Nathan Patrick Fergus (NPI# 1124224639, PAC ID# 6709000516) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1124224639 |
| PAC ID by PECOS | 6709000516 |
| Professional Enrollment ID | I20150629000844 |
| Full Name | Nathan Patrick Fergus |
| Organization Legal Name | CHARLOTTE RADIOLOGY PA |
| Address |
1656 Riverchase Blvd Suite 1200 Rock Hill SC 29732-0270 |
| Phone Number | 8033279934 |
| Gender | M |
| Medical School | WRIGHT STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2007 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 4587577390 |
| Number of Group Practice Members | 147 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340113 | CAROLINAS MEDICAL CENTER/BEHAV HEALTH |
| 340001 | CAROLINAS MEDICAL CENTER-NORTHEAST |
| 340130 | CAROLINAS HEALTHCARE SYSTEM UNION |
| 340098 | CAROLINAS MEDICAL CENTER-PINEVILLE |
| 340166 | CAROLINAS MED CTR-UNIVERSITY |
| Address | Phone | Organization |
|---|---|---|
| 1000 Blythe Blvd, Charlotte, NC 28203-5812 | 7043621945 | CHARLOTTE RADIOLOGY PA |
| 1656 Riverchase Blvd, Suite 1200, Rock Hill, SC 29732-0270 | 8033279934 | CHARLOTTE RADIOLOGY PA |
| Organization Legal Name | CHARLOTTE RADIOLOGY PA |
| Physicians | 141 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew Bennett | Diagnostic Radiology | Charlotte Radiology Pa | 1045 Negateway Ne Ct, Concord, NC 28025-2440 |
| Dale Russell Shaw | Diagnostic Radiology | Charlotte Radiology Pa | 175 Amendment Ave, Rock Hill, SC 29732-3042 |
| Adrienne C Bean | Diagnostic Radiology | Charlotte Radiology Pa | 1090 Nw Gateway Ct, Suite 202, Concord, NC 28025-2414 |
| Marc Angelo Mancuso | Diagnostic Radiology | Charlotte Radiology Pa | 1802 E Main St, Lincolnton, NC 28092-3915 |
| Brian Adrian Howard | Diagnostic Radiology | Charlotte Radiology Pa | 3816 Latrobe Dr, Charlotte, NC 28211-1167 |
| Gary Joseph Defilipp | Diagnostic Radiology | Charlotte Radiology Pa | 7666 Charlotte Hwy 120, Indian Land, SC 29707-7003 |
| Ole Sami Aassar | Diagnostic Radiology | Charlotte Radiology Pa | 200 Glendale Dr W, Wilson, NC 27893-2772 |
| Pamela Sutton Oravetz | Physician Assistant | Charlotte Radiology Pa | 920 Church St N, Concord, NC 28025-2927 |
| Michael V. Varricchio Jr. | Physician Assistant | Charlotte Radiology Pa | 920 Church St N, Concord, NC 28025-2927 |
| Chelsea N Hanne | Physician Assistant | Charlotte Radiology Pa | 920 Church St N, Concord, NC 28025-2927 |
| Street Address |
1656 RIVERCHASE BLVD SUITE 1200 |
| City | ROCK HILL |
| State | SC |
| Zip | 29732-0270 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John Michael Fedor | Cardiac Electrophysiology | Carolinas Physicians Network Inc | 1656 Riverchase Blvd, Rock Hill, SC 29732-2084 |
| 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 |
| Stephen R. Martin | Family Medicine | Shiland Family Medicine | 1656 Riverchase Blvd, Suite 2400, Rock Hill, SC 29732-0271 |
| Brian Williams | Family Medicine | Shiland Family Medicine | 1656 Riverchase Blvd, Suite 2400, Rock Hill, SC 29732-0271 |
| Shirley K Scott | General Surgery | The Charlotte-mecklenburg Hospital Authority | 1656 Riverchase Blvd, Suite 1400, Rock Hill, SC 29732-1724 |
| Kim S Nathan | Physician Assistant | The Charlotte-mecklenburg Hospital Authority | 1656 Riverchase Blvd, Suite 1400, Rock Hill, SC 29732-1724 |
| Rosalind V Becker | Physician Assistant | Shiland Family Medicine | 1656 Riverchase Blvd, Suite 2400, Rock Hill, SC 29732-0271 |
| David S Nix | Medical Oncology | The Charlotte-mecklenburg Hospital Authority | 1656 Riverchase Blvd, Suite 1400, Rock Hill, SC 29732-1724 |
| Rickin Shah | Diagnostic Radiology | Charlotte Radiology Pa | 1656 Riverchase Blvd, Suite 1200, Rock Hill, SC 29732-0270 |
| Find all physicians in the same address | |||
| 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 |
| 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 |
| Brian Harshman | Diagnostic Radiology | Charlotte Radiology Pa | 1656 Riverchase Blvd, Suite 1200, Rock Hill, SC 29732-0270 |
| Jeremy Inkwon Kim | Diagnostic Radiology | Charlotte Radiology Pa | 1656 Riverchase Blvd, Suite 1200, Rock Hill, SC 29732-0270 |
| William Carey Werthmuller | Diagnostic Radiology | Charlotte Radiology Pa | 1656 Riverchase Blvd, Suite 1200, Rock Hill, SC 29732-0270 |
| Natasha Renee Pyfrom | Family Medicine | Shiland Family Medicine | 1656 Riverchase Blvd, Suite 2400, Rock Hill, SC 29732-0271 |
| Find all physicians in zip 29732 | |||
| City | ROCK HILL |
| Zip Code | 29732 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | ROCK HILL + DIAGNOSTIC RADIOLOGY |
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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.