Craig S Self (NPI# 1154301844, PAC ID# 4284734369) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
Nation Provider ID (NPI) | 1154301844 |
PAC ID by PECOS | 4284734369 |
Professional Enrollment ID | I20070703000555 |
Full Name | Craig S Self |
Organization Legal Name | CHARLOTTE EYE EAR NOSE AND THROAT ASSOCIATES PA |
Address |
646 Hartness Rd Statesville NC 28677-3423 |
Phone Number | 7048724108 |
Gender | M |
Medical School | EAST CAROLINA UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 1994 |
Primary Specialty | OPHTHALMOLOGY |
Group Practice PAC ID | 0446155451 |
Number of Group Practice Members | 149 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
340039 | IREDELL MEMORIAL HOSPITAL INC |
Address | Phone | Organization |
---|---|---|
646 Hartness Rd, Statesville, NC 28677-3423 | 7048724108 | CHARLOTTE EYE EAR NOSE AND THROAT ASSOCIATES PA |
Organization Legal Name | CHARLOTTE EYE EAR NOSE AND THROAT ASSOCIATES PA |
Physicians | 149 |
Name | Specialty | Organization | Address |
---|---|---|---|
Neela Rao | Otolaryngology | Charlotte Eye Ear Nose and Throat Associates Pa | 13532 Steelecroft Pkwy, Charlotte, NC 28278-7545 |
Ian David Kirchner | Ophthalmology | Charlotte Eye Ear Nose and Throat Associates Pa | 2325 W Arbors Dr, Suite 201, Charlotte, NC 28262-2664 |
Riley Cathleen Rogan | Qualified Audiologist | Charlotte Eye Ear Nose and Throat Associates Pa | 724 Aubrey Bell Dr, Matthews, NC 28105-5055 |
Sandra Angela Nassar | Optometry | Charlotte Eye Ear Nose and Throat Associates Pa | 200 S Herlong A, Rock Hill, SC 29732-1182 |
Margaret Baura | Physician Assistant | Charlotte Eye Ear Nose and Throat Associates Pa | 1698 Hwy 160 W 240, Fort Mill, SC 29708-8035 |
Amber Leann Murtaugh | Physician Assistant | Charlotte Eye Ear Nose and Throat Associates Pa | 400 Park St, Belmont, NC 28012-3368 |
Veronica Mary Bradley | Physician Assistant | Charlotte Eye Ear Nose and Throat Associates Pa | 149 Plantation Ridge Dr, Suite 190, Mooresville, NC 28117-9178 |
Leighanne Hoskins Dorton | Otolaryngology | Charlotte Eye Ear Nose and Throat Associates Pa | 530 Corporate Cir, Salisbury, NC 28147-8074 |
Matthew Earl Kyer | Physician Assistant | Charlotte Eye Ear Nose and Throat Associates Pa | 838 W Meeting St C, Lancaster, SC 29720-6233 |
John D Kilde | Otolaryngology | Charlotte Eye Ear Nose and Throat Associates Pa | 1908 Hilco St, Suite A, Albemarle, NC 28001-6388 |
Street Address |
646 HARTNESS RD |
City | STATESVILLE |
State | NC |
Zip | 28677-3423 |
Name | Specialty | Organization | Address |
---|---|---|---|
Deanna D Taylor | Certified Registered Nurse Anesthetist (crna) | Carolina Anesthesia Associates Pa | 646 Hartness Rd, Statesville, NC 28677-3423 |
Name | Specialty | Organization | Address |
---|---|---|---|
Rick D Bartlett | Optometry | Bartlett Grigsby Boan and Assoc Pllc | 843 N Ctr St, Statesville, NC 28677-3222 |
Stephen P Rosser | General Surgery | Piedmont Healthcare Pa | 750 Hartness Rd, Suite G, Statesville, NC 28677-3400 |
Patricia K Hill | Psychiatry | 750 Hartness Rd C, Statesville, NC 28677-3400 | |
Trishwant S Garcha | Neurology | 750 Hartness Rd, Statesville, NC 28677-3400 | |
Byron E Dunaway | Orthopedic Surgery | Piedmont Healthcare Pa | 633 Brookdale Dr, Suite 300, Statesville, NC 28677-3403 |
Sherry Repass | Nurse Practitioner | Piedmont Healthcare Pa | 633 Brookdale Dr, Suite 300, Statesville, NC 28677-3403 |
Vivek M Trivedi | Gastroenterology | Piedmont Healthcare Pa | 633 Brookdale Dr, Suite 100, Statesville, NC 28677-3403 |
Landry B. Schofield | Nurse Practitioner | Piedmont Healthcare Pa | 633 Brookdale Dr, Suite 100, Statesville, NC 28677-3403 |
Tiedre Palmer | Nurse Practitioner | Piedmont Healthcare Pa | 633 Brookdale Dr, Suite 100, Statesville, NC 28677-3403 |
Jeanna Bergandine Chapman | Nurse Practitioner | Piedmont Healthcare Pa | 633 Brookdale Dr, Suite 300, Statesville, NC 28677-3403 |
Find all physicians in zip 28677 |
City | STATESVILLE |
Zip Code | 28677 |
Specialty | OPHTHALMOLOGY |
City + Specialty | STATESVILLE + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Craig S Self.
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.