Christopher Mallard (NPI# 1134533102, PAC ID# 6608181334) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERVENTIONAL PAIN MANAGEMENT.
| Nation Provider ID (NPI) | 1134533102 |
| PAC ID by PECOS | 6608181334 |
| Professional Enrollment ID | I20190624002809 |
| Full Name | Christopher Mallard |
| Organization Legal Name | PREMIER PAIN SOLUTIONS PLLC |
| Address |
5710 Oleander Dr Suite 201 Wilmington NC 28403-4722 |
| Phone Number | 8282210121 |
| Gender | M |
| Graduation Year | 2014 |
| Primary Specialty | INTERVENTIONAL PAIN MANAGEMENT |
| Group Practice PAC ID | 0749573012 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 341307 | PENDER MEMORIAL HOSPITAL |
| 340141 | NEW HANOVER REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 5710 Oleander Dr, Suite 201, Wilmington, NC 28403-4722 | 8282210121 | PREMIER PAIN SOLUTIONS PLLC |
| Organization Legal Name | PREMIER PAIN SOLUTIONS PLLC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brant W Turner | Physician Assistant | Premier Pain Solutions Pllc | 201 Richard St, Suite A, Easley, SC 29640-1442 |
| Kathy Long Lewis | Nurse Practitioner | Premier Pain Solutions Pllc | 5710 Oleander Dr, Suite 201, Wilmington, NC 28403-4722 |
| Christopher Campbell | Physician Assistant | Premier Pain Solutions Pllc | 5710 Oleander Dr, Suite 201, Wilmington, NC 28403-4722 |
| Kenneth W Barrow Jr. | Physician Assistant | Premier Pain Solutions Pllc | 5710 Oleander Dr, Suite 201, Wilmington, NC 28403-4722 |
| Javid Mu'az Baksh | Anesthesiology | Premier Pain Solutions Pllc | 100 Hospital Dr, Columbus, NC 28722-6418 |
| Fawne M Woosley | Physician Assistant | Premier Pain Solutions Pllc | 5710 Oleander Dr, Suite 201, Wilmington, NC 28403-4722 |
| Street Address |
5710 OLEANDER DR SUITE 201 |
| City | WILMINGTON |
| State | NC |
| Zip | 28403-4722 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sally Foster | Physical Therapy | Zumbro and Connell Inc | 5710 Oleander Dr, Suite 211, Wilmington, NC 28403-4722 |
| Kathy Long Lewis | Nurse Practitioner | Premier Pain Solutions Pllc | 5710 Oleander Dr, Suite 201, Wilmington, NC 28403-4722 |
| Christopher Campbell | Physician Assistant | Premier Pain Solutions Pllc | 5710 Oleander Dr, Suite 201, Wilmington, NC 28403-4722 |
| Kenneth W Barrow Jr. | Physician Assistant | Premier Pain Solutions Pllc | 5710 Oleander Dr, Suite 201, Wilmington, NC 28403-4722 |
| Karen Lambert | Physical Therapy | Zumbro and Connell Inc | 5710 Oleander Dr, Suite 211, Wilmington, NC 28403-4722 |
| Mary Julianne Runey | Physical Therapy | Zumbro and Connell Inc | 5710 Oleander Dr, Suite 211, Wilmington, NC 28403-4722 |
| Tina Fortier | Physical Therapy | Zumbro and Connell Inc | 5710 Oleander Dr, Suite 211, Wilmington, NC 28403-4722 |
| Christine Branco | Physical Therapy | Zumbro and Connell Inc | 5710 Oleander Dr, Suite 211, Wilmington, NC 28403-4722 |
| Patrick V Mcconnell | Physician Assistant | 5710 Oleander Dr, Suite 103, Wilmington, NC 28403-4723 | |
| Michelle Zumbro | Physical Therapy | Zumbro and Connell Inc | 5710 Oleander Dr, Suite 211, Wilmington, NC 28403-4722 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maria Tar | Clinical Social Worker | 1410 Commonwealth Dr, Suite 101a, Wilmington, NC 28403-0383 | |
| Christopher R Myers | Psychiatry | Physician Alliance for Mental Health, LLC | 3208 Oleander Dr, Wilmington, NC 28403-0800 |
| Brett A Gurkin | Psychiatry | Physician Alliance for Mental Health, LLC | 3208 Oleander Dr, Wilmington, NC 28403-0800 |
| Geoffrey D Holland | Physician Assistant | Physician Alliance for Mental Health, LLC | 3208 Oleander Dr, Wilmington, NC 28403-0800 |
| Patricia Davis Prichard | Clinical Social Worker | Physician Alliance for Mental Health, LLC | 3208 Oleander Dr, Wilmington, NC 28403-0800 |
| Katherine Sharon Martin | Clinical Social Worker | Physician Alliance for Mental Health, LLC | 3208 Oleander Dr, Wilmington, NC 28403-0800 |
| Catherine Marie Dalton | Clinical Social Worker | Physician Alliance for Mental Health, LLC | 3208 Oleander Dr, Wilmington, NC 28403-0800 |
| Joseph Painter | Clinical Social Worker | Physician Alliance for Mental Health, LLC | 3208 Oleander Dr, Wilmington, NC 28403-0800 |
| Rasika Khatu Whitesell | Optometry | Myeyedr Optometry of North Carolina Pllc | 3501 Oleander Dr, Suite 7, Wilmington, NC 28403-0824 |
| Thomas M Walent Iii | Optometry | The Eye Center Doctors of Optometry Pa | 3500 Oleander Dr, B10, Wilmington, NC 28403-0842 |
| Find all physicians in zip 28403 | |||
| City | WILMINGTON |
| Zip Code | 28403 |
| Specialty | INTERVENTIONAL PAIN MANAGEMENT |
| City + Specialty | WILMINGTON + INTERVENTIONAL PAIN MANAGEMENT |
Please comment or provide details below to improve the information on Christopher Mallard.
| 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.