Derek Tyler Pantiel (NPI# 1528353638, PAC ID# 9931328747) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1528353638 |
| PAC ID by PECOS | 9931328747 |
| Professional Enrollment ID | I20140909002810 |
| Full Name | Derek Tyler Pantiel |
| Organization Legal Name | INSTRIDE FOOT AND ANKLE SPECIALISTS, PLLC |
| Address |
1022 Lee Ann Dr Ne Concord NC 28025-2911 |
| Gender | M |
| Medical School | OHIO COLLEGE OF PODIATRIC MEDICINE |
| Graduation Year | 2011 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 7012168271 |
| Number of Group Practice Members | 76 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340068 | COLUMBUS REGIONAL HEALTHCARE SYSTEM |
| 340141 | NEW HANOVER REGIONAL MEDICAL CENTER |
| 341307 | PENDER MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 306 S Campbell St, Burgaw, NC 28425-5010 | 9107911300 | INSTRIDE FOOT AND ANKLE SPECIALISTS, PLLC |
| 1022 Lee Ann Dr Ne, Concord, NC 28025-2911 | INSTRIDE FOOT AND ANKLE SPECIALISTS, PLLC | |
| 134 Memory Plz, Whiteville, NC 28472-2640 | 9106420473 | INSTRIDE FOOT AND ANKLE SPECIALISTS, PLLC |
| 4113 Oleander Dr, Suite G, Wilmington, NC 28403-6840 | 9107911300 | INSTRIDE FOOT AND ANKLE SPECIALISTS, PLLC |
| Organization Legal Name | INSTRIDE FOOT AND ANKLE SPECIALISTS, PLLC |
| Physicians | 71 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wesley Alexander Jackson | Podiatry | Instride Foot and Ankle Specialists, Pllc | 626 Clark Dr, Lincolnton, NC 28092-3714 |
| Bradley William Lind | Podiatry | Instride Foot and Ankle Specialists, Pllc | 3800 Hwy 49 S, Harrisburg, NC 28075 |
| Eldon Cameron Peters | Podiatry | Instride Foot and Ankle Specialists, Pllc | 1514 Glenwood Ave, Raleigh, NC 27608-2368 |
| Bryan T Tuttle | Pathology | Instride Foot and Ankle Specialists, Pllc | 1036 Branchview Dr, Suite 216, Concord, NC 28025-0113 |
| Thomas D Verla | Podiatry | Instride Foot and Ankle Specialists, Pllc | 2211 Hwy 105, Boone, NC 28607-7813 |
| Jacob Anthony Panici | Podiatry | Instride Foot and Ankle Specialists, Pllc | 1001 Pemberton Hill Rd, Suite 102, Apex, NC 27502-4265 |
| Tyler Hagan | Podiatry | Instride Foot and Ankle Specialists, Pllc | 612 A Mccarthy Blvd, New Bern, NC 28562-5231 |
| Gary Y Liao | Podiatry | Instride Foot and Ankle Specialists, Pllc | 4119 Capitol St, Durham, NC 27704-2153 |
| Ashma S Davidson | Podiatry | Instride Foot and Ankle Specialists, Pllc | 6831 Fairview Rd, Suite A, Charlotte, NC 28210-0125 |
| Millicent B Brown | Podiatry | Instride Foot and Ankle Specialists, Pllc | 103 Professional Park, Suite B, Oxford, NC 27565-2581 |
| Street Address |
1022 LEE ANN DR NE |
| City | CONCORD |
| State | NC |
| Zip | 28025-2911 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ainsley R Rusevlyan | Podiatry | Instride Foot and Ankle Specialists, Pllc | 1022 Lee Ann Dr Ne, Concord, NC 28025-2911 |
| Kevin C Mcdonald | Podiatry | Instride Foot and Ankle Specialists, Pllc | 1022 Lee Ann Dr Ne, Concord, NC 28025-2911 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stacey B Gipe | Physician Assistant | Carolinas Physicians Network Inc | 920 Church St N, Concord, NC 28025-0000 |
| Lara Junine Pons | Hospitalist | Carolinas Physicians Network Inc | 920 Church St N, Concord, NC 28025-0000 |
| Steven E Lucas | Family Medicine | Carolinas Physicians Network Inc | 920 Church St N, Concord, NC 28025-0000 |
| Jenna S Thomas | Family Medicine | Carolinas Physicians Network Inc | 920 Church St N, Concord, NC 28025-0000 |
| Jonathan Ryan Patterson | Family Medicine | Carolinas Physicians Network Inc | 920 Church St N, Concord, NC 28025-0000 |
| Richard A Smits | Family Medicine | Carolinas Physicians Network Inc | 920 Church St N, Concord, NC 28025-0000 |
| Brent H Messick | Family Medicine | Carolinas Physicians Network Inc | 920 Church St N, Concord, NC 28025-0000 |
| Susan R Andersen | General Practice | Carolinas Physicians Network Inc | 920 Church St N, Concord, NC 28025-0000 |
| Lori J Seymour | Physician Assistant | Carolinas Physicians Network Inc | 920 Church St N, Concord, NC 28025-0000 |
| Victor L Ha | Family Medicine | Carolinas Physicians Network Inc | 920 Church St N, Concord, NC 28025-0000 |
| Find all physicians in zip 28025 | |||
| City | CONCORD |
| Zip Code | 28025 |
| Specialty | PODIATRY |
| City + Specialty | CONCORD + PODIATRY |
Please comment or provide details below to improve the information on Derek Tyler Pantiel.
| 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.