Kevin Slean Scully (NPI# 1114983772, PAC ID# 8325133077) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1114983772 |
| PAC ID by PECOS | 8325133077 |
| Professional Enrollment ID | I20100405000153 |
| Full Name | Kevin Slean Scully |
| Organization Legal Name | EMERGEORTHO PA |
| Address |
3787 Shipyard Blvd Wilmington NC 28403-6148 |
| Phone Number | 9103323800 |
| Gender | M |
| Medical School | UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE |
| Graduation Year | 1978 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 0749188894 |
| Number of Group Practice Members | 415 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340141 | NEW HANOVER REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3787 Shipyard Blvd, Wilmington, NC 28403-6148 | 9103323800 | EMERGEORTHO PA |
| 8115 Market St, Suite 108, Wilmington, NC 28411-8429 | 9103323800 | EMERGEORTHO PA |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | EMERGEORTHO PA |
| Physicians | 412 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason Todd Wall | Physical Therapy | Emergeortho Pa | 139 Fiddlers Run Blvd, Morganton, NC 28655-0095 |
| Lawrence Anthony Montalto | Pain Management | Emergeortho Pa | 5160 Ocean Hwy W, Shallotte, NC 28470-4012 |
| Danielle Griffin | Nurse Practitioner | Emergeortho Pa | 503 E Parker Rd, Morganton, NC 28655-5104 |
| Cory N Egli | Physical Therapy | Emergeortho Pa | 2716 Ashton Dr, Wilmington, NC 28412-2489 |
| Gabrielle Johnston | Physician Assistant | Emergeortho Pa | 2076 Hwy 42 W, Clayton, NC 27520-5302 |
| Frank Mikloucich | Physical Therapy | Emergeortho Pa | 3787 Shipyard Blvd, Wilmington, NC 28403-6148 |
| Donald Fuller | Physical Therapy | Emergeortho Pa | 8115 Market St, Suite 108, Wilmington, NC 28411-8429 |
| Christina Marie Valvano | Physical Therapy | Emergeortho Pa | 7459 High Market St, Suite 6, Sunset Beach, NC 28468-4333 |
| Richard Suchan | Physical Therapy | Emergeortho Pa | 2585 Hendersonville Rd, Arden, NC 28704-9577 |
| Brenda L Culbertson | Physical Therapy | Emergeortho Pa | 107 E Mcclanahan St, Oxford, NC 27565-2919 |
| Street Address |
3787 SHIPYARD BLVD |
| City | WILMINGTON |
| State | NC |
| Zip | 28403-6148 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Frank Mikloucich | Physical Therapy | Emergeortho Pa | 3787 Shipyard Blvd, Wilmington, NC 28403-6148 |
| Kristen Nicole Dunford | Physical Therapy | Emergeortho Pa | 3787 Shipyard Blvd, Wilmington, NC 28403-6148 |
| Natalie Gilbert | Physical Therapy | Emergeortho Pa | 3787 Shipyard Blvd, Wilmington, NC 28403-6148 |
| Robert B Boswell | Orthopedic Surgery | Emergeortho Pa | 3787 Shipyard Blvd, Wilmington, NC 28403-6148 |
| Theresa K Miller | Occupational Therapy | Emergeortho Pa | 3787 Shipyard Blvd, Wilmington, NC 28403-6148 |
| Stacie J Williams | Occupational Therapy | Emergeortho Pa | 3787 Shipyard Blvd, Wilmington, NC 28403-6148 |
| Gregory Alan Burnett | Physical Therapy | Emergeortho Pa | 3787 Shipyard Blvd, Wilmington, NC 28403-6148 |
| Rachel Stewart | Physical Therapy | Emergeortho Pa | 3787 Shipyard Blvd, Wilmington, NC 28403-6148 |
| 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 | ORTHOPEDIC SURGERY |
| City + Specialty | WILMINGTON + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Kevin Slean Scully.
| 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.