Wendy Erin Tucker Rea (NPI# 1841695103, PAC ID# 6002139516) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1841695103 |
| PAC ID by PECOS | 6002139516 |
| Professional Enrollment ID | I20171211001588 |
| Full Name | Wendy Erin Tucker Rea |
| Organization Legal Name | OMNIMED LLC |
| Address |
1393 Celanese Rd Rock Hill SC 29732-1722 |
| Phone Number | 8033661573 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 0042260804 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420002 | PIEDMONT MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1393 Celanese Rd, Rock Hill, SC 29732-1722 | 8033661573 | OMNIMED LLC |
| Organization Legal Name | OMNIMED LLC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy Cabaniss Clinton | Nurse Practitioner | Omnimed LLC | 1393 Celanese Rd, Rock Hill, SC 29732-1722 |
| Richard L Bradner | Emergency Medicine | Omnimed LLC | 9720 S Tryon St, Charlotte, NC 28273-6578 |
| Jason Tyler Given | Family Medicine | Omnimed LLC | 1393 Celanese Rd, Rock Hill, SC 29732-1722 |
| Robert D Lesslie | Emergency Medicine | Omnimed LLC | 1393 Celanese Rd, Rock Hill, SC 29732-1722 |
| Brian A Walker | Family Medicine | Omnimed LLC | 1393 Celanese Rd, Rock Hill, SC 29732-1722 |
| Doris L Chitwood | Certified Clinical Nurse Specialist (cns) | Omnimed LLC | 1393 Celanese Rd, Rock Hill, SC 29732-1722 |
| Stephen H Shepard | Physician Assistant | Omnimed LLC | 1393 Celanese Rd, Rock Hill, SC 29732-1722 |
| Anju Choudhury | Internal Medicine | Omnimed LLC | 1393 Celanese Rd, Rock Hill, SC 29732-1722 |
| Wesley L Flinn | Physician Assistant | Omnimed LLC | 1393 Celanese Rd, Rock Hill, SC 29732-1722 |
| Street Address |
1393 CELANESE RD |
| City | ROCK HILL |
| State | SC |
| Zip | 29732-1722 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy Cabaniss Clinton | Nurse Practitioner | Omnimed LLC | 1393 Celanese Rd, Rock Hill, SC 29732-1722 |
| Jason Tyler Given | Family Medicine | Omnimed LLC | 1393 Celanese Rd, Rock Hill, SC 29732-1722 |
| Robert D Lesslie | Emergency Medicine | Omnimed LLC | 1393 Celanese Rd, Rock Hill, SC 29732-1722 |
| Brian A Walker | Family Medicine | Omnimed LLC | 1393 Celanese Rd, Rock Hill, SC 29732-1722 |
| Doris L Chitwood | Certified Clinical Nurse Specialist (cns) | Omnimed LLC | 1393 Celanese Rd, Rock Hill, SC 29732-1722 |
| Stephen H Shepard | Physician Assistant | Omnimed LLC | 1393 Celanese Rd, Rock Hill, SC 29732-1722 |
| Anju Choudhury | Internal Medicine | Omnimed LLC | 1393 Celanese Rd, Rock Hill, SC 29732-1722 |
| Wesley L Flinn | Physician Assistant | Omnimed LLC | 1393 Celanese Rd, Rock Hill, SC 29732-1722 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John Carl Cedarholm | Interventional Cardiology | Carolinas Physicians Network Inc | 1656 Riverchase Blvd, Suite 2500, Rock Hill, SC 29732-0269 |
| Crystal Rachelle Vaglia | Nurse Practitioner | Carolinas Physicians Network Inc | 1656 Riverchase Blvd, Suite 2500, Rock Hill, SC 29732-0269 |
| Robert J Hosker | Diagnostic Radiology | Charlotte Radiology Pa | 1656 Riverchase Blvd, Suite 1200, Rock Hill, SC 29732-0270 |
| Hyonah Kim | Diagnostic Radiology | Charlotte Radiology Pa | 1656 Riverchase Blvd, Suite 1200, Rock Hill, SC 29732-0270 |
| Nathan Patrick Fergus | Diagnostic Radiology | Charlotte Radiology Pa | 1656 Riverchase Blvd, Suite 1200, Rock Hill, SC 29732-0270 |
| Rickin Shah | Diagnostic Radiology | Charlotte Radiology Pa | 1656 Riverchase Blvd, Suite 1200, Rock Hill, SC 29732-0270 |
| Brian Alan Perry | Diagnostic Radiology | Charlotte Radiology Pa | 1656 Riverchase Blvd, Suite 1200, Rock Hill, SC 29732-0270 |
| Kelly Clifford | Diagnostic Radiology | Charlotte Radiology Pa | 1656 Riverchase Blvd, Suite 1200, Rock Hill, SC 29732-0270 |
| James Essenberg | Diagnostic Radiology | Charlotte Radiology Pa | 1656 Riverchase Blvd, Suite 1200, Rock Hill, SC 29732-0270 |
| Richard D Redvanly | Diagnostic Radiology | Charlotte Radiology Pa | 1656 Riverchase Blvd, Suite 1200, Rock Hill, SC 29732-0270 |
| Find all physicians in zip 29732 | |||
| City | ROCK HILL |
| Zip Code | 29732 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | ROCK HILL + PHYSICIAN ASSISTANT |
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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.