Tiare Rena Scates (NPI# 1912289950, PAC ID# 4981850856) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1912289950 |
| PAC ID by PECOS | 4981850856 |
| Professional Enrollment ID | I20120808000510 |
| Full Name | Tiare Rena Scates |
| Organization Legal Name | EMERGEORTHO PA |
| Address |
5160 Ocean Hwy W Shallotte NC 28470-4012 |
| Phone Number | 9103323800 |
| Gender | F |
| Graduation Year | 2011 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0749188894 |
| Number of Group Practice Members | 415 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340158 | NOVANT HEALTH BRUNSWICK MEDICAL CENTER |
| 341327 | J ARTHUR DOSHER MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 5160 Ocean Hwy W, Shallotte, NC 28470-4012 | 9103323800 | EMERGEORTHO PA |
| Organization Legal Name | EMERGEORTHO PA |
| Physicians | 412 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason Todd Wall | Physical Therapy | Emergeortho Pa | 139 Fiddlers Run Blvd, Morganton, NC 28655-0095 |
| Lawrence Anthony Montalto | Pain Management | Emergeortho Pa | 5160 Ocean Hwy W, Shallotte, NC 28470-4012 |
| Danielle Griffin | Nurse Practitioner | Emergeortho Pa | 503 E Parker Rd, Morganton, NC 28655-5104 |
| Cory N Egli | Physical Therapy | Emergeortho Pa | 2716 Ashton Dr, Wilmington, NC 28412-2489 |
| Gabrielle Johnston | Physician Assistant | Emergeortho Pa | 2076 Hwy 42 W, Clayton, NC 27520-5302 |
| Frank Mikloucich | Physical Therapy | Emergeortho Pa | 3787 Shipyard Blvd, Wilmington, NC 28403-6148 |
| Donald Fuller | Physical Therapy | Emergeortho Pa | 8115 Market St, Suite 108, Wilmington, NC 28411-8429 |
| Christina Marie Valvano | Physical Therapy | Emergeortho Pa | 7459 High Market St, Suite 6, Sunset Beach, NC 28468-4333 |
| Richard Suchan | Physical Therapy | Emergeortho Pa | 2585 Hendersonville Rd, Arden, NC 28704-9577 |
| Brenda L Culbertson | Physical Therapy | Emergeortho Pa | 107 E Mcclanahan St, Oxford, NC 27565-2919 |
| Street Address |
5160 OCEAN HWY W |
| City | SHALLOTTE |
| State | NC |
| Zip | 28470-4012 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lawrence Anthony Montalto | Pain Management | Emergeortho Pa | 5160 Ocean Hwy W, Shallotte, NC 28470-4012 |
| Thomas E Lawson Iii | Nurse Practitioner | Emergeortho Pa | 5160 Ocean Hwy W, Shallotte, NC 28470-4012 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| George L Saunders Iii | Geriatric Medicine | Brunswick Gericare PC | 460 Holden Beach Rd, Shallotte, NC 28470-1711 |
| Debra C Webb | Optometry | Dr. Christopher J. Moshoures Optometrist Pa | 4830 Main St, Shallotte, NC 28470-1863 |
| Elizabeth J Cooke | Optometry | Dr. Christopher J. Moshoures Optometrist Pa | 4830 Main St, Shallotte, NC 28470-1863 |
| Stephanie R Hardy | Optometry | Dr. Christopher J. Moshoures Optometrist Pa | 4830 Main St, Shallotte, NC 28470-1863 |
| Deborah C Varnam | Nurse Practitioner | Rdmg Associates Pa | 4748 Main St, Shallotte, NC 28470-1880 |
| Brandi M Knight | Nurse Practitioner | Rdmg Associates Pa | 4748 Main St, Shallotte, NC 28470-1880 |
| John H Fillmore | Nurse Practitioner | Novant Medical Group Inc | 5145 Sellers Rd, Shallotte, NC 28470-3405 |
| Kelli P Duncan | Physician Assistant | Novant Medical Group Inc | 5145 Sellers Rd, Shallotte, NC 28470-3405 |
| Jennifer Schweer | Nurse Practitioner | Novant Medical Group Inc | 5145 Sellers Rd, Shallotte, NC 28470-3405 |
| Olga K Samplawski | Physician Assistant | Novant Medical Group Inc | 5145 Sellers Rd, Shallotte, NC 28470-3405 |
| Find all physicians in zip 28470 | |||
| City | SHALLOTTE |
| Zip Code | 28470 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SHALLOTTE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Tiare Rena Scates.
| 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.