Charles Wayne Plummer (NPI# 1285709691, PAC ID# 9234262288) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.
| Nation Provider ID (NPI) | 1285709691 |
| PAC ID by PECOS | 9234262288 |
| Professional Enrollment ID | I20100728000649 |
| Full Name | Charles Wayne Plummer |
| Organization Legal Name | KND DEVELOPMENT 59 LLC |
| Address |
2401 Southside Blvd Greensboro NC 27406-3311 |
| Phone Number | 3362712800 |
| Gender | M |
| Medical School | DUKE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1978 |
| Primary Specialty | ANESTHESIOLOGY |
| Group Practice PAC ID | 3678602802 |
| Number of Group Practice Members | 150 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2025 Martin Luther King Jr Dr, Suite E, Greensboro, NC 27406-3334 | 3362918344 | RESTORATION MEDICAL CLINICS PC |
| 2401 Southside Blvd, Greensboro, NC 27406-3311 | 3362712800 | KND DEVELOPMENT 59 LLC |
| 530 N Elam Ave, Suite C, Greensboro, NC 27403-1139 | 3362857853 | RESTORATION MEDICAL CLINICS PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% |
| Organization Legal Name | KND DEVELOPMENT 59 LLC |
| Physicians | 103 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Allan Chen | Cardiovascular Disease (cardiology) | Knd Development 59 LLC | 4555 S Manhattan Ave, Tampa, FL 33611-2305 |
| Aleksandar A Radovic | Emergency Medicine | Knd Development 59 LLC | 6130 N Sheridan Rd, Chicago, IL 60660-2830 |
| Yvonne A Alanes | Internal Medicine | Knd Development 59 LLC | 845 N Lark Ellen Ave, West Covina, CA 91791-1069 |
| Daniel J Ries | General Practice | Knd Development 59 LLC | 1901 College Ave, Santa Ana, CA 92706-2334 |
| John B Steele | Anesthesiology | Knd Development 59 LLC | 205 Hollow Tree Ln, Houston, TX 77090-2801 |
| Victor E Oliva Gutierrez | Internal Medicine | Knd Development 59 LLC | 700 High St Ne, Albuquerque, NM 87102-2565 |
| Jazbeen Mahmood | Family Medicine | Knd Development 59 LLC | 3030 6th S St, Saint Petersburg, FL 33705-3720 |
| Ali H Bawamia | Internal Medicine | Knd Development 59 LLC | 2544 W Montrose Ave, Chicago, IL 60618-1537 |
| Shayna M Tisdall | Physician Assistant | Knd Development 59 LLC | 700 Potomac St, Fl 2, Aurora, CO 80011-6846 |
| Stephen Lee | Internal Medicine | Knd Development 59 LLC | 365 E N Ave, Northlake, IL 60164-2628 |
| Street Address |
2401 SOUTHSIDE BLVD |
| City | GREENSBORO |
| State | NC |
| Zip | 27406-3311 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mohammad D Lateef | Psychiatry | 2401 Southside Blvd, Greensboro, NC 27406 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tamika J Lott | Family Medicine | Triad Adult and Pediatric Medicine, Inc. | 1002 S Eugene St, Greensboro, NC 27406-1308 |
| Donna F Odem | Nurse Practitioner | Triad Medical Group Pa | 2031 Martin Luther King Jr Dr, Suite A, Greensboro, NC 27406-3300 |
| Richard M Pavelock | Internal Medicine | Triad Medical Group Pa | 2031 Martin Luther King Jr Dr, Suite A, Greensboro, NC 27406-3300 |
| Constance G Maslyar | Clinical Social Worker | Triad Medical Group Pa | 2031 Martin Luther King Jr Dr, Suite A, Greensboro, NC 27406-3300 |
| Jessica N Mcculley | Internal Medicine | Triad Medical Group Pa | 2031 Martin Luther King Jr Dr, Suite A, Greensboro, NC 27406-3300 |
| Robert Md Smith | Diagnostic Radiology | Rapid Radiology Inc | 2401 S Side Blvd, Greensboro, NC 27406-3311 |
| Asim S Otey | Physical Medicine and Rehabilitation | 2401 S Side Blvd, Greensboro, NC 27406-3311 | |
| Philip B Mcdonald | Diagnostic Radiology | Rapid Radiology Inc | 2401 S Side Blvd, Greensboro, NC 27406-3311 |
| Steven Wesley Bernstorf | Optometry | 2633 Randleman Rd, Greensboro, NC 27406-5107 | |
| Pamela D Bradley | Nurse Practitioner | Randleman Family Clinic Pllc | 2806 Randleman Rd, Suite J, Greensboro, NC 27406-5266 |
| Find all physicians in zip 27406 | |||
| City | GREENSBORO |
| Zip Code | 27406 |
| Specialty | ANESTHESIOLOGY |
| City + Specialty | GREENSBORO + ANESTHESIOLOGY |
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| 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.