Richard A Wall Jr. (NPI# 1275525388, PAC ID# 7214965482) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1275525388 |
| PAC ID by PECOS | 7214965482 |
| Professional Enrollment ID | I20050728001219 |
| Full Name | Richard A Wall Jr. |
| Organization Legal Name | TANDEM HEALTH SC |
| Address |
1278 N Lafayette Dr Sumter SC 29150-2964 |
| Phone Number | 8037744500541 |
| Gender | M |
| Credential | MD |
| Medical School | MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE |
| Graduation Year | 2003 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 3870575855 |
| Number of Group Practice Members | 30 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420070 | TUOMEY HEALTHCARE SYSTEM |
| Address | Phone | Organization |
|---|---|---|
| 1278 N Lafayette Dr, Sumter, SC 29150-2964 | 8037744500541 | TANDEM HEALTH SC |
| Organization Legal Name | TANDEM HEALTH SC |
| Physicians | 33 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard A Hall Iii | Nurse Practitioner | Tandem Health Sc | 1278 N Lafayette Dr, Sumter, SC 29150-2964 |
| Aboagye Agyenim-boateng | Obstetrics/gynecology | Tandem Health Sc | 319 N Main St, Sumter, SC 29150-4258 |
| Joel J Snipe | Obstetrics/gynecology | Tandem Health Sc | 370 S Pike W, Sumter, SC 29150-2664 |
| Leslie R Justice | Certified Clinical Nurse Specialist (cns) | Tandem Health Sc | 25 E Clark St, Pinewood, SC 29125-8989 |
| Michael B Coseo | Registered Dietitian Or Nutrition Professional | Tandem Health Sc | 1278 N Lafayette Dr, Sumter, SC 29150-2964 |
| Jonathan P Ashley | Family Medicine | Tandem Health Sc | 1278 N Lafayette Dr, Sumter, SC 29150-2964 |
| Karen Page | Clinical Social Worker | Tandem Health Sc | 1278 N Lafayette Dr, Sumter, SC 29150-2964 |
| Jacquelyn Suzanne Gill | Internal Medicine | Tandem Health Sc | 25 E Clark St, Pinewood, SC 29125-8989 |
| Lydia C Elliott | Certified Nurse Midwife (cnm) | Tandem Health Sc | 319 N Main St, Sumter, SC 29150-4258 |
| Frederick C. Stone | Family Medicine | Tandem Health Sc | 1278 N Lafayette Dr, Sumter, SC 29150-2964 |
| Street Address |
1278 N LAFAYETTE DR |
| City | SUMTER |
| State | SC |
| Zip | 29150-2964 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard A Hall Iii | Nurse Practitioner | Tandem Health Sc | 1278 N Lafayette Dr, Sumter, SC 29150-2964 |
| Michael B Coseo | Registered Dietitian Or Nutrition Professional | Tandem Health Sc | 1278 N Lafayette Dr, Sumter, SC 29150-2964 |
| Jonathan P Ashley | Family Medicine | Tandem Health Sc | 1278 N Lafayette Dr, Sumter, SC 29150-2964 |
| Karen Page | Clinical Social Worker | Tandem Health Sc | 1278 N Lafayette Dr, Sumter, SC 29150-2964 |
| Frederick C. Stone | Family Medicine | Tandem Health Sc | 1278 N Lafayette Dr, Sumter, SC 29150-2964 |
| Nelson H Sturgis Iii | Pediatric Medicine | Tandem Health Sc | 1278 N Lafayette Dr, Sumter, SC 29150-2964 |
| Bhatraphol Tingpej | Infectious Disease | Tandem Health Sc | 1278 N Lafayette Dr, Sumter, SC 29150-2964 |
| Russell Victor Brant | Internal Medicine | Tandem Health Sc | 1278 N Lafayette Dr, Sumter, SC 29150-2964 |
| Robert Noyes Etheridge | Family Medicine | Tandem Health Sc | 1278 N Lafayette Dr, Sumter, SC 29150-2964 |
| Blaine A Varner | Physician Assistant | Tandem Health Sc | 1278 N Lafayette Dr, Sumter, SC 29150-2964 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Niaya Mccleave | Occupational Therapy | Functional Pathways Preferred of Tennessee LLC | 2825 Carter Rd, Sumter, SC 29150-1712 |
| Stacey Kelso | Occupational Therapy | Functional Pathways Preferred of Tennessee LLC | 2825 Carter Rd, Sumter, SC 29150-1712 |
| Karly M Yarnish | Occupational Therapy | Functional Pathways Preferred of Tennessee LLC | 2825 Carter Rd, Sumter, SC 29150-1712 |
| Myra Cooke | Qualified Speech Language Pathologist | Functional Pathways Preferred of Tennessee LLC | 2825 Carter Rd, Sumter, SC 29150-1712 |
| Sharon T Johnson | Nurse Practitioner | Agape Senior Primary Care Inc | 1180 Wilson Hall Rd, Sumter, SC 29150-1738 |
| Harry A Jordan Jr. | Internal Medicine | Mcleod Physician Associates II | 1295 Wilson Hall Rd, Sumter, SC 29150-1804 |
| James R Mcmahon | Nurse Practitioner | Mcleod Physician Associates II | 1295 Wilson Hall Rd, Sumter, SC 29150-1804 |
| Ansel Rose Mcfaddin Iii | Internal Medicine | Mcleod Physician Associates II | 1295 Wilson Hall Rd, Sumter, SC 29150-1804 |
| Katherine A Coffey | Physician Assistant | Mcleod Physician Associates II | 1295 Wilson Hall Rd, Sumter, SC 29150-1804 |
| Emily J Miller | Physician Assistant | Mcleod Physician Associates II | 1295 Wilson Hall Rd, Sumter, SC 29150-1804 |
| Find all physicians in zip 29150 | |||
| City | SUMTER |
| Zip Code | 29150 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | SUMTER + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Richard A Wall Jr..
| 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.