Gerald D Crist (NPI# 1134668007, PAC ID# 7113204876) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1134668007 |
| PAC ID by PECOS | 7113204876 |
| Professional Enrollment ID | I20170505000750 |
| Full Name | Gerald D Crist |
| Organization Legal Name | VALLEY RADIOLOGY P A |
| Address |
1638 Owen Dr Fayetteville NC 28304-3424 |
| Phone Number | 9106094000 |
| Gender | M |
| Graduation Year | 2016 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 0749181089 |
| Number of Group Practice Members | 31 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340028 | CAPE FEAR VALLEY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1638 Owen Dr, Fayetteville, NC 28304-3424 | 9106094000 | VALLEY RADIOLOGY P A |
| 3186 Village Dr, Suite 201, Fayetteville, NC 28304-3979 | 9104865700 | VALLEY RADIOLOGY P A |
| Organization Legal Name | VALLEY RADIOLOGY P A |
| Physicians | 34 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bryan N Swilley | Diagnostic Radiology | Valley Radiology P A | 3186 Village Dr, Suite 201, Fayetteville, NC 28304-3979 |
| James Eugene Shearer | Diagnostic Radiology | Valley Radiology P A | 3186 Village Dr, Suite 201, Fayetteville, NC 28304-3979 |
| Gretchen Elizabeth Green | Diagnostic Radiology | Valley Radiology P A | 3186 Village Dr, Suite 201, Fayetteville, NC 28304-3979 |
| Leroy Roberts Jr. | Diagnostic Radiology | Valley Radiology P A | 3186 Village Dr, Suite 201, Fayetteville, NC 28304-3979 |
| Ali K Nasim | Diagnostic Radiology | Valley Radiology P A | 3186 Village Dr, Suite 201, Fayetteville, NC 28304-3979 |
| Harry T Ameredes | Diagnostic Radiology | Valley Radiology P A | 3186 Village Dr, Suite 201, Fayetteville, NC 28304-3979 |
| Walson K Metzger | Diagnostic Radiology | Valley Radiology P A | 3186 Village Dr, Suite 201, Fayetteville, NC 28304-3979 |
| Richard E Roux | Diagnostic Radiology | Valley Radiology P A | 3186 Village Dr, Suite 201, Fayetteville, NC 28304-3979 |
| Bruce M Distell | Diagnostic Radiology | Valley Radiology P A | 3186 Village Dr, Suite 201, Fayetteville, NC 28304-3979 |
| Murali Krishna Meka | Diagnostic Radiology | Valley Radiology P A | 3186 Village Dr, Suite 201, Fayetteville, NC 28304-3979 |
| Street Address |
1638 OWEN DR |
| City | FAYETTEVILLE |
| State | NC |
| Zip | 28304-3424 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph Clair | Certified Registered Nurse Anesthetist (crna) | Cumberland County Hospital System Inc | 1638 Owen Dr, Fayetteville, NC 28304-3424 |
| Heather M Maynor | Nurse Practitioner | Cumberland County Hospital System Inc | 1638 Owen Dr, Fayetteville, NC 28304-3424 |
| Jingchuan Wang | Pathology | Associated Pathologists LLC | 1638 Owen Dr, Fayetteville, NC 28304-3424 |
| Kenneth Manning | Medical Oncology | Cumberland County Hospital System Inc | 1638 Owen Dr, Fayetteville, NC 28304-3424 |
| Leesa F Davis | Certified Registered Nurse Anesthetist (crna) | Cumberland County Hospital System Inc | 1638 Owen Dr, Fayetteville, NC 28304-3424 |
| Emmanuel O Nwamara-aka | Hospitalist | Cumberland County Hospital System Inc | 1638 Owen Dr, Fayetteville, NC 28304-3424 |
| Casi P Gilmer | Nurse Practitioner | Cumberland County Hospital System Inc | 1638 Owen Dr, Fayetteville, NC 28304-3424 |
| Michele T Provost | Physician Assistant | Cumberland County Hospital System Inc | 1638 Owen Dr, Fayetteville, NC 28304-3424 |
| Wanda C Untch | Certified Registered Nurse Anesthetist (crna) | Cumberland County Hospital System Inc | 1638 Owen Dr, Fayetteville, NC 28304-3424 |
| Peter Carson Messick | Emergency Medicine | Cfvhs Ed Physicians | 1638 Owen Dr, Fayetteville, NC 28304-3424 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rachelle Kelly Porath | Physical Therapy | Activcare Physical Therapy, LLC | 2350 Bentridge Ln, Suite 100, Fayetteville, NC 28304-0590 |
| Amir Sanii | Physical Therapy | Activcare Physical Therapy, LLC | 2350 Bentridge Ln, Suite 100, Fayetteville, NC 28304-0590 |
| Abigail Michelle Weiskopf | Physical Therapy | Activcare Physical Therapy, LLC | 2350 Bentridge Ln, Suite 100, Fayetteville, NC 28304-0590 |
| Cynthia Caskey Oberfelder | Diagnostic Radiology | Oroville Hospital | 2053 Loganberry Dr, Fayetteville, NC 28304-0804 |
| Frank C Snyder | Diagnostic Radiology | Oroville Hospital | 2053 Loganberry Dr, Fayetteville, NC 28304-0804 |
| Latondra Denise Stillwell Barker | Physician Assistant | Cumberland County Hospital System Inc | 3308 Melrose Rd, Fayetteville, NC 28304-1604 |
| Cheryl J Fiser | Clinical Social Worker | Cumberland County Hospital System Inc | 3308 Melrose Rd, Fayetteville, NC 28304-1604 |
| Amita S Shetty | Internal Medicine | Cumberland County Hospital System Inc | 3308 Melrose Rd, Fayetteville, NC 28304-1604 |
| Yvonne W Lewis | Physician Assistant | Cumberland County Hospital System Inc | 3308 Melrose Rd, Fayetteville, NC 28304-1604 |
| Sheila M Agustin | Nurse Practitioner | Cumberland County Hospital System Inc | 3308 Melrose Rd, Fayetteville, NC 28304-1604 |
| Find all physicians in zip 28304 | |||
| City | FAYETTEVILLE |
| Zip Code | 28304 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | FAYETTEVILLE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Gerald D Crist.
| 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.