blvd Suite E Knightdale NC 27545-6564 |
| Phone Number | 9196793177 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 3577634476 |
| Number of Group Practice Members | 88 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 220063 | LOWELL GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 210 Hinton Oaks Blvd, Suite E, Knightdale, NC 27545-6564 | 9196793177 | AVANCE CARE PA |
| 1964 S Main St, Wake Forest, NC 27587-9336 | 9195540177 | AVANCE CARE PA |
| Organization Legal Name | AVANCE CARE PA |
| Physicians | 91 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shannon Silsby | Nurse Practitioner | Avance Care Pa | 1004 Werrington Dr, Suite 200, Holly Springs, NC 27540-6016 |
| Li Wang | Nurse Practitioner | Avance Care Pa | 815 Oberlin Rd, Raleigh, NC 27605-1130 |
| Kathryn Meiners | Clinical Social Worker | Avance Care Pa | 1801 Olive Chapel Rd, Apex, NC 27502-8512 |
| William P Kilgore | Physician Assistant | Avance Care Pa | 98 Chapelton Ct, Suite 310, Chapel Hill, NC 27516-8487 |
| Alies R Barton | Clinical Social Worker | Avance Care Pa | 876 Timber Dr, Garner, NC 27529-4850 |
| Nadeen S Risi | Registered Dietitian Or Nutrition Professional | Avance Care Pa | 1964 S Main St, Wake Forest, NC 27587-9336 |
| Shannon M Corlett | Registered Dietitian Or Nutrition Professional | Avance Care Pa | 115 Crescentcommons Dr, Suite 100, Cary, NC 27518-8102 |
| Colin H Gage | Physician Assistant | Avance Care Pa | 7750 Mccrimmon Pkwy, Suite 100, Cary, NC 27519-1912 |
| Kristy Marie Su | Nurse Practitioner | Avance Care Pa | 1821 Martin Luther King Pkwy, Durham, NC 27707-6336 |
| Thomas Payson Thompson | Family Medicine | Avance Care Pa | 6402 Mccrimmon Pkwy, Suite 100, Morrisville, NC 27560-8139 |
| Street Address |
210 HINTON OAKS BLVD SUITE E |
| City | KNIGHTDALE |
| State | NC |
| Zip | 27545-6564 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey P Strand | Optometry | Myeyedr Optometry of North Carolina Pllc | 1001 Widewaters Pkwy, Knightdale, NC 27545-6102 |
| Elizabeth S Gunst | Optometry | Myeyedr Optometry of North Carolina Pllc | 1001 Widewaters Pkwy, Knightdale, NC 27545-6102 |
| Spencer Thomas Whitt | Optometry | Myeyedr Optometry of North Carolina Pllc | 1001 Widewaters Pkwy, Knightdale, NC 27545-6102 |
| Isaias Emilio Melo Lizardo | Family Medicine | Unc Physicians Network LLC | 6905 Knightdale Blvd, Suite 106, Knightdale, NC 27545-6506 |
| Katie Hester | Physical Therapy | Activcare Physical Therapy, LLC | 6905 Knightdale Blvd, Suite 102, Knightdale, NC 27545-6506 |
| Emily R Fronk | Physical Therapy | Activcare Physical Therapy, LLC | 6905 Knightdale Blvd, Suite 102, Knightdale, NC 27545-6506 |
| Adam L Beck | Chiropractic | Vardy Chiropractic and Wellness Clinics | 6905 Knightdale Blvd, Suite 105, Knightdale, NC 27545-6506 |
| Tara S Harris | Nurse Practitioner | Unc Physicians Network LLC | 6905 Knightdale Blvd, Suite 106, Knightdale, NC 27545-6506 |
| Amy J Saccoccia | Registered Dietitian Or Nutrition Professional | Unc Physicians Network LLC | 6905 Knightdale Blvd, Suite 106, Knightdale, NC 27545-6506 |
| William H Grant Jr. | Family Medicine | Rex Hospital Inc | 6602 Knightdale Blvd, Knightdale, NC 27545-6526 |
| Find all physicians in zip 27545 | |||
| City | KNIGHTDALE |
| Zip Code | 27545 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | KNIGHTDALE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Tida Lam.
| 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.