Matthew C Wallen (NPI# 1962442921, PAC ID# 8921911694) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1962442921 |
| PAC ID by PECOS | 8921911694 |
| Professional Enrollment ID | I20031110000038 |
| Full Name | Matthew C Wallen |
| Organization Legal Name | SOUND PHYSICIANS EMERGENCY MEDICINE OF SOUTH CAROLINA LLC |
| Address |
1524 Barnwell Hwy Denmark SC 29042 |
| Phone Number | 8033953700 |
| Gender | M |
| Credential | MD |
| Medical School | MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE |
| Graduation Year | 2000 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 2163702739 |
| Number of Group Practice Members | 48 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420030 | COLLETON MEDICAL CENTER |
| 420068 | TRMC OF ORANGEBURG & CALHOUN |
| 420079 | TRIDENT MEDICAL CENTER |
| 420098 | TIDELANDS WACCAMAW COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1524 Barnwell Hwy, Denmark, SC 29042 | 8033953700 | SOUND PHYSICIANS EMERGENCY MEDICINE OF SOUTH CAROLINA LLC |
| 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442 | 8035532200 | SOUND PHYSICIANS EMERGENCY MEDICINE OF SOUTH CAROLINA LLC |
| Organization Legal Name | SOUND PHYSICIANS EMERGENCY MEDICINE OF SOUTH CAROLINA LLC |
| Physicians | 40 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anthony L Bostick | Emergency Medicine | Sound Physicians Emergency Medicine of South Carolina LLC | 1524 Barnwell Hwy, Denmark, SC 29042 |
| Tyler Kessler Greenberg | Emergency Medicine | Sound Physicians Emergency Medicine of South Carolina LLC | 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442 |
| Jeremy Paul Skotko | Emergency Medicine | Sound Physicians Emergency Medicine of South Carolina LLC | 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442 |
| Matthew L Blackburn | Emergency Medicine | Sound Physicians Emergency Medicine of South Carolina LLC | 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442 |
| Harriette Leanne Alewine Davis | Nurse Practitioner | Sound Physicians Emergency Medicine of South Carolina LLC | 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442 |
| James N Mock | Emergency Medicine | Sound Physicians Emergency Medicine of South Carolina LLC | 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442 |
| Anna K Paysinger | Emergency Medicine | Sound Physicians Emergency Medicine of South Carolina LLC | 302 University Pkwy, Aiken, SC 29801-6302 |
| Christopher K Jensen | Emergency Medicine | Sound Physicians Emergency Medicine of South Carolina LLC | 302 University Pkwy, Aiken, SC 29801-6302 |
| Yenney E Meza | Emergency Medicine | Sound Physicians Emergency Medicine of South Carolina LLC | 302 University Pkwy, Aiken, SC 29801-6302 |
| Erin K Payne | Emergency Medicine | Sound Physicians Emergency Medicine of South Carolina LLC | 302 University Pkwy, Aiken, SC 29801-6302 |
| Street Address |
1524 BARNWELL HWY |
| City | DENMARK |
| State | SC |
| Zip | 29042 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anthony L Bostick | Emergency Medicine | Sound Physicians Emergency Medicine of South Carolina LLC | 1524 Barnwell Hwy, Denmark, SC 29042 |
| Jon Patrick Jennings | Emergency Medicine | Sound Physicians Emergency Medicine of South Carolina LLC | 1524 Barnwell Hwy, Denmark, SC 29042 |
| Bassam E Haddad | Family Medicine | Sound Physicians Emergency Medicine of South Carolina LLC | 1524 Barnwell Hwy, Denmark, SC 29042 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tara Earthel Hook | Family Medicine | Edisto Regional Health Services Inc | 5073 Carolina Hwy, Denmark, SC 29042-1679 |
| City | DENMARK |
| Zip Code | 29042 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | DENMARK + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Matthew C Wallen.
| 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.