Edward Joseph Ricciardelli (NPI# 1073518064, PAC ID# 4082680053) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PLASTIC AND RECONSTRUCTIVE SURGERY.
| Nation Provider ID (NPI) | 1073518064 |
| PAC ID by PECOS | 4082680053 |
| Professional Enrollment ID | I20110106001135 |
| Full Name | Edward Joseph Ricciardelli |
| Organization Legal Name | SUMMIT COSMETIC SURGERY CENTER PA |
| Address |
1717 Shipyard Blvd Suite 100 Wilmington NC 28403-8019 |
| Phone Number | 9107945355 |
| Gender | M |
| Medical School | UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE |
| Graduation Year | 1988 |
| Primary Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| Secondary Specialties | OTOLARYNGOLOGY |
| Group Practice PAC ID | 7911973987 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340158 | NOVANT HEALTH BRUNSWICK MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 58 Physicians Nwdr, Suite 103, Supply, NC 28462 | 9107555015 | SUMMIT COSMETIC SURGERY CENTER PA |
| 1717 Shipyard Blvd, Suite 100, Wilmington, NC 28403-8019 | 9107945355 | SUMMIT COSMETIC SURGERY CENTER PA |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_047_overall | Care Plan | 88% | |
| MIPS_EC_137_overall | Melanoma: Continuity of Care - Recall System | 100% | |
| MIPS_EC_138_overall | Melanoma: Coordination of Care | 99% | |
| MIPS_EC_224_overall | Melanoma: Overutilization of Imaging Studies in Melanoma | 100% | |
| MIPS_EC_238_2+ | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_238_overall | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% |
| Organization Legal Name | SUMMIT COSMETIC SURGERY CENTER PA |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lana Oliver Haynes | Physician Assistant | Summit Cosmetic Surgery Center Pa | 1717 Shipyard Blvd, Suite 100, Wilmington, NC 28403-8019 |
| Margene Tranter | Physician Assistant | Summit Cosmetic Surgery Center Pa | 1717 Shipyard Blvd, Suite 100, Wilmington, NC 28403-8019 |
| Chelsea Loy | Dermatology | Summit Cosmetic Surgery Center Pa | 1717 Shipyard Blvd, Suite 100, Wilmington, NC 28403-8019 |
| Roger S Sica | Dermatology | Summit Cosmetic Surgery Center Pa | 1717 Shipyard Blvd, Suite 100, Wilmington, NC 28403-8019 |
| Lynn C Baker | Physician Assistant | Summit Cosmetic Surgery Center Pa | 1717 Shipyard Blvd, Suite 100, Wilmington, NC 28403-8019 |
| Hilary C Thompson | Physician Assistant | Summit Cosmetic Surgery Center Pa | 1717 Shipyard Blvd, Suite 100, Wilmington, NC 28403-8019 |
| Street Address |
1717 SHIPYARD BLVD SUITE 100 |
| City | WILMINGTON |
| State | NC |
| Zip | 28403-8019 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lana Oliver Haynes | Physician Assistant | Summit Cosmetic Surgery Center Pa | 1717 Shipyard Blvd, Suite 100, Wilmington, NC 28403-8019 |
| Douglas Miller | Physical Therapy | Shoreline Physical Therapy, LLC | 1717 Shipyard Blvd, Suite 320, Wilmington, NC 28403-8019 |
| Margene Tranter | Physician Assistant | Summit Cosmetic Surgery Center Pa | 1717 Shipyard Blvd, Suite 100, Wilmington, NC 28403-8019 |
| Chelsea Loy | Dermatology | Summit Cosmetic Surgery Center Pa | 1717 Shipyard Blvd, Suite 100, Wilmington, NC 28403-8019 |
| Douglas F Messina | Orthopedic Surgery | Carolina Sports Medicine Andorthopaedic Specialists Pa | 1717 Shipyard Blvd, Suite 320, Wilmington, NC 28403-8019 |
| Ghobad Azizi | Internal Medicine | Wilmington Endocrinology Pa | 1717 Shipyard Blvd, Suite 220, Wilmington, NC 28403-8019 |
| Roger S Sica | Dermatology | Summit Cosmetic Surgery Center Pa | 1717 Shipyard Blvd, Suite 100, Wilmington, NC 28403-8019 |
| Michelle L Mayo | Physician Assistant | Wilmington Endocrinology Pa | 1717 Shipyard Blvd, Suite 220, Wilmington, NC 28403-8019 |
| Ellis A Tinsley Jr. | General Surgery | 1717 Shipyard Blvd, Suite 210, Wilmington, NC 28403-8019 | |
| David S Fox | Physician Assistant | Carolina Sports Medicine Andorthopaedic Specialists Pa | 1717 Shipyard Blvd, Suite 320, Wilmington, NC 28403-8019 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maria Tar | Clinical Social Worker | 1410 Commonwealth Dr, Suite 101a, Wilmington, NC 28403-0383 | |
| Christopher R Myers | Psychiatry | Physician Alliance for Mental Health, LLC | 3208 Oleander Dr, Wilmington, NC 28403-0800 |
| Brett A Gurkin | Psychiatry | Physician Alliance for Mental Health, LLC | 3208 Oleander Dr, Wilmington, NC 28403-0800 |
| Geoffrey D Holland | Physician Assistant | Physician Alliance for Mental Health, LLC | 3208 Oleander Dr, Wilmington, NC 28403-0800 |
| Patricia Davis Prichard | Clinical Social Worker | Physician Alliance for Mental Health, LLC | 3208 Oleander Dr, Wilmington, NC 28403-0800 |
| Katherine Sharon Martin | Clinical Social Worker | Physician Alliance for Mental Health, LLC | 3208 Oleander Dr, Wilmington, NC 28403-0800 |
| Catherine Marie Dalton | Clinical Social Worker | Physician Alliance for Mental Health, LLC | 3208 Oleander Dr, Wilmington, NC 28403-0800 |
| Joseph Painter | Clinical Social Worker | Physician Alliance for Mental Health, LLC | 3208 Oleander Dr, Wilmington, NC 28403-0800 |
| Rasika Khatu Whitesell | Optometry | Myeyedr Optometry of North Carolina Pllc | 3501 Oleander Dr, Suite 7, Wilmington, NC 28403-0824 |
| Thomas M Walent Iii | Optometry | The Eye Center Doctors of Optometry Pa | 3500 Oleander Dr, B10, Wilmington, NC 28403-0842 |
| Find all physicians in zip 28403 | |||
| City | WILMINGTON |
| Zip Code | 28403 |
| Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| City + Specialty | WILMINGTON + PLASTIC AND RECONSTRUCTIVE SURGERY |
Please comment or provide details below to improve the information on Edward Joseph Ricciardelli.
| 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.