Michael Anthony Tyner (NPI# 1013948421, PAC ID# 4284606567) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1013948421 |
| PAC ID by PECOS | 4284606567 |
| Professional Enrollment ID | I20060127000764 |
| Full Name | Michael Anthony Tyner |
| Organization Legal Name | WAKE SPECIALTY PHYSICIANS LLC |
| Address |
10208 Cerny St Raleigh NC 27617-7884 |
| Phone Number | 9192344468 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE |
| Graduation Year | 1983 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 7416006085 |
| Number of Group Practice Members | 525 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340173 | WAKEMED, CARY HOSPITAL |
| 340069 | WAKEMED, RALEIGH CAMPUS |
| 340114 | REX HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 160 Macgregor Pines Dr, Cary, NC 27511-6036 | 9192344468 | WAKE SPECIALTY PHYSICIANS LLC |
| 10208 Cerny St, Raleigh, NC 27617-7884 | 9192344468 | WAKE SPECIALTY PHYSICIANS LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | WAKE SPECIALTY PHYSICIANS LLC |
| Physicians | 129 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen Randolph Tibbels | Family Medicine | Wake Specialty Physicians LLC | 2930 Forestville Rd, Raleigh, NC 27616-8774 |
| Sheree D. Givre | Internal Medicine | Wake Specialty Physicians LLC | 2406 Blue Ridge Rd, Raleigh, NC 27607-6678 |
| Kelechi C Uwakwe | Nurse Practitioner | Wake Specialty Physicians LLC | 150 E Davie St, Raleigh, NC 27601-1806 |
| Jewell Elizabeth Whitmer | Certified Nurse Midwife (cnm) | Wake Specialty Physicians LLC | 204 Ashville Ave, Cary, NC 27518-6670 |
| Shahla Naz | Family Medicine | Wake Specialty Physicians LLC | 101 Cotten Ln, Holly Springs, NC 27540-8415 |
| Pamela L Borden | Certified Nurse Midwife | Wake Specialty Physicians LLC | 208 Ashville Ave, Cary, NC 27518-6678 |
| Swapna V Chenna | Family Medicine | Wake Specialty Physicians LLC | 231 N Judd Pkwy Ne, Fuquay Varina, NC 27526-2694 |
| Dustin Pierson | Family Medicine | Wake Specialty Physicians LLC | 7124 Knightdale Blvd, Knightdale, NC 27545-9265 |
| Adija D Bailey | Physician Assistant | Wake Specialty Physicians LLC | 901 Old Knight Rd, Knightdale, NC 27545-9065 |
| Michael F Soboeiro | Internal Medicine | Wake Specialty Physicians LLC | 400 Us Hwy 70 E, Garner, NC 27529 |
| Street Address |
10208 CERNY ST |
| City | RALEIGH |
| State | NC |
| Zip | 27617-7884 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Taylor Brooke Lawrence | Nurse Practitioner | Rtp Healthy Wellness Pllc | 10208 Cerny St, Suite 206, Raleigh, NC 27617-7885 |
| Emil Mitter Kheterpal | Urology | Associated Urologists of North Carolina Pa | 10208 Cerny St, Suite 202, Raleigh, NC 27617-6503 |
| John Illsley | Physician Assistant | Rtp Healthy Wellness Pllc | 10208 Cerny St, Suite 206, Raleigh, NC 27617-7885 |
| Michelle M Dowdall | Physician Assistant | Shanahan Rheumatology and Immunotherapy, Pllc | 10208 Cerny St, Raleigh, NC 27617-7884 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alexander Portner | Chiropractic | Claudio Chiropractic and Wellness Pllc | 7841 Alexander Promenade Pl, Suite 120, Raleigh, NC 27617-1914 |
| Annina Marie Palucci Dougherty | Physical Therapy | Activcare Physical Therapy LLC | 7880 Alexander Promenade Pl, Raleigh, NC 27617-1918 |
| John Sunghoon Won | Oral Surgery | 8851 Ellstree Ln, Suite 116, Raleigh, NC 27617-2046 | |
| William Barrett Gunter | Obstetrics/gynecology | Uwh of North Carolina LLP | 8851 Ellstree Lane, Suite 201, Raleigh, NC 27617-2046 |
| Michael Walker Kelly | Ophthalmology | The Kelly Eye Center Pa | 8851 Ellstree Ln, Suite 200, Raleigh, NC 27617-2046 |
| Sean W Smolenyak | Optometry | The Kelly Eye Center Pa | 8851 Ellstree Ln, Suite 200, Raleigh, NC 27617-2046 |
| John William Langel | Optometry | The Kelly Eye Center Pa | 8851 Ellstree Ln, Suite 200, Raleigh, NC 27617-2046 |
| Toby A Ritterhoff | Obstetrics/gynecology | Uwh of North Carolina LLP | 8851 Ellstree Lane, Suite 201, Raleigh, NC 27617-2046 |
| Thomas R Sneed | Psychiatry | Triangle Springs Physician Group LLC | 10901 World Trade Blvd, Raleigh, NC 27617-4203 |
| Samuel David Aloian | Physician Assistant | Triangle Springs Physician Group LLC | 10901 World Trade Blvd, Raleigh, NC 27617-4203 |
| Find all physicians in zip 27617 | |||
| City | RALEIGH |
| Zip Code | 27617 |
| Specialty | GENERAL SURGERY |
| City + Specialty | RALEIGH + GENERAL SURGERY |
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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.