Kelli A Reardon (NPI# 1013175769, PAC ID# 6406098185) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is RADIATION ONCOLOGY.
| Nation Provider ID (NPI) | 1013175769 |
| PAC ID by PECOS | 6406098185 |
| Professional Enrollment ID | I20160303000022 |
| Full Name | Kelli A Reardon |
| Organization Legal Name | PIEDMONT RADIATION ONCOLOGY P A |
| Address |
3333 Silas Creek Pkwy Winston Salem NC 27103-3013 |
| Phone Number | 3367188592 |
| Gender | F |
| Medical School | UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE |
| Graduation Year | 2008 |
| Primary Specialty | RADIATION ONCOLOGY |
| Group Practice PAC ID | 6204931082 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340014 | NOVANT HEALTH FORSYTH MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1710 Kernersville Medical Pkwy, Suite 116, Kernersville, NC 27284-7156 | 3367188592 | PIEDMONT RADIATION ONCOLOGY P A |
| 1750 Kernersville Medical Pkwy, Kernersville, NC 27284-7146 | 3365644090 | PIEDMONT RADIATION ONCOLOGY P A |
| 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 | 3367188592 | PIEDMONT RADIATION ONCOLOGY P A |
| Organization Legal Name | PIEDMONT RADIATION ONCOLOGY P A |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Philmo Youngmin Oh | Radiation Oncology | Piedmont Radiation Oncology P A | 1750 Kernersville Medical Pkwy, Kernersville, NC 27284-7146 |
| Judith D Sears | Surgical Oncology | Piedmont Radiation Oncology P A | 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 |
| Beverly Dawn Moose | Radiation Oncology | Piedmont Radiation Oncology P A | 1750 Kernersville Medical Pkwy, Kernersville, NC 27284-7146 |
| Volker W Stieber | Radiation Oncology | Piedmont Radiation Oncology P A | 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 |
| Lisa S Evans | Radiation Oncology | Piedmont Radiation Oncology P A | 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 |
| Ann J Mccunniff | Radiation Oncology | Piedmont Radiation Oncology P A | 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 |
| Street Address |
3333 SILAS CREEK PKWY |
| City | WINSTON SALEM |
| State | NC |
| Zip | 27103-3013 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ralph D Updyke Jr. | Physician Assistant | Novant Medical Group Inc | 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 |
| Modupeola Oluwatoyin Akinola | Pediatric Medicine | Wake Forest University Health Sciences | 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 |
| Deborah K Potticary | Nurse Practitioner | Novant Medical Group Inc | 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 |
| Timothy S Collins | Hematology/oncology | Forsyth Memorial Hospital Inc | 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 |
| Connie S Freeman | Certified Registered Nurse Anesthetist (crna) | Piedmont Triad Anesthesia, Pa | 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 |
| Ahunna N Okwubunka Anyim | Family Medicine | Novant Medical Group Inc | 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 |
| Bobbi-lyn Brown | Nurse Practitioner | Novant Medical Group Inc | 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 |
| Christopher David Rankin | Hospitalist | Novant Medical Group Inc | 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 |
| Tara L Sherrod | Physician Assistant | Forsyth Memorial Hospital Inc | 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 |
| Scott Saucedo | Neurology | Forsyth Memorial Hospital Inc | 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Predrag V Gligorovic | Psychiatry | Wake Forest University Health Sciences | 791 Jonestown Rd, Wfbh Psychiatry Jonestown, Winston-salem, NC 27103-1252 |
| John G Spangler | Family Medicine | Wake Forest University Health Sciences | 791 Jonestown Rd, Wfbh Psychiatry Jonestown, Winston-salem, NC 27103-1252 |
| Sahil Munjal | Psychiatry | Wake Forest University Health Sciences | 791 Jonestown Rd, Wfbh Psychiatry Jonestown, Winston-salem, NC 27103-1252 |
| Stephen I Kramer | Psychiatry | Wake Forest University Health Sciences | 791 Jonestown Rd, Wfbh Psychiatry Jonestown, Winston-salem, NC 27103-1252 |
| Gayathri D Tadepalli | Psychiatry | Wake Forest University Health Sciences | 791 Jonestown Rd, Wfbh Psychiatry Jonestown, Winston-salem, NC 27103-1252 |
| Richard Patrick Smith | Psychiatry | Wake Forest University Health Sciences | 791 Jonestown Rd, Wfbh Psychiatry Jonestown, Winston-salem, NC 27103-1252 |
| James N Kimball | Psychiatry | Wake Forest University Health Sciences | 791 Jonestown Rd, Wfbh Psychiatry Jonestown, Winston-salem, NC 27103-1252 |
| Katherine Atala | Psychiatry | Wake Forest University Health Sciences | 791 Jonestown Rd, Wfbh Psychiatry Jonestown, Winston-salem, NC 27103-1252 |
| Heather Douglas | Psychiatry | Wake Forest University Health Sciences | 791 Jonestown Rd, Wfbh Psychiatry Jonestown, Winston-salem, NC 27103-1252 |
| Richard Adam Boiter | Psychiatry | Wake Forest University Health Sciences | 791 Jonestown Rd, Wfbh Psychiatry Jonestown, Winston-salem, NC 27103-1252 |
| Find all physicians in zip 27103 | |||
| City | WINSTON SALEM |
| Zip Code | 27103 |
| Specialty | RADIATION ONCOLOGY |
| City + Specialty | WINSTON SALEM + RADIATION ONCOLOGY |
Please comment or provide details below to improve the information on Kelli A Reardon.
| 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.