Sean M Wilson (NPI# 1992770572, PAC ID# 9032105754) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1992770572 |
| PAC ID by PECOS | 9032105754 |
| Professional Enrollment ID | I20040420001521 |
| Full Name | Sean M Wilson |
| Organization Legal Name | PRIVATE DIAGNOSTIC CLINIC PLLC |
| Address |
1545 Orchard Villas Ave Apex NC 27502-4321 |
| Phone Number | 9195768383 |
| Gender | M |
| Credential | PA |
| Graduation Year | 2003 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 1355254368 |
| Number of Group Practice Members | 2199 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1545 Orchard Villas Ave, Apex, NC 27502-4321 | 9195768383 | PRIVATE DIAGNOSTIC CLINIC PLLC |
| 1545 Orchard Villas Ave, Suite 110, Apex, NC 27502-4321 | 9193852840 | PRIVATE DIAGNOSTIC CLINIC PLLC |
| 1565 Orchard Villas Ave, Apex, NC 27502-4321 | 9193731810 | PRIVATE DIAGNOSTIC CLINIC PLLC |
| 300 Meadowmont Village Cir, Suite 311, Chapel Hill, NC 27517-7518 | 9199678052 | PRIVATE DIAGNOSTIC CLINIC PLLC |
| Harris Smith Ob/gyn, 3000 Meadowmont Village Circle Suite 311, Chapel Hill, NC 27517-7518 | 9199678052 | PRIVATE DIAGNOSTIC CLINIC PLLC |
| 4709 Creekstone Dr, Suite 100, Durham, NC 27703-0016 | 9196605060 | PRIVATE DIAGNOSTIC CLINIC PLLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_402_overall | Tobacco Use and Help with Quitting Among Adolescents | 68% |
| Organization Legal Name | PRIVATE DIAGNOSTIC CLINIC PLLC |
| Physicians | 2411 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Calvin Osoro Motika | Anesthesiology | Private Diagnostic Clinic Pllc | Harris Smith Ob/gyn, 3000 Meadowmont Village Circle Suite 311, Chapel Hill, NC 27517-7518 |
| Sharon Clancy | Plastic and Reconstructive Surgery | Private Diagnostic Clinic Pllc | 3300 Executive Dr, Suite 303, Raleigh, NC 27609-7492 |
| Kenneth Martin Weinlander | Ophthalmology | Private Diagnostic Clinic Pllc | 1340 Creekshire Way, Winston Salem, NC 27103-3063 |
| James M Poole | Pediatric Medicine | Private Diagnostic Clinic Pllc | 11130 Capital Blvd, Wake Forest, NC 27587-4513 |
| Chamia N Maker | Nurse Practitioner | Private Diagnostic Clinic Pllc | 4101 Macon Pond Rd, Raleigh, NC 27607-6319 |
| Stuart D Russell | Advanced Heart Failure and Transplant Cardiology | Private Diagnostic Clinic Pllc | 6301 Herndon Rd, Durham, NC 27713-6315 |
| Jennifer E Snyder | Nurse Practitioner | Private Diagnostic Clinic Pllc | 30 Duke Medicine Cir, Durham, NC 27710-3000 |
| Christpher Scott Klifto | Orthopedic Surgery | Private Diagnostic Clinic Pllc | 3609 Sw Durham Dr, Durham, NC 27707-6507 |
| William A Jiranek | Orthopedic Surgery | Private Diagnostic Clinic Pllc | 4709 Creekstone Dr, Durham, NC 27703-9822 |
| Karen Christine Baker | Urology | Private Diagnostic Clinic Pllc | 5704 Fayetteville Rd, Durham, NC 27713-9089 |
| Street Address |
1545 ORCHARD VILLAS AVE |
| City | APEX |
| State | NC |
| Zip | 27502-4321 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lindsay Y King | Gastroenterology | Private Diagnostic Clinic Pllc | 1545 Orchard Villas Ave, Apex, NC 27502-4321 |
| Vernon W Pugh Iii | Interventional Radiology | Private Diagnostic Clinic Pllc | 1545 Orchard Villas Ave, Apex, NC 27502-4321 |
| Morgan D Camp | Diagnostic Radiology | Private Diagnostic Clinic Pllc | 1545 Orchard Villas Ave, Apex, NC 27502-4321 |
| William S Payne | Physician Assistant | Private Diagnostic Clinic Pllc | 1545 Orchard Villas Ave, Apex, NC 27502-4321 |
| James E Knutson | Interventional Radiology | Private Diagnostic Clinic Pllc | 1545 Orchard Villas Ave, Apex, NC 27502-4321 |
| Tammy H Kreuzer | Diagnostic Radiology | Private Diagnostic Clinic Pllc | 1545 Orchard Villas Ave, Apex, NC 27502-4321 |
| Campbell P Brown | Physical Therapy | Duke University Health System, Inc. | 1545 Orchard Villas Ave, Apex, NC 27502-4321 |
| Tedric D Boyse | Diagnostic Radiology | Private Diagnostic Clinic Pllc | 1545 Orchard Villas Ave, Apex, NC 27502-4321 |
| Hongtao M Guo | Physical Medicine and Rehabilitation | Private Diagnostic Clinic Pllc | 1545 Orchard Villas Ave, Apex, NC 27502-4321 |
| Samuel J Kuzminski | Pediatric Medicine | Private Diagnostic Clinic Pllc | 1545 Orchard Villas Ave, Apex, NC 27502-4321 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael J Borgert | Chiropractic | 320 N Salem St, Suite 102, Apex, NC 27502-1481 | |
| Maribel Medina De La Barrera | Registered Dietitian Or Nutrition Professional | Wake Health Services Inc. | 212 S Salem St, Apex, NC 27502-1825 |
| Chinyere Bassey Chima | Nurse Practitioner | Wake Health Services Inc. | 212 S Salem St, Apex, NC 27502-1825 |
| Ayesha T Khan | Internal Medicine | Wake Health Services Inc. | 212 S Salem St, Apex, NC 27502-1825 |
| Cari Case | Chiropractic | 207 W Chatham St, Apex, NC 27502-1895 | |
| Gaea Annice Mccaig | Physician Assistant | Rex Hospital Inc | 1059 Beaver Creek Commons Dr, Unit 230, Apex, NC 27502-3918 |
| David Holler | Optometry | Apex Vision Center Od Pa | 1049 Beaver Creek Commons Dr, Apex, NC 27502-3918 |
| John P Goldfield | Physician Assistant | Rex Hospital Inc | 1059 Beaver Creek Commons Dr, Unit 230, Apex, NC 27502-3918 |
| Elliott J Poole | Physician Assistant | Rex Hospital Inc | 1059 Beaver Creek Commons Dr, Unit 230, Apex, NC 27502-3918 |
| Nancy Sweatt Tallent | Physician Assistant | Rex Hospital Inc | 1059 Beaver Creek Commons Dr, Unit 230, Apex, NC 27502-3918 |
| Find all physicians in zip 27502 | |||
| City | APEX |
| Zip Code | 27502 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | APEX + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Sean M Wilson.
| 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.